Barbed Ribbon Device for Progressive Tension Closure Reduces Seroma After Breast Reconstruction

Autor: Mark A. Brzezienski, Caleb M. Steffen, Devan Griner, Kristopher M. Day
Rok vydání: 2017
Předmět:
medicine.medical_treatment
Mammaplasty
acellular dermal matrix
Intervention group
030230 surgery
Surgical Flaps
0302 clinical medicine
Postoperative Complications
closed suction drain
breast reconstruction
progressive tension closure
Mastectomy
Soft tissue
Equipment Design
Middle Aged
Treatment Outcome
030220 oncology & carcinogenesis
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Female
Breast reconstruction
Adult
medicine.medical_specialty
Breast Implants
Breast Neoplasms
Suction
Risk Assessment
03 medical and health sciences
Breast Surgery
Tensile Strength
medicine
Humans
tissue expansion
Retrospective Studies
Retrospective review
Wound Healing
business.industry
Wound Closure Techniques
Suture Techniques
medicine.disease
Surgery
body regions
Seroma
Case-Control Studies
Suction drainage
Implant
business
Follow-Up Studies
Zdroj: Annals of Plastic Surgery
ISSN: 1536-3708
Popis: Supplemental digital content is available in the text.
Purpose Implant-based breast reconstruction is fraught with complications related to seroma formation. Soft tissue stabilization with progressive tension closure (PTC) has been shown to decrease seroma formation after various procedures but is less suitable for mastectomy flap stabilization. We evaluate the incidence of seroma in breast reconstruction using bioabsorbable barbed ribbon devices (BRDs) as a novel approach to PTC. Methods We performed a retrospective review of all patients whose mastectomy flaps were stabilized with BRDs. These patients were compared with consecutive patients who underwent mastectomy and reconstruction without progressive tension flap stabilization. Patient demographics and outcomes were recorded, including comorbidities, complications, presence of seroma, and total drain days. Results In the BRD-PTC group, there were 36 breasts compared with 56 in the nonstabilized control group. There were no significant differences in rate of tobacco use, age, or body mass index. We identified 11 seromas in the control group (19.6%) and none in the intervention group (P = 0.05). In the PTC group, drains were removed an average of 5 days sooner than those in controls (P = 0.006). Conclusion Progressive tension stabilization of mastectomy flaps with BRD significantly reduces seroma formation and the duration for which closed suction drainage is required.
Databáze: OpenAIRE
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