No drains in reduction mammaplasty - a systematic review.

Q4 Medicine
A Dušková, O Měšťák, M Molitor
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引用次数: 0

Abstract

Breast reduction mammaplasty is the only effective therapeutic intervention for patients with symptomatic breast hypertrophy. In this procedure, closed suction drains have become a standard of care, while the literature supporting use of drains is lacking. In fact, with emerging data we found out that drains might not be so necessary. This review aimed to systematically compare the number of complications in drained and undrained breasts and to evaluate the safety of omitting drains in reduction mammaplasty in clinical practice. A systematic review of literature was conducted identifying all studies on drainage in reduction mammaplasty. The analysed databases revealed 13 eligible studies to be included in this review. There were 308 drained breasts and 859 undrained breasts in total in patients from 16 to 73 years of age. The resected tissue weight per side fluctuated from 108 to 1,296 grams. In total, there was only 2.4% incidence of haematoma complications in undrained breasts and 3.9% in drained breasts. Closed suction drains are still being routinely used in reduction mammaplasty, although aborting drain use is proven to be not only safe, but advantageous. The clear benefit is increased patient comfort, shortened hospital stay, decreased cost of the procedure and nurse care, and decreased rate of complications.

乳房缩小成形术中不使用引流管--系统回顾。
乳房缩小成形术是对有症状的乳房肥大症患者唯一有效的治疗方法。在这种手术中,闭式抽吸引流管已成为护理标准,而支持使用引流管的文献却很缺乏。事实上,随着新数据的出现,我们发现引流管可能并非那么必要。本综述旨在系统地比较引流和未引流乳房的并发症数量,并评估在临床实践中缩紧乳房成形术不使用引流管的安全性。我们对所有关于乳房缩小整形术引流的研究进行了系统性的文献回顾。分析数据库后发现,有 13 项符合条件的研究被纳入本次综述。共有 308 例引流乳房和 859 例未引流乳房,患者年龄从 16 岁到 73 岁不等。每侧切除的组织重量从 108 克到 1,296 克不等。总的来说,未引流乳房的血肿并发症发生率仅为 2.4%,引流乳房的并发症发生率为 3.9%。尽管中止使用引流管被证明不仅安全而且有利,但闭式抽吸引流管仍被常规用于乳房缩小整形术。其明显的好处是增加了病人的舒适度,缩短了住院时间,降低了手术和护士护理的成本,减少了并发症的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta chirurgiae plasticae
Acta chirurgiae plasticae Medicine-Surgery
CiteScore
0.60
自引率
0.00%
发文量
14
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