Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT
Elshenawy, A., Abd El-Azim, T., Kamal, A. (2023). Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT. EKB Journal Management System, 16(2), 103-109. doi: 10.21608/asjs.2023.298746
Anwar A Elshenawy; Tarik Abd El-Azim; Ayman Kamal. "Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT". EKB Journal Management System, 16, 2, 2023, 103-109. doi: 10.21608/asjs.2023.298746
Elshenawy, A., Abd El-Azim, T., Kamal, A. (2023). 'Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT', EKB Journal Management System, 16(2), pp. 103-109. doi: 10.21608/asjs.2023.298746
Elshenawy, A., Abd El-Azim, T., Kamal, A. Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT. EKB Journal Management System, 2023; 16(2): 103-109. doi: 10.21608/asjs.2023.298746

Re-alignment of Clavipectoral Fascia for Axillary Web Syndrome Prevention, an Egyptian Multi-Center RCT

Ain Shams Journal of Surgery
Volume 16, Issue 2, April 2023, Page 103-109  XML PDF (404.82 K)
DOI: 10.21608/asjs.2023.298746
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Authors
Anwar A Elshenawyorcid 1; Tarik Abd El-Azim2; Ayman Kamalorcid 2
1Department of General Surgery, Faculty of Medicine, Aswan University
2Department of General Surgery, Faculty of Medicine, Helwan University, Egypt
Abstract
Introduction: The CPF (clavipectoral fascia) is reported to offer several benefits. It may aid in the reduction of
postoperative bleeding and seroma development due to its role in lymph drainage.
Aim of the study: Reporting our experience in re-aligning the CPF after breast surgery with ALND can help avoid
the development of AWS.
Patients and methods: A randomized clinical trial for 290 patients undergoing unilateral breast surgery with ALND.
Results: Post-operatively, there was a high significant incidence increase in excised CPF group, regarding seroma formation. Otherwise, there was no difference regarding time for drain removal besides three days drain output.
Conclusion: Pectoral fascia re-alignment has many benefits such as lower incidence of seroma formation, and AWS prevention.
Keywords
Pectoral fascia re-alignment; seroma; Axillary web syndrome
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