Comparative Study between Jackson-Pratt Drain and Redivac Drain in Prevention of Seroma Formation after Oncoplastic Breast Surgery

Background: Seroma formation is frequently observed inoncoplastic breast surgeries, seroma development is a commonpostoperative complication that causes significant patientmorbidity.Objective: This study aimed to compare between the effectof using Jackson-Pratt drain and Redivac drain in patientsundergoing oncoplastic surgeries in seroma formation.Patients and Methods: Eighty female patients with confirmeddiagnosed cancer breast Underwent different oncoplasticbreast surgery between November 2021 and December 2022in Medical Research Institute, Alexandria University. Allpatients subjected to the same preoperative preparations.Patients were randomized to both group A and group B bydouble blinded randomized controlled method. Group A:(using Jackson-Pratt drain) and Group B: (using conventionalRedivac drain).Seroma was detected by clinical examination at 2, 4, 6,and 8 weeks postoperative.Results: The mean BMI was 23.0-40.2 (31.0) in group AVs. 26.0-35.1 (30.0) in group B. The mean time until drainsremoval was 7-16 (11.5) days in group A Vs. 4-18 (10.8) daysin group B. Total drain discharge was in the Jackson draingroup (685.33ml) Vs. (915.27ml) in the redivac drain group.Five cases of 40 cases came with seroma in group A withrange of amount (190-440) ml and mean amount (278) mlwhile fifteen cases in group B with range of amount (100-810) and mean amount (482.5) ml in group B. The Numberof cases complicated with delayed seroma was 1 case (2.5%)in group A (n=40) while 4 cases (10%) in group B (n=40).Pain score was in group A ranged from 1-4 with mean value3.2±0.7 and in group B ranged from 2-5 with mean value4.0±1.0.Conclusion: Using Jackson-pratt drain is reliable andefficient in reducing seroma formation in different breastsurgery techniques especially reconstructive breast surgeriesand is very successful to minimize pain associated the drainin comparison to conventional redivac drain.