Influence of dressing application time after breast augmentation on cutaneous colonization: A randomized clinical trial

Influence of dressing application time after breast augmentation on cutaneous colonization: A randomized clinical trial

Author Mendes, Denise de Almeida Autor UNIFESP Google Scholar
Veiga, Daniela Francescato Autor UNIFESP Google Scholar
Veiga-Filho, Joel Autor UNIFESP Google Scholar
Loyola, A. B. A. T. Google Scholar
Paiva, L. F. Google Scholar
Novo, Neil Ferreira Autor UNIFESP Google Scholar
Sabino Neto, Miguel Autor UNIFESP Google Scholar
Ferreira, L. M. Autor UNIFESP Google Scholar
Abstract Concepts regarding the best way to treat a surgical wound vary, in literature, ranging from no dressing use to dressing maintenance for 24 to 48 hours or until suture removal. This study aimed to evaluate the influence of the length of dressing maintenance after breast augmentation with implants on cutaneous colonization and surgical site infection. This is a two-arm, parallel group, randomized clinical trial. Eighty patients who were candidates for augmentation mammoplasty with silicone implants were randomly allocated to two groups, in which the dressing was removed on postoperative day 1 (group A, n = 40) or postoperative day 6 (group B, n = 40). Cutaneous colonization was examined by culturing samples collected before and after dressing removal. The criteria defined by the Centers for Disease Control and Prevention were used to assess surgical site infection. No significant difference regarding cutaneous colonization was observed between groups before dressing application. On postoperative day 6, significantly more bacterial growth was observed in group A (p = 0.01). No surgical site infection occurred. We concluded that maintaining the dressing for 6 days led to a lower cutaneous colonization but did not influence surgical site infection rates. (c) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Keywords Breast
Prosthesis implantation
Augmentation mammaplasty
Postoperative care
Dressings
Bacterial growth
Language English
Sponsor Fundacao de Amparo a Pesquisa do Estado de Minas Gerais - FAPEMIG, Brazil
Universidade do Vale do Sapucai
Date 2018
Published in Journal Of Plastic Reconstructive And Aesthetic Surgery. Oxford, v. 71, n. 6, p. 906-912, 2018.
ISSN 1748-6815 (Sherpa/Romeo, impact factor)
Publisher Elsevier Sci Ltd
Extent 906-912
Origin http://dx.doi.org/10.1016/j.bjps.2018.01.021
Access rights Closed access
Type Article
Web of Science ID WOS:000432452500020
URI http://repositorio.unifesp.br/handle/11600/46001

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