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Breast seroma

Seroma is the most common complication occurring after breast surgery.

Management usually involves repeated aspiration and drain insertion.

Seroma formation is the most frequent postoperative complication after breast cancer surgery.

Its incidence after breast surgery is (15-81%).

It occurs in most patients after mastectomy.

Considered as a side effect of surgery rather than a complication.

Not all patients are symptomatic.

A serous fluid collection that develops under skin flaps after mastectomy or in the axillary dead space after axillary dissection as a consequence of lymphatic disruption and oozing of capillary beds.

Can lead to significant morbidity such as infection, flap necrosis, and wound dehiscence.

Predisposes to sepsis.

May lead to prolonged recovery from breast surgery and delay adjuvant chemotherapy or radiation therapy.

Usually managed by repeated needle aspiration to seal the skin flaps against chest wall.

Tetracycline sclerotherapy is successful in the majority of serums.

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