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Risk of Complications After Breast Surgery in Radiated Patients Using the Closed Incision Negative Pressure Therapy Dressings Compared to Standard-of-Care Dressings

Risk of Complications After Breast Surgery in Radiated Patients Using the Closed Incision... 8 Abstracts From The Aesthetic Society Meeting 2023: Resident and Fellows Forum Conclusion: Patients with prior radiation who received cINPT had lower risk of developing complications compared to patients with prior radiation who received standard-of-care dressings. 1 2 University of Missouri- Columbia, Columbia, MO; University of Missouri School of Medicine, Columbia, MO Risk of Complications After Breast Surgery in Radiated Patients Using the Closed Incision Negative Pressure Therapy Dressings Compared to Standard-of-Care Dressings Khaled Alameddine, MD; Omar Mohamed, MD; Austin Chen; and Christin Harless, MD Mayo Clinic, Rochester, MN Goals/Purpose: Patients with adjuvant radiotherapy are significantly more likely to have complications such as infections and wound dehis- cence following breast surgery. Closed incision negative pressure wound therapy (cINPT) holds incision edges together, prevents exter- nal contamination and removes exudate, promoting tensile strength and increased collagen recruitment at the incision site compared to the standard of care dressings. cINPT is helpful in surgical closures on high-risk patients. We evaluated the complication rates following the use of cINPT in implant-based breast reconstruction. Methods/Technique: A cohort was collected retrospectively from a single institution, from January 1, 2018 to October 31 2022. The compli- cation rates were then compared between cINPT dressing and standard-of-care dressings on radiated patients following breast surgery. Results/Complications: The data collected consist of a total of 83 ra- diated breasts that underwent implant based reconstruction. cINPT was used in 41 breasts and standard-of-care dressings were used in 42 breasts. Of the cINPT cohort, 2 patients developed seromas that required bedside aspirations (4.8%) and one patient developed an infection (2.4%) with none of the patients requiring re operations. Of the stan- dard of care dressings cohort, 9 patients developed seromas (21.4%), and 3 patients developed infections (7.1%), of which 3 patients required reoperations (7.1%). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Aesthetic Surgery Journal Open Forum Oxford University Press

Risk of Complications After Breast Surgery in Radiated Patients Using the Closed Incision Negative Pressure Therapy Dressings Compared to Standard-of-Care Dressings

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Publisher
Oxford University Press
Copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of The Aesthetic Society.
eISSN
2631-4797
DOI
10.1093/asjof/ojad027.013
Publisher site
See Article on Publisher Site

Abstract

8 Abstracts From The Aesthetic Society Meeting 2023: Resident and Fellows Forum Conclusion: Patients with prior radiation who received cINPT had lower risk of developing complications compared to patients with prior radiation who received standard-of-care dressings. 1 2 University of Missouri- Columbia, Columbia, MO; University of Missouri School of Medicine, Columbia, MO Risk of Complications After Breast Surgery in Radiated Patients Using the Closed Incision Negative Pressure Therapy Dressings Compared to Standard-of-Care Dressings Khaled Alameddine, MD; Omar Mohamed, MD; Austin Chen; and Christin Harless, MD Mayo Clinic, Rochester, MN Goals/Purpose: Patients with adjuvant radiotherapy are significantly more likely to have complications such as infections and wound dehis- cence following breast surgery. Closed incision negative pressure wound therapy (cINPT) holds incision edges together, prevents exter- nal contamination and removes exudate, promoting tensile strength and increased collagen recruitment at the incision site compared to the standard of care dressings. cINPT is helpful in surgical closures on high-risk patients. We evaluated the complication rates following the use of cINPT in implant-based breast reconstruction. Methods/Technique: A cohort was collected retrospectively from a single institution, from January 1, 2018 to October 31 2022. The compli- cation rates were then compared between cINPT dressing and standard-of-care dressings on radiated patients following breast surgery. Results/Complications: The data collected consist of a total of 83 ra- diated breasts that underwent implant based reconstruction. cINPT was used in 41 breasts and standard-of-care dressings were used in 42 breasts. Of the cINPT cohort, 2 patients developed seromas that required bedside aspirations (4.8%) and one patient developed an infection (2.4%) with none of the patients requiring re operations. Of the stan- dard of care dressings cohort, 9 patients developed seromas (21.4%), and 3 patients developed infections (7.1%), of which 3 patients required reoperations (7.1%).

Journal

Aesthetic Surgery Journal Open ForumOxford University Press

Published: Apr 14, 2023

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