Pectoral Fascia Preservation Versus Resection in Modified Radical Mastectomy. | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 18, Issue 3, July 2025, Page 253-259 PDF (388.67 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2025.389638.1205 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohammed Abdo Etman  ; Alaa Abd Elazeem Elsisi; M. Ashraf Balbaa; Abdallah Salaheldin Abdallah; Mohamed K. Alhanafy
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| Surgery Department, Faculty of Medicine, Menoufia University, Egypt | ||||
| Abstract | ||||
| Introduction: The modified radical mastectomy (MRM) is a common surgical option for carefully selected patients with breast cancer, but the necessity of pectoral fascia (PF) resection during the procedure has been debated. Aim of work: To evaluate the impact of pectoral fascia preservation versus resection on surgical outcomes, complications, and recurrence rates in patients undergoing modified radical mastectomy. Patients and methods: We have conducted a retrospective review of patients who underwent MRM at the Department of General Surgery, Menoufia University Hospital between January 2014 and December 2019. Patients were divided into two groups: Group A (PF preservation, n=61) and Group B (PF excision, n=72). After propensity score matching, there were 44 patients in each group with homogeneous patients and tumor characteristics. Results: After matching, patients of both groups had similar demographics. Intraoperative blood loss was significantly higher in the PF excision group (220.4±26.2 mL vs. 255±29.8 mL; P<0.001) and similarly total seroma volume (495.3±209.3 mL vs. 805.1±385.7 mL; P<0.001), which was in favor of PF preservation. However, there were no significant differences in recurrence rates or postoperative complications such as seroma formation, skin necrosis, or surgical site infection. Conclusions: Pectoral fascia preservation during MRM resulted in reduced intraoperative blood loss and seroma formation without compromising oncological outcomes. These findings suggest that PF preservation may be a viable option in MRM, offering a less invasive alternative with potentially improved postoperative recovery. | ||||
| Keywords | ||||
| Pectoral fascia; modified radical mastectomy; breast cancer; seroma formation; recurrence | ||||
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