Role of Preoperative Intravenous Steroid Injection in Preventing Seroma Formation After Breast Surgeries

Shaza  Bashir; Syed Mukarram  Hussain; Waseem Ahmad  Khan; Muhammad  Ahmad; Adil  Maqbool; Fawad  Anwar

doi:10.51253/pafmj.v75i5.11734

Authors

Shaza Bashir Department of General Surgery, Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Syed Mukarram Hussain Department of General Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Waseem Ahmad Khan Department of General Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Ahmad Department of General Surgery, Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Adil Maqbool Department of General Surgery, Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Fawad Anwar Department of General Surgery, Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i5.11734

Keywords:

Breast Surgery, Depomedrol, Methylprednisolone, Seroma, Steroids

Abstract

Objective: To evaluate the role of preoperative intravenous steroid injection in preventing seroma formation after breast surgeries.

Study Design: Quasi-experimental study.

Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jul to Dec 2023.

Methodology: With non-probability consecutive sampling technique, a total of 40 patients were included who were scheduled for breast surgeries. 20 patients were grouped into Group-I who were not given steroid before surgery. Group-II also consisted of 20 patients who were injected 120 mg intravenous injection of methylprednisolone one hour prior to surgery. Post-surgery the amount of drainage and number of drainage days were recorded in milliliters. At each follow up visit, wound was also examined for any infection or necrosis.

Results: Patients ranged in age from 18 to 69 years, with a mean age of 56.83+6.91. Methylprednisolone injection given to the patients of Group-II helped reduce the average drain output and number of days for which drainage was required and was statistically significant. 25% of patients reported with seroma formation in Group-II and only 5% of which underwent surgical/ IR guided intervention as compared to 45% in Group-I with 15% undergoing surgical/ IR guided intervention.

Conclusion: A single dose of intravenous steroid injection (methylprednisolone) given an hour before surgery is a promising and effective strategy to prevent seroma formation following breast surgical procedures without any significant complications or side effects.

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