Dehariya Prerna, Agarwal Namrata, Yadav Sanjay Kumar, Agarwal Pawan, Sharma Dhananjaya
Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India.
World J Surg. 2023 Nov;47(11):2761-2766. doi: 10.1007/s00268-023-07139-6. Epub 2023 Aug 15.
We evaluated the impact of topical epinephrine with xylocaine on drainage after axillary lymph node dissection.
Fifty-two women were randomized into two groups, epinephrine with xylocaine drainage (ED) and conventional drainage group (CD). The amount of drainage, duration of drainage catheter, incidence of seroma formation and wound infection were noted.
The mean total drainage volume was less in ED group as compared to CD group (195 ml vs. 353 ml; p = .002). Drainage catheter was removed earlier in ED group as compared to CD group (5.07 + / - 0.99 days vs. 6.65 + / - 1.07 days; p = 0.0001). The incidence of seroma and wound infection was similar in two groups.
Topical epinephrine with xylocaine after axillary lymph node dissection results in significantly decreased drainage volume and duration of drainage.
我们评估了含利多卡因的局部肾上腺素对腋窝淋巴结清扫术后引流的影响。
52名女性被随机分为两组，即含肾上腺素的利多卡因引流组（ED）和传统引流组（CD）。记录引流量、引流管留置时间、血清肿形成发生率和伤口感染情况。
与CD组相比，ED组的平均总引流量较少（195毫升对353毫升；p = 0.002）。与CD组相比，ED组引流管拔除时间更早（5.07±0.99天对6.65±1.07天；p = 0.0001）。两组血清肿和伤口感染发生率相似。
腋窝淋巴结清扫术后使用含利多卡因的局部肾上腺素可显著减少引流量和引流时间。
