关键词: SPY breast complications fluorescence image assessment laser-assisted indocyanine green angiography mastectomy reconstruction wound wound care wound dressing wound healing

Mesh : Humans Female Mammaplasty Wound Healing Middle Aged Mastectomy Adult Retrospective Studies Angiography Breast Neoplasms / surgery Aged Prospective Studies

来  源:   DOI:10.12968/jowc.2021.0377

Abstract:
UNASSIGNED: The objective of this study was to evaluate whether a systematic image assessment protocol using SPY Elite images (LifeCell Corp., US) of viable tissue at the periphery of the surgical field was associated with positive wound healing outcomes following mastectomy and breast reconstruction.
UNASSIGNED: Patients undergoing mastectomy and subsequent breast reconstruction surgery at a single tertiary medical centre were included. SPY images were prospectively analysed using a systematic image assessment protocol, and an absolute value of mean fluorescence was calculated by measuring peripheral, in-situ tissue from each image. Patient medical records were retrospectively reviewed for demographics, surgical characteristics and postoperative outcomes. These variables were statistically tested for associations with mean fluorescence.
UNASSIGNED: A total of 63 patients were included in the final analysis. We found that objectively determined mean fluorescence values were not statistically significantly associated with postoperative complications.
UNASSIGNED: In this study, objectively measured mean fluorescence values representing breast tissue remaining after dissection showed little utility in the assessment of postoperative wound healing outcomes as they did not identify patients who would later have complications of wound healing.
UNASSIGNED: The authors have no conflicts of interest to declare.
摘要:
本研究的目的是评估使用SPYElite图像的系统图像评估方案(LifeCellCorp.,手术区域周围的活组织US)与乳房切除术和乳房重建后伤口愈合阳性相关。
包括在一个三级医疗中心接受乳房切除术和随后的乳房重建手术的患者。使用系统的图像评估协议对SPY图像进行前瞻性分析,通过测量外周,计算平均荧光的绝对值,来自每个图像的原位组织。对患者的医疗记录进行了人口统计学回顾性审查,手术特点和术后结局。统计检验这些变量与平均荧光的相关性。
共有63名患者纳入最终分析。我们发现,客观确定的平均荧光值与术后并发症无统计学意义。
在这项研究中,客观测量的代表解剖后保留的乳腺组织的平均荧光值在评估术后伤口愈合结局方面几乎没有作用,因为它们没有确定以后会出现伤口愈合并发症的患者.
作者没有利益冲突要声明。
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