5.1 Sources of information
1. Sampson V., Fenlon D. (2000) The Breast Cancer Book, London: Vermilion.
2. Petrek J A, Peters M M, Nori S, (1990) Axillary lymphphadenectomy. Arch. Surg. 125; 378-82
3. Zavostky J, Jones R C, Brenna M B, (1984) Evaluation of axillary lympadenectomy without axillary drainage for breast conserving therapy. Ann. Surg. Oncol. Obstet. 158; 327-330
4. Boman L, Lindgren A, Sandelin K (2002) Women's pereptions of seroma and their drainage following mastectomy and axillairy lymph node disection. Eur. J Oncol Nurs. Dec; 6(4): 213-9
5. Nursing and Midwifery Council, The Code of Professional Conduct & Ethisc May 2008.
5.2 Summary of evidence, review and recommendations
The information contained within these guidelines have been collated from reputable services. Attention has been paid to ensure seroma drainage is safe for both patients and staff. Breast Specialist Nurses draining seromas is a relatively new practice and the evidence to support this is limited. A literature search on Medline and a literature review reflected this.
An annual review to ensure safe practice and competence of the Breast Specialist Nurse is essential.
Seroma formation and drainage can bring about patient anxiety and may delay further treatment. It is vital the Breast Specialist Nurse spend time in explaining the procedure and address the patient's anxieties.