Postoperative Outcomes of Breast Cancer Surgery in Tertiary Care Hospital

Abstract

Background: Breast cancer is the second most prevalent form of cancer in the world and has the highest incidence of any form of cancer. Late presentation is linked with unfavorable outcomes for patients.

Objective: To determine the postoperative outcomes of breast cancer surgery

Material and Methods: The current cross-sectional study was carried out at Breast surgery department, CMH Rawalindi, Pakistan from March 2023 to September 2023. The approval of our study was taken from the ethical committee of the hospital. The overall sample size in our study was 200. All the information’s were collected from the hospital record. The different information’s that were collected includes include age, socioeconomic status, co-morbidities, type of Surgery done like mastectomy, lumpectomy, any other additional surgery, techniques used in surgery.   Postoperative Outcomes, Operation risks, post- operation activities and time required for healing, readmissions, prescription of antibiotics, measures used for pain control. The data was entered and analyzed by using SPSS version 16.

Results: In our study, totally 200 patients were enrolled. The mean age (±SD) of the patients was 47 (±6) years.   Based on co-morbid conditions, hypertension was observed in 70 (35%) patients, 40 (20%) patients were observed with diabetes while in 90 (45%) patients no co-morbid conditions were observed. Based on postoperative complications, infection was observed in 50 (25%) patients, wound dehiscence was observed in 20 (10%) and hematoma was observed in 10(5%) patients. This association of recovery time with age and co-morbidities was significant statistically. (p=0.001)

Conclusion: Our study concludes that the major complications after breast cancer surgery include infection, wound dehiscence and hematoma formation. Our study also concludes that age and co-morbid conditions are significantly associated with the recovery time.

Keywords: Breast cancer; surgery; Complications; mastectomy