Factors influencing drainage productivity in breast reduction: A retrospective study of 222 breasts

Introduction. - The objective of this study is to highlight the factors that influence drain productivity in reduction mastoplasty. Materials and methods. - We have retrospectively referenced from November 2015 to November 2017 all breast reduction performed in the plastic surgery, reconstructive and esthetic surgery department of the University Hospital of Nancy. A total of 222 breasts were analyzed by listing age, weight, height, Body Mass Index (BMI), smoking status, surgeon, technical used, hospitalization stay, breast volume removed, type and size of drain and their productivity. Multivariate analysis were realised. Results. - 118 patients were included with an average age of 42.2 years. The average productivity of drains was 50 millilitres (ml). There was a significant difference in productivity of drainage according to the operator with a median ranging from 10 ml to 60 ml (P < 0.0001). The median was 20 ml for 10 Redon-Jost drains versus 50 ml for the 16 Redon-Jost drains (P < 0.0001). Multivariate analysis of the various factors influencing the total productivity of postoperative drainage showed a relative risk of 1.16 for smokers, 0.24 for one surgeon, 1.68 for the Skoog technique, and 1.000 for breast volume removed. Conclusion. - The drain productivity is not predictable before a breast reduction. Indeed, none of the characteristics studied have sufficient influence on the productivity of the drains. (C) 2020 Elsevier Masson SAS. All rights reserved.