Evaluation of quilting technique for reduction of post mastectomy seroma formation

Background: Seroma formation is a common complication after mastectomy, causing discomfort and delayed recovery. The quilting technique, which reduces tissue dead space, may minimize seroma formation and improve patient outcomes. Methods: This randomized controlled trial assigned patients to either an intervention group (quilting technique) or a control group. Clinical parameters included age, nutritional status, tumour size, and lymph node involvement. Surgical parameters assessed were quilting, drain output, days until drain removal, and seroma formation. Results: Seromas occurred in 21% of participants, with 80% of those affected not undergoing quilting. The p=0.042 suggests quilting reduces seroma risk. Factors like tumor size, weight, and lymph node involvement also influenced seroma development. Conclusions: Quilting may reduce seroma formation, enhancing comfort, shortening recovery, and reducing healthcare costs. The study’s limitation is its focus on short-term outcomes; long-term effects, including patient satisfaction and quality of life, should be explored in future research.