A New Method of Salvaging Breast Reconstruction After Breast Implant Using Negative Pressure Wound Therapy and Instillation

Cheong, Ju Yong; Goltsman, David; Warrier, Sanjay

doi:10.1007/s00266-016-0668-z

Cited by 19 publications

(27 citation statements)

References 9 publications

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“…Successful use of NPWTi‐d has been reported in treating a wide variety of complicated wounds including diabetic foot wounds, extremity and trunk wounds, pressure ulcers, venous leg ulcers, sternal wounds, breast wounds, abdominal wounds with intact synthetic mesh, necrotising fasciitis after debridement, and infected wounds requiring operative debridement …”

Section: Resultsmentioning

confidence: 99%

Negative pressure wound therapy with instillation: International consensus guidelines update

Kim

Attinger

Constantine³

et al. 2019

International Wound Journal

127

131

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The use of negative pressure wound therapy with instillation and dwell time (NPWTi-d) has gained wider adoption and interest due in part to the increasing complexity of wounds and patient conditions. Best practices for the use of NPWTid have shifted in recent years based on a growing body of evidence and expanded worldwide experience with the technology. To better guide the use of NPWTi-d with all dressing and setting configurations, as well as solutions, there is a need to publish updated international consensus guidelines, which were last produced over 6 years ago. An international, multidisciplinary expert panel of clinicians was convened on 22 to 23 February 2019, to assist in developing current recommendations for best practices of the use of NPWTi-d. Principal aims of the meeting were to update recommendations based on panel members' experience and published results regarding topics such as appropriate application settings, topical wound solution selection, and wound and patient characteristics for the use of NPWTi-d with various dressing types. The final consensus recommendations were derived based on greater than 80% agreement among the panellists. The guidelines in this publication represent further refinement of the recommended parameters originally established for the use of NPWTi-d. The authors thank Karen Beach and Ricardo Martinez for their assistance with manuscript preparation.

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Section: Resultsmentioning

confidence: 99%

Negative pressure wound therapy with instillation: International consensus guidelines update

Kim

Attinger

Constantine³

et al. 2019

International Wound Journal

127

131

View full text Add to dashboard Cite

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“…What is more, there is a supposition that as much as 96% of breast wounds may achieve healing at three months after surgery, but this has to be confirmed in larger prospective studies [15, 17, 19]. It may be useful for the treatment of complicated wounds after implant-based breast reconstruction surgery, but it has been demonstrated only by cases series, so there is a need for stronger evidence [20, 21]. Despite the fact that vacuum-assisted closure does not significantly reduce the duration of drainage, the total drainage volume and hospitalisation time in patients who underwent breast reconstruction using latissimus dorsi flap is beneficial because the use of NPWT leads to a decrease of seroma formation, the mean percutaneous aspirated volume, and the number of percutaneous aspirations [24].…”

Section: Resultsmentioning

confidence: 99%

“…Subsequently, the VAC system was applied and the dressing was changed for 2–3 days. Ten treated breasts (six patients) achieved healing, wherein duration of NPWT ranged from seven to 21 days (Table 2) [20, 21].…”

Section: Treatment Of Infected Wounds After Breast Surgery Using Npwtmentioning

confidence: 99%

Is negative-pressure wound therapy beneficial in modern-day breast surgery?

Matusiak¹,

Wichtowski²,

Pieszko³

et al. 2019

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Negative-pressure wound therapy (NPWT) is used to treat many different types of wounds, but there is still a lack of large studies describing its effectiveness in breast surgery. Enhanced recovery, reduction of complications, and good scar quality might be improved by the application of NPWT. Existing data show that vacuumassisted closure (VAC) application after expander-based breast reconstruction may be beneficial because of decreasing overall complications in comparison with standard wound treatment. There are few cases in which the use of negative pressure resulted in healing of complicated breast wounds after implant insertion-most breasts achieved healing, wherein duration of NPWT ranged from seven to 21 days. The use of NPWT leads to a decrease of seroma formation (from 70% to 15%), the mean percutaneous aspirated volume (from 193 ml to 26 ml) and the numbers of percutaneous aspirations (from three to one) in latissimus dorsi flap reconstruction. Furthermore, a prospective, within-patient, randomised study with 200 participants showed that treating closed incisional wounds after reduction mammoplasty with a VAC system resulted in a decrease of overall complications and protected against wound dehiscence. In the literature, there are cases showing that NPWT may be useful for the successful treatment of chronic and non-healing wounds, included non-puerperal mastitis and surgical sites affected by radiation therapy due to breast cancer. There is still a need for evidence confirming the effectiveness of NPWT in breast surgery because of the deficiency of large prospective studies that compare NPWT with standard treatment.

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“…However, this system was not available for the present case. Since a number of similar attempts using the NPWTi system have already been reported [ 19 , 20 ], further studies are warranted.…”

Section: Discussionmentioning

confidence: 99%

Successful salvage of an infected breast prothesis by changing from continuous to intermittent suction under continuous irrigation

Takeuchi

Kuwahara

Ando

et al. 2021

International Journal of Surgery Case Reports

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Highlights Continuous irrigation does not always salvage infected breast implants. It is unclear whether continuous or intermittent suction is more effective. We salvaged a breast implant by changing from continuous to intermittent suction. Intermittent suction worked well in this patient and it is worthy of further studies.

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A New Method of Salvaging Breast Reconstruction After Breast Implant Using Negative Pressure Wound Therapy and Instillation

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Cited by 19 publications

References 9 publications

Negative pressure wound therapy with instillation: International consensus guidelines update

Negative pressure wound therapy with instillation: International consensus guidelines update

Is negative-pressure wound therapy beneficial in modern-day breast surgery?

Successful salvage of an infected breast prothesis by changing from continuous to intermittent suction under continuous irrigation

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