دورية أكاديمية
أعرض في EDS

Closed-Incision Negative Pressure Therapy Prevents Major Abdominal Donor-Site Complications in Autologous Breast Reconstruction.

التفاصيل البيبلوغرافية
العنوان: Closed-Incision Negative Pressure Therapy Prevents Major Abdominal Donor-Site Complications in Autologous Breast Reconstruction.
المؤلفون: Limpiado M; From the Departments of Plastic Surgery., Guest R; From the Departments of Plastic Surgery., Egan KG; From the Departments of Plastic Surgery., Elver AA; From the Departments of Plastic Surgery., Johnson BM; From the Departments of Plastic Surgery., Cullom ME; From the Departments of Plastic Surgery., Nazir N; Population Health, University of Kansas Medical Center, Kansas City, KS., Holding J; From the Departments of Plastic Surgery., Lai EC; From the Departments of Plastic Surgery., Butterworth JA; From the Departments of Plastic Surgery.
المصدر: Annals of plastic surgery [Ann Plast Surg] 2022 Nov 01; Vol. 89 (5), pp. 529-531. Date of Electronic Publication: 2022 Sep 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Little, Brown And Company Country of Publication: United States NLM ID: 7805336 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3708 (Electronic) Linking ISSN: 01487043 NLM ISO Abbreviation: Ann Plast Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Boston Ma : Little, Brown And Company
Original Publication: Boston, Little, Brown.
مواضيع طبية MeSH: Negative-Pressure Wound Therapy*/methods , Surgical Wound*/therapy , Mammaplasty*/adverse effects, Humans ; Retrospective Studies ; Surgical Wound Infection/etiology ; Surgical Wound Infection/prevention & control ; Surgical Wound Infection/epidemiology
مستخلص: Background: Outcomes in autologous breast reconstruction continue to improve with refinements in microsurgical techniques; however, donor-site morbidity remains a concern. Closed-incision negative pressure therapy (ciNPT) has been shown to reduce wound complications. Limited evaluation in abdominal donor sites has shown promising results. We hypothesize that ciNPT will reduce abdominal donor-site complications.
Methods: A retrospective chart review was performed of patients who underwent abdominally based autologous free tissue transfer for breast reconstruction by 4 microsurgeons at an academic institution from 2015 to 2020. The application of a commercial ciNPT for donor-site management was at the discretion of the operating surgeon. Demographics, operative details, and management of donor-site complications were analyzed.
Results: Four hundred thirty-three patients underwent autologous breast reconstruction; 212 abdominal donor sites were managed with ciNPT and 219 with standard dressings. Demographics were statistically similar between groups. Abdominal wound healing complications were noted in 30.2% of ciNPT patients (64/212) and 22.8% of control patients (50/219, P = 0.08); however, overall wound complications were attributed to obesity on multivariable analysis. Closed-incision negative pressure therapy significantly decreased complications requiring reoperation (ciNPT 6.2%, 4/64; control 26.5%, 13/51; P = 0.004). There were no significant differences in surgical site infection rates (P = 0.73) and rates of abdominal scar revisions (ciNPT 11.8%, 25/212; control 9.1%, 20/219; P = 0.37).
Conclusions: Use of ciNPT in abdominal donor-site management significantly decreases the incidence of delayed wound healing requiring surgical intervention, with one major wound healing complication prevented for every 6 donor sites managed with ciNPT.
Competing Interests: Conflicts of interest and sources of funding: none declared.
(Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20221024 Date Completed: 20221026 Latest Revision: 20230203
رمز التحديث: 20231215
DOI: 10.1097/SAP.0000000000003285
PMID: 36279578
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3708
DOI:10.1097/SAP.0000000000003285