Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites

Background: Closed incision negative pressure therapy (ciNPT) may reduce the rate of wound complications and promote healing of the incisional site. We report our experience with this dressing in breast reconstruction patients with abdominal free flap donor sites. Methods: A retrospective cohort stu...

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Autores principales:	Jennifer Wang, Zyg Chapman, Emma Cole, Satomi Koide, Eldon Mah, Simon Overstall, Dean Trotter
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	breast reconstruction DIEP wound management negative pressure dressing Prevena Medicine R
Acceso en línea:	https://doaj.org/article/8937dcb19dbe4a1eb5b13a8cc82dc571
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spelling	oai:doaj.org-article:8937dcb19dbe4a1eb5b13a8cc82dc5712021-11-11T17:47:18ZUse of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites10.3390/jcm102151762077-0383https://doaj.org/article/8937dcb19dbe4a1eb5b13a8cc82dc5712021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5176https://doaj.org/toc/2077-0383Background: Closed incision negative pressure therapy (ciNPT) may reduce the rate of wound complications and promote healing of the incisional site. We report our experience with this dressing in breast reconstruction patients with abdominal free flap donor sites. Methods: A retrospective cohort study was conducted of all patients who underwent breast reconstruction using abdominal free flaps (DIEP, MS-TRAM) at a single institution (Royal Melbourne Hospital, Victoria) between 2016 and 2021. Results: 126 female patients (mean age: 50 ± 10 years) were analysed, with 41 and 85 patients in the ciNPT (Prevena) and non-ciNPT (Comfeel) groups, respectively. There were reduced wound complications in almost all outcomes measured in the ciNPT group compared with the non-ciNPT group; however, none reached statistical significance. The ciNPT group demonstrated a lower prevalence of surgical site infections (9.8% vs. 11.8%), wound dehiscence (4.9% vs. 12.9%), wound necrosis (0% vs. 2.4%), and major complication requiring readmission (2.4% vs. 7.1%). Conclusion: The use of ciNPT for abdominal donor sites in breast reconstruction patients with risk factors for poor wound healing may reduce wound complications compared with standard adhesive dressings; however, large scale, randomised controlled trials are needed to confirm these observations. Investigation of the impact of ciNPT patients in comparison with conventional dressings, in cohorts with equivocal risk profiles, remains a focus for future research.Jennifer WangZyg ChapmanEmma ColeSatomi KoideEldon MahSimon OverstallDean TrotterMDPI AGarticlebreast reconstructionDIEPwound managementnegative pressure dressingPrevenaMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5176, p 5176 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast reconstruction DIEP wound management negative pressure dressing Prevena Medicine R
spellingShingle	breast reconstruction DIEP wound management negative pressure dressing Prevena Medicine R Jennifer Wang Zyg Chapman Emma Cole Satomi Koide Eldon Mah Simon Overstall Dean Trotter Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
description	Background: Closed incision negative pressure therapy (ciNPT) may reduce the rate of wound complications and promote healing of the incisional site. We report our experience with this dressing in breast reconstruction patients with abdominal free flap donor sites. Methods: A retrospective cohort study was conducted of all patients who underwent breast reconstruction using abdominal free flaps (DIEP, MS-TRAM) at a single institution (Royal Melbourne Hospital, Victoria) between 2016 and 2021. Results: 126 female patients (mean age: 50 ± 10 years) were analysed, with 41 and 85 patients in the ciNPT (Prevena) and non-ciNPT (Comfeel) groups, respectively. There were reduced wound complications in almost all outcomes measured in the ciNPT group compared with the non-ciNPT group; however, none reached statistical significance. The ciNPT group demonstrated a lower prevalence of surgical site infections (9.8% vs. 11.8%), wound dehiscence (4.9% vs. 12.9%), wound necrosis (0% vs. 2.4%), and major complication requiring readmission (2.4% vs. 7.1%). Conclusion: The use of ciNPT for abdominal donor sites in breast reconstruction patients with risk factors for poor wound healing may reduce wound complications compared with standard adhesive dressings; however, large scale, randomised controlled trials are needed to confirm these observations. Investigation of the impact of ciNPT patients in comparison with conventional dressings, in cohorts with equivocal risk profiles, remains a focus for future research.
format	article
author	Jennifer Wang Zyg Chapman Emma Cole Satomi Koide Eldon Mah Simon Overstall Dean Trotter
author_facet	Jennifer Wang Zyg Chapman Emma Cole Satomi Koide Eldon Mah Simon Overstall Dean Trotter
author_sort	Jennifer Wang
title	Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
title_short	Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
title_full	Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
title_fullStr	Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
title_full_unstemmed	Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites
title_sort	use of closed incision negative pressure therapy (cinpt) in breast reconstruction abdominal free flap donor sites
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8937dcb19dbe4a1eb5b13a8cc82dc571
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Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites

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