Cargando…

The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study

BACKGROUND: Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction. METHODS: In...

Descripción completa

Detalles Bibliográficos
Autores principales: Angspatt, Apichai, Laopiyasakul, Thana, Pungrasmi, Pornthep, Suwajo, Poonpissamai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533065/
https://www.ncbi.nlm.nih.gov/pubmed/28728326
http://dx.doi.org/10.5999/aps.2017.44.4.308
_version_ 1783253575366868992
author Angspatt, Apichai
Laopiyasakul, Thana
Pungrasmi, Pornthep
Suwajo, Poonpissamai
author_facet Angspatt, Apichai
Laopiyasakul, Thana
Pungrasmi, Pornthep
Suwajo, Poonpissamai
author_sort Angspatt, Apichai
collection PubMed
description BACKGROUND: Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction. METHODS: In this prospective matched-pair study, 40 patients in whom an LD flap was harvested for breast reconstruction were enrolled. NPWT was used in 20 patients, and in a control group composed of another 20 patients, the conventional donor site dressing technique was used. Information was collected regarding postoperative complications, the incidence of seroma, total drainage volume, the number of percutaneous seroma aspirations, and the volume aspirated. RESULTS: In the NPWT group, the incidence of seroma formation after drain removal was significantly lower than in the control group (15% vs. 70%; odds ratio=0.07; relative risk, 0.24). Both the mean percutaneous aspirated volume (P=0.004) and the number of percutaneous aspirations (P=0.001) were also significantly lower in the NPWT group. There were no significant differences in the total drainage volume or the duration of wound drainage between the NPWT dressing group and the control group (P>0.05). CONCLUSIONS: This study showed that NPWT is a promising tool for reducing the incidence of seroma formation after removing the drain at the donor site after LD flap harvesting. It is a simple and safe technique.
format Online
Article
Text
id pubmed-5533065
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Korean Society of Plastic and Reconstructive Surgeons
record_format MEDLINE/PubMed
spelling pubmed-55330652017-08-11 The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study Angspatt, Apichai Laopiyasakul, Thana Pungrasmi, Pornthep Suwajo, Poonpissamai Arch Plast Surg Original Article BACKGROUND: Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction. METHODS: In this prospective matched-pair study, 40 patients in whom an LD flap was harvested for breast reconstruction were enrolled. NPWT was used in 20 patients, and in a control group composed of another 20 patients, the conventional donor site dressing technique was used. Information was collected regarding postoperative complications, the incidence of seroma, total drainage volume, the number of percutaneous seroma aspirations, and the volume aspirated. RESULTS: In the NPWT group, the incidence of seroma formation after drain removal was significantly lower than in the control group (15% vs. 70%; odds ratio=0.07; relative risk, 0.24). Both the mean percutaneous aspirated volume (P=0.004) and the number of percutaneous aspirations (P=0.001) were also significantly lower in the NPWT group. There were no significant differences in the total drainage volume or the duration of wound drainage between the NPWT dressing group and the control group (P>0.05). CONCLUSIONS: This study showed that NPWT is a promising tool for reducing the incidence of seroma formation after removing the drain at the donor site after LD flap harvesting. It is a simple and safe technique. Korean Society of Plastic and Reconstructive Surgeons 2017-07 2017-07-15 /pmc/articles/PMC5533065/ /pubmed/28728326 http://dx.doi.org/10.5999/aps.2017.44.4.308 Text en Copyright © 2017 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Angspatt, Apichai
Laopiyasakul, Thana
Pungrasmi, Pornthep
Suwajo, Poonpissamai
The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title_full The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title_fullStr The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title_full_unstemmed The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title_short The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study
title_sort role of negative-pressure wound therapy in latissimus dorsi flap donor site seroma prevention: a cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533065/
https://www.ncbi.nlm.nih.gov/pubmed/28728326
http://dx.doi.org/10.5999/aps.2017.44.4.308
work_keys_str_mv AT angspattapichai theroleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT laopiyasakulthana theroleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT pungrasmipornthep theroleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT suwajopoonpissamai theroleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT angspattapichai roleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT laopiyasakulthana roleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT pungrasmipornthep roleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy
AT suwajopoonpissamai roleofnegativepressurewoundtherapyinlatissimusdorsiflapdonorsiteseromapreventionacohortstudy