Dressing Wear Time after Reduction Mammaplasty

Abstract

Therapeutic, II.

Nipple-Areolar Complex Ischemia After Nipple-Sparing Mastectomy With Immediate Implant-Based Reconstruction: Risk Factors and the Success of Conservative Treatment

“…18 To preserve this sterile surgical site and decrease bacterial colonization surrounding the NAC, all while maintaining the moist wound healing environment, we kept the initial postoperative dressing in place for 1 week. 19 While minimal evidence validates placement of external warming devices in mastectomy patients with immediate IBR, we recommend these devices in the immediate postoperative period. By increasing the ambient temperature in the area surrounding the skin flap, our hope is that the Abbreviations: ADM, allogeneic acellular dermal matrix product; CI, confidence interval; µ, mean value.…”

Dressing wear time after breast reconstruction: study protocol for a randomized controlled trial

“…Some authors pointed out that omitting a dressing after the first 24 postoperative hours could be convenient for patients, allowing them to carry out their personal hygiene more easily [24]. However, other authors observed that dressings are comforting to patients by masking their scars without increasing SSI rates [23,26,35]. Considering the mutilating characteristics of breast cancer treatment, we hypothesize that patients, particularly those who undergo immediate breast reconstruction, might prefer to keep their dressings in place for a longer time, thus delaying the moment of seeing their reconstructed breasts.…”

“…We considered clinically relevant a 10% difference in SSI rate [35]. Specifying an acceptable Type 1 error of 5%, and Type 2 error of 20%, the estimated sample size was 100 patients per arm.…”

“…On their return in the second week after operation, patients will be asked to rate their dressing wear time with regard to safety, comfort and convenience, by the use of a 5-point rating scale (Table  2) [35]. …”

“…Available evidence to support dressing standards for incisional wounds, including breast surgery wounds, is empiric and scarce [20,23,24,26,27,30,35]. CDC’s guidelines instruct that wounds that are closed primarily should be covered with a sterile dressing for 24 to 48 hours [19].…”