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Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy
Immediate expander/implant-based breast reconstruction after mastectomy has become more sought after by patients. Although many patients choose this technique due to good aesthetic outcomes, lack of donor site morbidity, and shorter procedure times, it is not without complications. The most reported...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393080/ https://www.ncbi.nlm.nih.gov/pubmed/37534110 http://dx.doi.org/10.1097/GOX.0000000000005130 |
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author | Akhter, Haris M. Macdonald, Collin McCarthy, Philip Huang, Ye Meyer, Bria R. Shostrum, Valerie K. Cromer, Kerry J. Johnson, Perry J. Wong, Shannon L. Hon, Heidi H. |
author_facet | Akhter, Haris M. Macdonald, Collin McCarthy, Philip Huang, Ye Meyer, Bria R. Shostrum, Valerie K. Cromer, Kerry J. Johnson, Perry J. Wong, Shannon L. Hon, Heidi H. |
author_sort | Akhter, Haris M. |
collection | PubMed |
description | Immediate expander/implant-based breast reconstruction after mastectomy has become more sought after by patients. Although many patients choose this technique due to good aesthetic outcomes, lack of donor site morbidity, and shorter procedure times, it is not without complications. The most reported complications include seroma, infection, hematoma, mastectomy flap necrosis, wound dehiscence, and implant exposure, with an overall complication rate as high as 45%. Closed incision negative pressure therapy (ciNPT) has shown value in wound healing and reducing complications; however, the current literature is inconclusive. We aimed to examine if ciNPT improves outcomes for patients receiving this implant-based reconstruction. METHODS: This is a retrospective single-institution study evaluating the ciNPT device, 3M Prevena Restor BellaForm, on breast reconstruction patients. The study was performed between July 1, 2019 and October 30, 2020, with 125 patients (232 breasts). Seventy-seven patients (142 breasts) did not receive the ciNPT dressing, and 48 patients (90 breasts) received the ciNPT dressing. Primary outcomes were categorized by major or minor complications. Age, BMI, and final drain removal were summarized using medians and quartiles, and were compared with nonparametric Mann-Whitney test. Categorical variables were compared using chi-square or Fisher exact test. RESULTS: There was a statistically significant reduction in major complications in the ciNPT group versus the standard dressing group (P = 0.0247). Drain removal time was higher in the ciNPT group. CONCLUSION: Our study shows that ciNPT may help reduce major complication rates in implant-based breast reconstruction patients. |
format | Online Article Text |
id | pubmed-10393080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-103930802023-08-02 Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy Akhter, Haris M. Macdonald, Collin McCarthy, Philip Huang, Ye Meyer, Bria R. Shostrum, Valerie K. Cromer, Kerry J. Johnson, Perry J. Wong, Shannon L. Hon, Heidi H. Plast Reconstr Surg Glob Open Breast Immediate expander/implant-based breast reconstruction after mastectomy has become more sought after by patients. Although many patients choose this technique due to good aesthetic outcomes, lack of donor site morbidity, and shorter procedure times, it is not without complications. The most reported complications include seroma, infection, hematoma, mastectomy flap necrosis, wound dehiscence, and implant exposure, with an overall complication rate as high as 45%. Closed incision negative pressure therapy (ciNPT) has shown value in wound healing and reducing complications; however, the current literature is inconclusive. We aimed to examine if ciNPT improves outcomes for patients receiving this implant-based reconstruction. METHODS: This is a retrospective single-institution study evaluating the ciNPT device, 3M Prevena Restor BellaForm, on breast reconstruction patients. The study was performed between July 1, 2019 and October 30, 2020, with 125 patients (232 breasts). Seventy-seven patients (142 breasts) did not receive the ciNPT dressing, and 48 patients (90 breasts) received the ciNPT dressing. Primary outcomes were categorized by major or minor complications. Age, BMI, and final drain removal were summarized using medians and quartiles, and were compared with nonparametric Mann-Whitney test. Categorical variables were compared using chi-square or Fisher exact test. RESULTS: There was a statistically significant reduction in major complications in the ciNPT group versus the standard dressing group (P = 0.0247). Drain removal time was higher in the ciNPT group. CONCLUSION: Our study shows that ciNPT may help reduce major complication rates in implant-based breast reconstruction patients. Lippincott Williams & Wilkins 2023-08-01 /pmc/articles/PMC10393080/ /pubmed/37534110 http://dx.doi.org/10.1097/GOX.0000000000005130 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Breast Akhter, Haris M. Macdonald, Collin McCarthy, Philip Huang, Ye Meyer, Bria R. Shostrum, Valerie K. Cromer, Kerry J. Johnson, Perry J. Wong, Shannon L. Hon, Heidi H. Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title | Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title_full | Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title_fullStr | Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title_full_unstemmed | Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title_short | Outcomes of Negative Pressure Wound Therapy on Immediate Breast Reconstruction after Mastectomy |
title_sort | outcomes of negative pressure wound therapy on immediate breast reconstruction after mastectomy |
topic | Breast |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393080/ https://www.ncbi.nlm.nih.gov/pubmed/37534110 http://dx.doi.org/10.1097/GOX.0000000000005130 |
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