When should drains be removed after an axillary dissection?

• A. After 7 days
• B. When there is less than 50 cc drainage
• C. When drainage is less than 30 cc/day or POD #14
• D. Once the incision has healed

Answer: (C)

The appropriate time to remove drains after an axillary dissection is determined by the amount of drainage as well as the post-operative timeline. The correct answer indicates that drains should be removed when the drainage is less than 30 cc per day or on post-operative day 14.

This approach ensures that the drains are only removed when the fluid output has decreased sufficiently, minimizing the risk of complications such as seroma formation, which can occur if the drain is removed too early. Additionally, the post-operative day guideline offers a structured time frame, taking into account that it typically takes about two weeks for fluid accumulation to stabilize post-surgery.

Thus, this option balances both the need for proper drainage during the healing process and a reasonable time frame, ensuring optimal recovery and reducing the risk of post-operative complications.