Closure Technique
Conditions
Brief summary
Investigators aimed to assess the comparative impact of two different closure techniques on cosmetic outcomes and patient satisfaction; investigators want to analysis operative time, wound healing and postoperative complications in both techniques
Interventions
In the Fishtail closure group, after standard mastectomy, the lateral flap was shaped into a fish-tail pattern and closed with interrupted sutures, ensuring an even tension distribution along the incision
In the Waisted Teardrop closure group, the lateral incision was designed in a teardrop shape with a narrowed waist, and closure was performed in layers to balance tension and reduce lateral dog-ear formation
Sponsors
Study design
Eligibility
Inclusion criteria
.Inclusion Criteria: * female patients aged 18 years or older sehdule for mastectomy * a body mass index (BMI) between 18.5 and 35 kg/m² * willing and able to provide informed consent.
Exclusion criteria
* patients with BMI \<18.5 or \>35 kg/m² * those with inflammatory breast cancer, * prior breast surgery on the same side, * comorbidities significantly affecting wound healing, such as uncontrolled diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cosmetic outcomes | 1 YEAR | To assesc osmetic outcome in terms of correction of dog-ear deformity (Yes/No) |
| patient satisfaction | 1 year | to assess patient satisfaction five-point Likert scale was used |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | 1 YEAR | Analysis of operative time in minutes |
| wound healing | 1 year | wound healing time was measured in days |
| post operative complications | 1 year | seroma formation, wound dehiscence, flap necrosis, wound infections (frequency) |
Countries
Pakistan