Does the use of negative pressure wound therapy in closed wound after reconstructive and oncoplastic breast surgery decrease the incidence of skin necrosis?
Association of Breast Surgery ePoster Library. Al-Ishaq Z. 05/15/17; 166255; P166
Mr. Zaid Al-Ishaq
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Abstract
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Introduction: Skin necrosis is a significant complication after reconstructive and oncoplastic breast surgery (ROPBS). The aim of this study was to evaluate whether use of negative pressure wound therapy (NPWT) in closed wound decreases the rate of skin necrosis.
Method: We studied 95 patients (144 breasts) who underwent ROPBS. Patients were divided into two groups: control with conventional dressing (between January 2015 and June 2015 studied retrospectively) and those with NPWT (from July 2015 until October 2016 studied prospectively). We observed the incidence of skin necrosis in the 2 groups and the effect of patient's BMI, smoking history, type of incision and mastectomy weight on skin necrosis rate.
Results: The control group included 76 breasts (47patients) and the NPWT group included 68 breasts (48 patients). The rate of skin necrosis was 13.1% in the conventional group and 15.7% in the NPWT group (p=0.64). Table below shows the impact of different risk factors on the skin necrosis rate in the two groups.
Conclusion: In patients undergoing reconstructive and oncoplastic breast surgical procedures, use of negative pressure wound therapy did not reduce the incidence of skin necrosis.
Method: We studied 95 patients (144 breasts) who underwent ROPBS. Patients were divided into two groups: control with conventional dressing (between January 2015 and June 2015 studied retrospectively) and those with NPWT (from July 2015 until October 2016 studied prospectively). We observed the incidence of skin necrosis in the 2 groups and the effect of patient's BMI, smoking history, type of incision and mastectomy weight on skin necrosis rate.
Results: The control group included 76 breasts (47patients) and the NPWT group included 68 breasts (48 patients). The rate of skin necrosis was 13.1% in the conventional group and 15.7% in the NPWT group (p=0.64). Table below shows the impact of different risk factors on the skin necrosis rate in the two groups.
Conclusion: In patients undergoing reconstructive and oncoplastic breast surgical procedures, use of negative pressure wound therapy did not reduce the incidence of skin necrosis.
Introduction: Skin necrosis is a significant complication after reconstructive and oncoplastic breast surgery (ROPBS). The aim of this study was to evaluate whether use of negative pressure wound therapy (NPWT) in closed wound decreases the rate of skin necrosis.
Method: We studied 95 patients (144 breasts) who underwent ROPBS. Patients were divided into two groups: control with conventional dressing (between January 2015 and June 2015 studied retrospectively) and those with NPWT (from July 2015 until October 2016 studied prospectively). We observed the incidence of skin necrosis in the 2 groups and the effect of patient's BMI, smoking history, type of incision and mastectomy weight on skin necrosis rate.
Results: The control group included 76 breasts (47patients) and the NPWT group included 68 breasts (48 patients). The rate of skin necrosis was 13.1% in the conventional group and 15.7% in the NPWT group (p=0.64). Table below shows the impact of different risk factors on the skin necrosis rate in the two groups.
Conclusion: In patients undergoing reconstructive and oncoplastic breast surgical procedures, use of negative pressure wound therapy did not reduce the incidence of skin necrosis.
Method: We studied 95 patients (144 breasts) who underwent ROPBS. Patients were divided into two groups: control with conventional dressing (between January 2015 and June 2015 studied retrospectively) and those with NPWT (from July 2015 until October 2016 studied prospectively). We observed the incidence of skin necrosis in the 2 groups and the effect of patient's BMI, smoking history, type of incision and mastectomy weight on skin necrosis rate.
Results: The control group included 76 breasts (47patients) and the NPWT group included 68 breasts (48 patients). The rate of skin necrosis was 13.1% in the conventional group and 15.7% in the NPWT group (p=0.64). Table below shows the impact of different risk factors on the skin necrosis rate in the two groups.
Conclusion: In patients undergoing reconstructive and oncoplastic breast surgical procedures, use of negative pressure wound therapy did not reduce the incidence of skin necrosis.
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