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Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial
BACKGROUND: Breast augmentation with silicone implants is one of the most frequently performed cosmetic surgeries worldwide. Surgical site infection (SSI) remains an important complication of this procedure. One of the most important risk factors for SSI is the presence of microorganisms on the skin...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311490/ https://www.ncbi.nlm.nih.gov/pubmed/25623237 http://dx.doi.org/10.1186/s13063-014-0529-5 |
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author | Mendes, Denise de Almeida Veiga, Daniela Francescato Veiga-Filho, Joel Fonseca, Fernando Elias Martins de Paiva, Luiz Francisley Novo, Neil Ferreira Loyola, Ana Beatriz Alkmin Teixeira Ferreira, Lydia Masako |
author_facet | Mendes, Denise de Almeida Veiga, Daniela Francescato Veiga-Filho, Joel Fonseca, Fernando Elias Martins de Paiva, Luiz Francisley Novo, Neil Ferreira Loyola, Ana Beatriz Alkmin Teixeira Ferreira, Lydia Masako |
author_sort | Mendes, Denise de Almeida |
collection | PubMed |
description | BACKGROUND: Breast augmentation with silicone implants is one of the most frequently performed cosmetic surgeries worldwide. Surgical site infection (SSI) remains an important complication of this procedure. One of the most important risk factors for SSI is the presence of microorganisms on the skin surrounding the wound. Guidelines by the Centers for Disease Control (CDC) recommend that surgical wounds be covered with a sterile dressing for 24 to 48 hours. However, a recent study showed that the application of a dressing for six days after breast reduction reduced wound colonization by coagulase-negative staphylococci. METHODS/DESIGN: A randomized clinical trial was designed to assess two protocols of postoperative wound care to determine how the application duration of the postoperative dressing influences wound colonization in patients undergoing breast augmentation with silicone implants. Women aged between 18 and 60 years who are candidates for breast augmentation with silicone implants will be randomly allocated to group I (n = 48), in which the dressing will be removed on the first postoperative day, or group II (n = 48), in which the dressing will be removed on the sixth postoperative day. Cutaneous colonization will be assessed by cultures of samples of skin flora taken from the wound region. The incidence of SSI, using standardized CDC criteria, and the perceptions of patients towards the dressing will be secondary outcomes. DISCUSSION: An important component of SSI prevention is to minimize all possible risk factors, and the application of postoperative dressing plays a key role in this endeavor. The results of this clinical trial may help to standardize postoperative wound care after breast augmentation with silicone implants. TRIAL REGISTRATION: This trial was registered on 12 March 2012 with ClinicalTrials.gov (identifier: NCT01553604). |
format | Online Article Text |
id | pubmed-4311490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43114902015-01-31 Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial Mendes, Denise de Almeida Veiga, Daniela Francescato Veiga-Filho, Joel Fonseca, Fernando Elias Martins de Paiva, Luiz Francisley Novo, Neil Ferreira Loyola, Ana Beatriz Alkmin Teixeira Ferreira, Lydia Masako Trials Study Protocol BACKGROUND: Breast augmentation with silicone implants is one of the most frequently performed cosmetic surgeries worldwide. Surgical site infection (SSI) remains an important complication of this procedure. One of the most important risk factors for SSI is the presence of microorganisms on the skin surrounding the wound. Guidelines by the Centers for Disease Control (CDC) recommend that surgical wounds be covered with a sterile dressing for 24 to 48 hours. However, a recent study showed that the application of a dressing for six days after breast reduction reduced wound colonization by coagulase-negative staphylococci. METHODS/DESIGN: A randomized clinical trial was designed to assess two protocols of postoperative wound care to determine how the application duration of the postoperative dressing influences wound colonization in patients undergoing breast augmentation with silicone implants. Women aged between 18 and 60 years who are candidates for breast augmentation with silicone implants will be randomly allocated to group I (n = 48), in which the dressing will be removed on the first postoperative day, or group II (n = 48), in which the dressing will be removed on the sixth postoperative day. Cutaneous colonization will be assessed by cultures of samples of skin flora taken from the wound region. The incidence of SSI, using standardized CDC criteria, and the perceptions of patients towards the dressing will be secondary outcomes. DISCUSSION: An important component of SSI prevention is to minimize all possible risk factors, and the application of postoperative dressing plays a key role in this endeavor. The results of this clinical trial may help to standardize postoperative wound care after breast augmentation with silicone implants. TRIAL REGISTRATION: This trial was registered on 12 March 2012 with ClinicalTrials.gov (identifier: NCT01553604). BioMed Central 2015-01-27 /pmc/articles/PMC4311490/ /pubmed/25623237 http://dx.doi.org/10.1186/s13063-014-0529-5 Text en © Mendes et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Mendes, Denise de Almeida Veiga, Daniela Francescato Veiga-Filho, Joel Fonseca, Fernando Elias Martins de Paiva, Luiz Francisley Novo, Neil Ferreira Loyola, Ana Beatriz Alkmin Teixeira Ferreira, Lydia Masako Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title_full | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title_fullStr | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title_full_unstemmed | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title_short | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
title_sort | application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311490/ https://www.ncbi.nlm.nih.gov/pubmed/25623237 http://dx.doi.org/10.1186/s13063-014-0529-5 |
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