Randomized Controlled Study Comparing Disposable Negative-Pressure Wound Therapy with Standard Care in Bilateral Breast Reduction Mammoplasty Evaluating Surgical Site Complications and Scar Quality

V Tanaydin*, J. Beugels, A. Andriessen, J. H. Sawor, R. R. W. J. van der Hulst

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

31 Citations (Web of Science)

Abstract

Background Negative pressure wound therapy (NPWT) for postsurgical incision treatment has demonstrated benefits. A prospective randomized study was developed including 32 patients who underwent bilateral breast reduction mammoplasty. Patients served as their own control and received NPWT to one breast and fixation strips to the other breast. Methods The primary outcome was the number of wound healing complications within 21 days when comparing NPWT treatment with fixation strips. The secondary outcome was aesthetic appearance and quality of scarring using questionnaires [visual analogue scale (VAS) and Patient and Observer Scar Assessment Scale (POSAS)] scored at day 42-, 90-, 180- and 365-day follow-up using additional scar measurement modalities, such as viscoelasticity. Results For the 32 included patients, the number of wound complications was significantly lower (p < 0.004) for the NPWT treated sites compared to fixation strips. POSAS and VAS scores at 42 and 90 days revealed a significantly better quality of scarring in the NPWT treatment breasts than in fixation strips. At 180-day follow-up, there was a significant improvement in VAS scores, as well as a comparable improvement in POSAS scores. No consistent significant improvement in scar quality was demonstrated with the assays that were used. Conclusions Our study showed less complications and a significant improvement in quality of scarring in favor of the NPWT-treated sites. The results indicate NPWT to be an attractive option for these patients.
Original languageEnglish
Pages (from-to)927-935
Number of pages9
JournalAesthetic Plastic Surgery
Volume42
Issue number4
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • Negative-pressure therapy
  • Post-mammoplasty
  • PICO
  • Scar
  • POSAS
  • Cutometer
  • VACUUM-ASSISTED CLOSURE
  • SKIN ELASTICITY METER
  • VISUAL ANALOG SCALE
  • CONTROLLED-TRIAL
  • SATISFACTION
  • MANAGEMENT
  • FRACTURES
  • PATIENT
  • TRAUMA

Cite this