Evaluation of the Quilting Technique for Reduction of Postmastectomy Seroma: A Randomized Controlled Study

Table 1

Studies that investigated closure of the dead space after mastectomy.

Study/year	Type of trial	Number	Intervention	Result
Chilson et al. 1992 [13]	Retrospective; Level 3	351	MRM with or without suture flap fixation	Suture flap fixation Sig. ↓ seroma
Coveney et al. 1993 [21]	RCT; Level 2	39	Suture flap fixation versus conventional skin closure	25% incidence of seroma versus 85% ()
Purushotham et al. 2002 [22]	RCT; Level 2	375	Mastectomy, BCS; No drainage with suture flap fixation versus drainage without suture flap fixation	61% versus 55% (NS) in MRM, 47% versus 51% (NS) in BCS
Schuijtvlot et al. 2002 [23]	Prospective; Level 2	97	BCS without drainage; suture flap fixation (buttress suture) without drainage versus conventional surgery	Suture flap fixation Sig. ↓ seroma
Sakkary 2012 [5]	Prospective	40	MRM with or without suture flap fixation	Suture flap fixation Sig. ↓ seroma
Ten Wolde et al. 2014 [3]	Retrospective	176	MRM with or without suture flap fixation	Suture flap fixation Sig. ↓ seroma