Purpose: Implant-based breast reconstruction is fraught with complications related to seroma formation. Soft tissue stabilization with progressive tension closure (PTC) has been shown to decrease seroma formation after various procedures but is less suitable for mastectomy flap stabilization. We evaluate the incidence of seroma in breast reconstruction using bioabsorbable barbed ribbon devices (BRDs) as a novel approach to PTC. Methods: We performed a retrospective review of all patients whose mastectomy flaps were stabilized with BRDs. These patients were compared with consecutive patients who underwent mastectomy and reconstruction without progressive tension flap stabilization. Patient demographics and outcomes were recorded, including comorbidities, complications, presence of seroma, and total drain days. Results: In the BRD-PTC group, there were 36 breasts compared with 56 in the nonstabilized control group. There were no significant differences in rate of tobacco use, age, or body mass index. We identified 11 seromas in the control group (19.6%) and none in the intervention group (P = 0.05). In the PTC group, drains were removed an average of 5 days sooner than those in controls (P = 0.006). Conclusion: Progressive tension stabilization of mastectomy flaps with BRD significantly reduces seroma formation and the duration for which closed suction drainage is required.
http://ift.tt/2hgWK2q
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Beyond borders and sinuses: Rhinology and allergy ...
- The role of regulatory T cells in the regulation o...
- Sinonasal T-cell expression of cytotoxic mediators...
- Role of adenosine monophosphate‐activated protein ...
- Effectiveness of intranasal sodium hyaluronate in ...
- Gender-specific differences in serum immunoglobuli...
- The relationship between social determinants of he...
- Biocompatibility and pharmacokinetics of fluticaso...
- Role of exhaled nasal nitric oxide in distinguishi...
- Vitamin D3 deficiency and its association with nas...
- Influence of chitosan-based dressing on prevention...
- Endonasal endoscopic management of frontal sinus c...
- Comparison of two concentrations of triamcinolone ...
- Factors that contribute to disagreement in satisfa...
- Acute radiology rarely confirms sinus disease in s...
- Editorial Board ((ofc))
- Quercetin protects jejunal mucosa from experimenta...
- Differences in self-advocacy among hard of hearing...
- Absence of delay in spontaneous use of gestures in...
- Contrast-enhanced imaging features and differentia...
- Benefit and clinical significance of retrospective...
- Author index∗∗July, pp. 1-196; August, pp. 197-390...
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- Editorial Board
- Topical 15% resorcinol for hidradenitis suppurativ...
- The water-drop test for the diagnosis of koilonychia
- Doctors' mental health, burnout, and suicidality: ...
- Cover Sheet for Index
- Circumventing iPLEDGE: Circumventing ethical respo...
- Injection of filler for volume replacement of the ...
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- Iotaderma #286
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- A novel clinical sign to aid in the diagnosis of s...
- Inpatient dermatology consultations: Motivation an...
- The hungry caterpillar flap: A variant of the V-to...
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- High-risk category for early annual ophthalmology ...
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- Reply to: Comment on “Efficacy and safety of etane...
- Rapid screening of starter cultures for maari base...
- Reintroducing the Sodium–Iodide Symporter to Anapl...
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- Aposematism and crypsis are not enough to explain ...
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- Valgus Hindfoot Deformity Secondary to Neonatal In...
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- A Novel Secretome Biotherapeutic Influences Regene...
- Drug Release: Proper Control to Help Clinical Appl...
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- Treatment of Maxillary Hypoplasia in Cleft Lip and...
- Cone Beam Computed Tomography Assessment of Access...
- A Personal Approach to Bilateral Cleft Lip Repair.
- Use of Acellular Dermal Matrix in Craniosynostosis.
- Effect of Long-Term Use of Facemask With Miniplate...
- Oral-Health-Related Quality of Life After Surgical...
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- In Pursuit of Fellowship: Results from a 2016 Surv...
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- Highlights in immune response, microbiome and prec...
- Pendular Seesaw Nystagmus in a Patient With a Gian...
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- Small vessel CNS vasculitis-optimism and challenge...
- The cover page
- Central nervous system vasculitis imaging: Simplified
- A longitudinal study of retinal nerve fibre layer ...
- Cardiomyopathy in acromegaly and the effect of tra...
- Unexpected cause of leg pain in a patient with low...
- Echocardiographic improvements following transsphe...
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