Drain Placement for Seroma Prevention After Mammosite/SAVI Catheter Removal

Study Overview
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Brief Summary
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The proposed study is randomised controlled trial where informed and consenting patients who have a Mammosite/SAVI device placed, are randomized into two groups: a control group that has the device removed in the traditional manner without having a drain placed, and an experimental group that will have a penrose drain placed under sterile conditions at the time of removal of their device. The drain will be placed in the same site used for the APBI device and no additional surgery will be performed. The drain will remain for 2-3 days and it will be removed by the patient at home. They will return for their routine follow-up appointments and be monitored for development of a seroma with the use of standard ultrasound and physical exam. Hypothesis: Based on the null hypothesis there will be no difference in the rate of seroma formation after the APBI device removal if a drain is placed.

Detailed Description
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The proposed study is randomised controlled trial where informed and consenting patients who have an APBI device placed, are randomized into two groups: a control group that has the device removed in the traditional manner without having a drain placed, and a experimental group that would have a penrose drain placed under sterile conditions at the time of removal of their device. The procedure will be performed at the MSU Surgery outpatient clinic by residents, the senior investigator or a trained nurse/PA. Additional data will be collected on each patient from their medical record including demographic data, cancer diagnosis, lesion size, date of procedure, date Mammosite/SAVI was inserted and removed, total dose of radiation, ER, PR, HER2Neu status, and any chemotherapy or hormone therapy being administered. Drains will remain in place for 2-3 days and will be removed by the patient upon removing the dressing. Patients will continue their antibiotic regimen prescribed while the APBI device was in place for the 2-3 days the drain is in place for infection prophylaxis. Patients will be followed for 4 weeks to determine if a seroma or other complication has developed. Patients in both the experimental and control groups will have the same standard follow up and monitoring for seroma development with the use of ultrasound. All postop cancer care will be standard and this study will not alter or delay any aspect of breast cancer treatment. Statistics will be performed and reported based upon data collected.

Official Title
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Drain Placement for Seroma Prevention After Mammosite/SAVI Catheter Removal

Conditions
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Infected Seroma After Surgical Procedure

Intervention / Treatment
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* Device: Penrose drain placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of breast cancer received accelerated partial breast irradiation Exclusion Criteria: any metastatic breast cancer infection skin with radiation injury

Ages Eligible for Study
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Minimum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No drain<br>Control group | |
| Experimental: Penrose drain placement<br>Placement of a penrose drain after irradiation catheter is removed | Device: Penrose drain placement<br>* A penrose drain will be placed in the lumpectomy cavity after removal of the irradiation catheter<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Development of lumpectomy cavity seroma | The patient will be evaluated by physical exam and ultrasound of the affected breast. | 1 month and 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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seroma, accelerated partial breast irradiation (APBI), breast lumpectomy, breast cancer