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Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port

BACKGROUND: Tissue expanders are devices which are used to create enough skin to form suitable flap in restoration of great skin deficiencies which are not modified initially. The current study aimed at investigating the patients’ satisfaction and the complications such as rupture, hematoma, wound i...

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Autores principales: Abdali, Hosein, Hadilou, Mansour
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354063/
https://www.ncbi.nlm.nih.gov/pubmed/25767520
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author Abdali, Hosein
Hadilou, Mansour
author_facet Abdali, Hosein
Hadilou, Mansour
author_sort Abdali, Hosein
collection PubMed
description BACKGROUND: Tissue expanders are devices which are used to create enough skin to form suitable flap in restoration of great skin deficiencies which are not modified initially. The current study aimed at investigating the patients’ satisfaction and the complications such as rupture, hematoma, wound infection, seroma, leakage, chronic pain, and expander expose of internal (implanted under the skin) and external (implanted outside) ports. MATERIALS AND METHODS: In a prospective quasiexperimental study conducted at Alzahra and Imam Musa al-Kadhim educational referral hospitals in Isfahan, two matched groups of patients each one contained 38 patients undergone, external and internal ports, were followed-up weekly until the removal of expander and the injection was done weekly through port. The frequency of complications and patients’ satisfaction between two groups were compared. RESULTS: The of age for patients in internal and external groups were 25.5 ± 8.7 and 24.7 ± 9, respectively (P = 0.71). There was significant difference between average of operation time of internal and external group (97.3 vs. 79.6; P < 0.001). The rate of complications such as infection, hematoma, skin necrosis, and expander expose between two groups was comparable, while significant difference was found between groups in terms of pain intensity in injection [4.92(1.2) vs. 1.53(0.69), P < 0.001]. There was no significant difference between groups in terms of symptom incidence and tissue expander insertion place as well as patients’ satisfaction. CONCLUSION: Although internal port has favorite appearance; however, some complications such as skin infection due to frequent injection, pain rate are higher than external port lead to its more acceptability by the patients.
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spelling pubmed-43540632015-03-12 Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port Abdali, Hosein Hadilou, Mansour J Res Med Sci Original Article BACKGROUND: Tissue expanders are devices which are used to create enough skin to form suitable flap in restoration of great skin deficiencies which are not modified initially. The current study aimed at investigating the patients’ satisfaction and the complications such as rupture, hematoma, wound infection, seroma, leakage, chronic pain, and expander expose of internal (implanted under the skin) and external (implanted outside) ports. MATERIALS AND METHODS: In a prospective quasiexperimental study conducted at Alzahra and Imam Musa al-Kadhim educational referral hospitals in Isfahan, two matched groups of patients each one contained 38 patients undergone, external and internal ports, were followed-up weekly until the removal of expander and the injection was done weekly through port. The frequency of complications and patients’ satisfaction between two groups were compared. RESULTS: The of age for patients in internal and external groups were 25.5 ± 8.7 and 24.7 ± 9, respectively (P = 0.71). There was significant difference between average of operation time of internal and external group (97.3 vs. 79.6; P < 0.001). The rate of complications such as infection, hematoma, skin necrosis, and expander expose between two groups was comparable, while significant difference was found between groups in terms of pain intensity in injection [4.92(1.2) vs. 1.53(0.69), P < 0.001]. There was no significant difference between groups in terms of symptom incidence and tissue expander insertion place as well as patients’ satisfaction. CONCLUSION: Although internal port has favorite appearance; however, some complications such as skin infection due to frequent injection, pain rate are higher than external port lead to its more acceptability by the patients. Medknow Publications & Media Pvt Ltd 2015-01 /pmc/articles/PMC4354063/ /pubmed/25767520 Text en Copyright: © Journal of Research in Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Abdali, Hosein
Hadilou, Mansour
Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title_full Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title_fullStr Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title_full_unstemmed Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title_short Finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
title_sort finding of a clinical trial on symptoms and patients satisfaction under surgery with tissue expander with external port
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354063/
https://www.ncbi.nlm.nih.gov/pubmed/25767520
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