One-hundred and two women bad axillary lymphadenectomy for breast cancer an
d were randomised to early discharge with axillary drain in situ on the thi
rd postoperative day or standard duration 7 day hospital stay.
The two groups did not differ with respect to seroma formation, wound infec
tion or psychological profile as measured by the Hospital Anxiety and Depre
ssion Scale and Spielberger State Trait and Anxiety Inventory. Patient sati
sfaction levels were high in the early discharge group.
The results confirm that early discharge after axillary lymphadenectomy is
safe, practical,le and satisfactory for patients. Such a policy offers cons
iderable resource savings. (C) 2000 Harcourt Publishers Ltd.