Early Complications of Modified Radical Mastectomy With Level II Axillary Clearance

Ainul Hadi, Shehla Faridoon, Farrukh Ozair Shah, Shehzad Akbar Khan, Muhammad Shah, Tilal Ahmed Raza

  • Ainul Hadi Department of Surgery, Hyatabad Medical Complex Peshawar.



To identify the pattern of early complications of modified radical mastectomy with level II axillary clearance for stage II and stage III carcinoma breast.

Study design

Descriptive study.

Place & Duration of study

Department of Surgery, Hayatabad Medical Complex Peshawar, from July 2019 to June 2020.


A total 80 female patients who underwent modified radical mastectomy for stage II and stage III carcinoma of the breast were included. Patients were followed up in the OPD for one month. Data were collected on a predesigned form and analyzed through SPSS version 16.


The age range was 28 years - 75 years with a mean age of 48.5┬▒10.46 year. In 52 (65%) patients tumor size was more than 5cm. Axillary lymph nodes were involved in 60 (75%) cases. Seroma formation was the commonest complication and was observed in 20 (25%) cases. Wound infection occurred in 10 (20%) women. Other complications included altered sensations in 8 (10%), postoperative pain 6 (7.5%), hematoma 5(6.25%), flap necrosis 4 (5%), wound dehiscence 3 (3.75%) and lymphedema in 2 (2.5%) patients.


Modified radical mastectomy with level II clearance is mainly associated with complications like seroma formation and wound infection.

Key words

Carcinoma breast, Modified radical mastectomy, Axillary clearance, Early complications.