CClinicalTrials.gg
CompletedNCT04188821Updated Dec 10, 2019

Reduction of Seroma and Improvement of QoL in Breast Reconstruction With Tissue Expander

An interventional study of breast drain removal in Safety Issues and Quality of Life, sponsored by University of Foggia. Completed. Open to female participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-12-10.

Sponsored by University of Foggia · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Sep 2016, registered Nov 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
124
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

The experimental hypothesis of this randomized controlled study was to demonstrate that early drain removal in patients who underwent immediate breast reconstruction with tissue expander is a safety procedure to improving clinical outcomes and quality of life (QoL). The mechanism of action underlying the proposed approach was intuitive. The early drain removal allows to: 1) avoid continuous seroma development caused by active suction of drain (stopping the circle "drain itself may perpetuate the drainage" with vacuum mechanism); 2) reduce the risks connected to "foreign body reaction" as tissue inflammation and infection; 3) improve QoL reducing pain, length of hospital stay and limitations of daily activities.

02

Conditions studied

  • Safety Issues
  • Quality of Life
03

In context

Lead sponsor

University of Foggia is the lead sponsor of 35 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • SNS (skin nipple sparing) or SS (skin sparing) mastectomy for breast cancer and immediate positioning of breast expander (without mesh) with placement of suction drain, regardless of TNM classification

Exclusion criteria

Exclusion Criteria:

  • skin reducing mastectomy, reconstruction with flap, direct to implant reconstruction (with or without mesh or ADM) and axillary dissection
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
124 participants (actual)

Study arms

  • Active comparator
    output based group

    Investigators remove the drains when the suction drain flow was less than 30 ml/day for at least 2 days with no further signs of infection, fluid collection or impaired wound healing

    Procedure: breast drain removal

  • Experimental
    early-removal group

    Investigators remove the drains at hospital discharge, 3-4 days after surgery, regardless of the output at that time

    Procedure: breast drain removal

Interventions

  • Procedurebreast drain removal

    Investigators remove the drains when the suction drain flow was less than 30 ml/day for at least 2 days or at discharge, with no further signs of infection, fluid collection or impaired wound healing ("complicated", see below). Ultimately, we removed drains 3 weeks postoperatively (21 days post op) even if the flow was higher than 30 ml/day. However, leakage or severe patient discomfort led to immediate drain removal at any time during postoperative care.

06

What researchers measure

Primary outcomes

  1. total fluid volume (ml)

    sum of drain volumes and volume of seroma aspirations if needed

    Time frame: 21 days

  2. days with drainage

    Time frame: 21 days

  3. days of seroma formation

    period that drain or seroma aspiration is needed in days after surgery

    Time frame: 21 days

  4. time until wound healing (days)

    Time frame: 21 days

  5. infection (yes or not)

    defined as the appearance of local signs/symptoms as erythema, edema, induration, increased pain, and a change in drainage to a purulent nature and fever, confirmed by swabs

    Time frame: 21 days

  6. complicated wound healing (yes or not)

    unclosed wound 3 weeks postoperatively

    Time frame: 21 days

Secondary outcomes

  1. pain (using Visual Analogic Score scale to measure intensity)

    The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" (0) and "worst pain." (10)

    Time frame: 21 days

  2. disturbance in quality of sleep (yes or not)

    Time frame: 21 days

  3. limitation in personal care, daily activities and social life (yes or not)

    Time frame: 21 days

  4. disturbance in mobility (yes or not)

    mobility as walking, running, driving

    Time frame: 21 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04188821
Lead sponsor
University of Foggia
Responsible party
Lembo Fedele (Principal Investigator, University of Foggia) — Principal investigator
First posted
Dec 6, 2019
Start date
Sep 1, 2016
Primary completion
Mar 31, 2018
Completion
Dec 31, 2018
Last update
Dec 10, 2019

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion