Effectiveness of TachoSil as Sealant in Lymphatic Leakage of Breast Cancer With Axillary Dissection.
ArshadUllah Khan, Loai Albinsaad, Mohammed Alessa, Alghaydaa Fouad Aldoughan, Ammar Jaafar Alsalem, Noof Khalid Almukhaimar, Abdulrahman Ahmed Alghamdi, Watan Abdulla Alsahlawi, Batool Abdullah Alahmary
Author Information
ArshadUllah Khan: Oncology and Breast Oncoplastic Surgery, AlAhsa Hospital, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Loai Albinsaad: Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Mohammed Alessa: Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Alghaydaa Fouad Aldoughan: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Ammar Jaafar Alsalem: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Noof Khalid Almukhaimar: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Abdulrahman Ahmed Alghamdi: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Watan Abdulla Alsahlawi: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
Batool Abdullah Alahmary: College of Medicine, King Faisal University, Al-Ahsa City, Eastern Province, Saudi Arabia. ORCID
This study is aimed at evaluating the effectiveness of TachoSil in controlling lymphatic leakage in breast cancer patients undergoing axillary dissection. By examining its ability to reduce postsurgical lymphatic drainage, the study will assess its impact on complications like seroma formation, recovery time, and overall patient outcomes, including quality of life and reduced healthcare costs. Breast cancer patients treated in the Department of Surgical Oncology at King Abdulaziz Medical City were enrolled to receive either TachoSil or undergo drain placement after axillary dissection. Repeated measures multivariate analysis of variance (MANOVA) was used to observe the difference in lymphatic drainage volume over time considering other covariates, such as age, sex, family history, neoadjuvant chemotherapy (NAC), and stage. The TachoSil group showed significantly lower lymphatic drainage volumes at 24 h (106.5 ± 11.3) than the control group (141.7 ± 13.0) ( < 0.001). There were no significant differences in lymphatic drainage volume at 3 days ( = 0.176) and 7 days ( = 0.091). However, at 10 days, the TachoSil group exhibited significantly lower lymphatic drainage volume (19.9 ± 6.1) than the control group (44.5 ± 9.2) ( < 0.001). Repeated measures MANOVA showed a statistically significant difference in lymphatic drainage over time, with a moderate effect ( < 0.001). The findings suggest that TachoSil sealant effectively reduces early postoperative lymphatic drainage volume and maintains lower drainage rates up to 10 days following axillary dissection in breast cancer patients. The use of TachoSil sealant may have potential benefits in reducing the incidence of complications associated with lymphatic drainage and improving patient outcomes.
