Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally
<i>Background and Objectives</i>: The use of oncoplastic techniques has spread widely in the last decade, with an expansion of the indications and demonstration of excellent oncological safety profiles. A potential downside may be the increased complication rates, which could influence t...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/10/1703 |
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| author | Donato Casella Daniele Fusario Anna Lisa Pesce Marco Marcasciano Federico Lo Torto Gianluigi Luridiana Alessandro De Luca Roberto Cuomo Diego Ribuffo |
| author_facet | Donato Casella Daniele Fusario Anna Lisa Pesce Marco Marcasciano Federico Lo Torto Gianluigi Luridiana Alessandro De Luca Roberto Cuomo Diego Ribuffo |
| author_sort | Donato Casella |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The use of oncoplastic techniques has spread widely in the last decade, with an expansion of the indications and demonstration of excellent oncological safety profiles. A potential downside may be the increased complication rates, which could influence the timing of adjuvant therapy. To date, there is increasing evidence that negative pressure therapy on closed wounds can reduce complication rates after surgery. From this perspective, we tested the use of portable negative pressure wound dressings (NPWDs) in oncoplastic surgery to minimize early post-operative admissions to the outpatient clinic and prevent surgical complications. <i>Materials and Methods:</i> An observational prospective cohort study was conducted on a population of patients who underwent quadrantectomy and wise-pattern reduction mammoplasty for breast cancer. The primary objective of the study is represented by the evaluation of the impact of NPWD on post-operative outcomes in an oncoplastic surgery setting. Patients enrolled between January 2021 and January 2023 were divided into two groups, the conventional dressing (CD) group and the NPWD group, by a simple randomization list. <i>Results</i>: A total of 100 patients were enrolled, with 52 in the CD group and 48 in the NPWD group. The use of NPWD significantly reduced the wound dehiscence rate (2.0% vs. 7.7% <i>p</i> = 0.002) and the number of one-month postoperative admissions to our clinic (3.8 ± 1.1 vs. 5.7 ± 1.3 <i>p</i> = 0.0009). Although not significant, it is possible to note a trend of reduction of clinically relevant postoperative total complications in patients treated with NPWDs. <i>Conclusions</i>: NPWDs may represent a useful tool in the post-surgical management of complex oncoplastic procedures, ensuring less wound dehiscence. Furthermore, the use of these dressings led to a significant reduction in admissions to the clinic, promoting a lower use of resources by hospitals and effective prevention of possible complications. |
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| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T21:05:16Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-eaeda92c89ab4b1281af58f64a8e933d2023-11-19T17:15:54ZengMDPI AGMedicina1010-660X1648-91442023-09-015910170310.3390/medicina59101703Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid AllyDonato Casella0Daniele Fusario1Anna Lisa Pesce2Marco Marcasciano3Federico Lo Torto4Gianluigi Luridiana5Alessandro De Luca6Roberto Cuomo7Diego Ribuffo8Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyUnit of Plastic and Reconstructive Surgery, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, ItalyDepartment of Plastic Reconstructive and Aesthetic Surgery, Sapienza Università di Roma, 00185 Rome, ItalyUnit of Oncologic and Breast Surgery, A.R.N.A.S Brotzu, Businco Oncologic Hospital, 09047 Cagliari, ItalyDepartment of Surgery, Sapienza Università di Roma, 00185 Rome, ItalyDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Plastic Reconstructive and Aesthetic Surgery, Sapienza Università di Roma, 00185 Rome, Italy<i>Background and Objectives</i>: The use of oncoplastic techniques has spread widely in the last decade, with an expansion of the indications and demonstration of excellent oncological safety profiles. A potential downside may be the increased complication rates, which could influence the timing of adjuvant therapy. To date, there is increasing evidence that negative pressure therapy on closed wounds can reduce complication rates after surgery. From this perspective, we tested the use of portable negative pressure wound dressings (NPWDs) in oncoplastic surgery to minimize early post-operative admissions to the outpatient clinic and prevent surgical complications. <i>Materials and Methods:</i> An observational prospective cohort study was conducted on a population of patients who underwent quadrantectomy and wise-pattern reduction mammoplasty for breast cancer. The primary objective of the study is represented by the evaluation of the impact of NPWD on post-operative outcomes in an oncoplastic surgery setting. Patients enrolled between January 2021 and January 2023 were divided into two groups, the conventional dressing (CD) group and the NPWD group, by a simple randomization list. <i>Results</i>: A total of 100 patients were enrolled, with 52 in the CD group and 48 in the NPWD group. The use of NPWD significantly reduced the wound dehiscence rate (2.0% vs. 7.7% <i>p</i> = 0.002) and the number of one-month postoperative admissions to our clinic (3.8 ± 1.1 vs. 5.7 ± 1.3 <i>p</i> = 0.0009). Although not significant, it is possible to note a trend of reduction of clinically relevant postoperative total complications in patients treated with NPWDs. <i>Conclusions</i>: NPWDs may represent a useful tool in the post-surgical management of complex oncoplastic procedures, ensuring less wound dehiscence. Furthermore, the use of these dressings led to a significant reduction in admissions to the clinic, promoting a lower use of resources by hospitals and effective prevention of possible complications.https://www.mdpi.com/1648-9144/59/10/1703wound healingoncoplasticbreast cancernegative pressure |
| spellingShingle | Donato Casella Daniele Fusario Anna Lisa Pesce Marco Marcasciano Federico Lo Torto Gianluigi Luridiana Alessandro De Luca Roberto Cuomo Diego Ribuffo Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally Medicina wound healing oncoplastic breast cancer negative pressure |
| title | Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally |
| title_full | Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally |
| title_fullStr | Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally |
| title_full_unstemmed | Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally |
| title_short | Portable Negative Pressure Wound Dressing in Oncoplastic Conservative Surgery for Breast Cancer: A Valid Ally |
| title_sort | portable negative pressure wound dressing in oncoplastic conservative surgery for breast cancer a valid ally |
| topic | wound healing oncoplastic breast cancer negative pressure |
| url | https://www.mdpi.com/1648-9144/59/10/1703 |
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