| Autor: |
A. Padulles Escarré, J. A. Jerez González, S. De la Torre González, A. B. López Ojeda, S. Barrantes Verdoy, I. Teixeira, J. O. Bermejo Segú, A. J. Sánchez Egea |
| Přispěvatelé: |
Universitat Politècnica de Catalunya. Departament d'Enginyeria Mecànica, Universitat Politècnica de Catalunya. GAECEQS - Grup d'Accionaments Electromecànics, Conversió de l'Energia i Qualitat del Subministrament |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Popis: |
Objectives: To compare the number of abdominal dehiscences in patients undergoing immediate breast reconstruction with Deep Inferior Epigastric artery Perforator flap (DIEP) before and after implementation of the Enhanced Recovery After Surgery (ERAS) protocol that adds postoperative Closed Incision Negative Pressure Therapy (ciNPT) to conventional abdominal binder compression therapy. Methods: We retrospectively analyzed 63 ERAS patients (3 February 2021 to 29 March 2022) and 176 non-ERAS patients (5 July 2017 to 29 January 2021) (N=239). Clinical data, demographics and immediate complications (1 month post-surgery) are collected. Differences in proportions and means are analyzed with a confidence level a=0.05 with ChiSquared and ANOVA tests using SPSS®. Results: Preliminary results indicate that there are significant differences between both groups, with fewer abdominal dehiscences in the ERAS group (ciNPT + abdominal compression). No differences were observed according to age, Body Mass Index (BMI), smoking, medical pathology or neoadjuvant (chemotherapy/radiotherapy). Conclusion: Those patients who underwent breast reconstructive surgery by DIEP flap and who underwent the ERAS protocol had a lower incidence of dehiscence in the abdominal donor site. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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