Closed Incision Negative Pressure Therapy in Oncoplastic Breast Surgery: A Comparison of Outcomes

• DOI: 10.1097/gox.0000000000004936
• Publication Date: 2023-04-25T15:33:36Z
• Authors: Carly M. Wareham; Manish M. Karamch...; Gabriel De La Cru...; Kerry Gaffney; Yurie Sekigami; Sarah M. Persing; Christopher Homsy; Salvatore Nardello; Abhishek Chatterjee
• Keywords: Seroma; Wound dehiscence; Capsular Contracture

Background: We aim to discern the impact of closed incision negative pressure therapy (ciNPT) on wound healing in oncoplastic breast surgery population. Methods: A retrospective analysis was conducted patients who underwent with and without ciNPT a single health system over 6 years. Oncoplastic defined as conservation involving partial mastectomy immediate volume displacement or replacement techniques. Primary outcomes were rates clinically significant complications requiring either medical operative intervention, including seroma, hematoma, fat necrosis, dehiscence, infection. Secondary minor complications. Results: used 75 patients; standard postsurgical dressing 142 patients. Mean age ( P = 0.73) Charlson Comorbidity Index 0.11) similar between groups. The cohort had higher baseline BMIs (28.23 ± 4.94 versus 30.55 6.53; 0.004), ASA levels (2.35 0.59 2.62 0.52; 0.002), preoperative macromastia symptoms (18.3% 45.9%; ≤ 0.001). statistically lower relevant (16.9% 5.3%; 0.016), number (14.1% 5.3% one complication, 2.8% 0% >2; 0.044), dehiscence (5.6% 0%; 0.036). Conclusions: use reduces overall rate postoperative complications, dehiscence. symptoms, BMI, ASA, all which put them at increased risk for Therefore, should be considered population, especially those