PDF(Pubmed)
Abstract：
The objective of this study was to examine the impact of closed incision negative pressure therapy (CINPT) on donor site complications and patient perceptions in transverse musculocutaneous gracilis (TMG) flap breast reconstruction. Our institution conducted a retrospective cohort study, including all patients with TMG flap breast reconstruction from 1 January 2010 to 31 December 2021. Patients were grouped according to conventional wound management or CINPT. Outcomes were surgical site complications, fluid drainage, time to drain removal, and in-hospital stay length. A patient survey was created. A total of 56 patients with 83 TMG flaps were included (control group: 35 patients with 53 TMG flaps; CINPT group: 21 patients with 30 TMG flaps). Patient characteristics were similar in both groups. The flap width was significantly larger in the CINPT group (8.0 cm vs. 7.0 cm, p = 0.013). Surgical site complications were reduced in the CINPT group without statistical difference (30.0% vs. 50.9%, p = 0.064). Fluid drainage and time to drain removal were similar in both groups. The average in-hospital stay was significantly shortened in the CINPT group (10.0 days vs. 13.0 days, p = 0.030). The survey excluded pain, skin irritations, and discomfort during sleep and movement in the CINPT group and showed that the patients felt well protected. This study fails to provide compelling evidence for CINPT to enhance incision healing on the donor site in TMG flap breast reconstruction. There was a trend toward reduced surgical site complications on the donor thigh and the in-hospital stay was shortened. Prophylactic CINPT increases patient comfort and provides a feeling of additional wound protection.
摘要：
这项研究的目的是研究闭合切口负压治疗（CINPT）对供体部位并发症和患者感知的影响在横肌皮肤股薄（TMG）皮瓣乳房重建中。我们的机构进行了一项回顾性队列研究，包括2010年1月1日至2021年12月31日所有TMG皮瓣乳房重建患者。根据常规伤口管理或CINPT对患者进行分组。结果是手术部位并发症，流体引流,排水移除时间,和住院时间。创建了患者调查。共纳入56例患者，83例TMG皮瓣（对照组：35例，53例TMG皮瓣；CINPT组：21例，30例TMG皮瓣）。两组患者特征相似。CINPT组的皮瓣宽度明显更大（8.0cmvs.7.0cm,p=0.013)。CINPT组手术部位并发症减少，无统计学差异(30.0%vs.50.9%,p=0.064)。两组的液体引流和引流时间相似。CINPT组的平均住院时间显着缩短（10.0天vs.13.0天,p=0.030)。这项调查排除了疼痛，皮肤过敏,CINPT组的睡眠和运动过程中的不适，表明患者感觉受到了很好的保护。这项研究未能为CINPT提供令人信服的证据，以增强TMG皮瓣乳房重建中供体部位的切口愈合。供体大腿的手术部位并发症有减少的趋势，住院时间缩短。ProphylacticCINPT增加了患者的舒适度，并提供了额外的伤口保护的感觉。
