Use of SPY angiography in tissue assessment for wound healing outcomes after breast reconstruction.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2024-07-01 DOI:10.12968/jowc.2021.0377

Anna C Wilson, Andrew Jb Pisansky, Katelyn M Tessier, Jane Hui, Umar Choudry, Amy Anne D Lassig

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引用次数: 0

Abstract

Objective: The objective of this study was to evaluate whether a systematic image assessment protocol using SPY Elite images (LifeCell Corp., US) of viable tissue at the periphery of the surgical field was associated with positive wound healing outcomes following mastectomy and breast reconstruction.

Method: Patients undergoing mastectomy and subsequent breast reconstruction surgery at a single tertiary medical centre were included. SPY images were prospectively analysed using a systematic image assessment protocol, and an absolute value of mean fluorescence was calculated by measuring peripheral, in-situ tissue from each image. Patient medical records were retrospectively reviewed for demographics, surgical characteristics and postoperative outcomes. These variables were statistically tested for associations with mean fluorescence.

Results: A total of 63 patients were included in the final analysis. We found that objectively determined mean fluorescence values were not statistically significantly associated with postoperative complications.

Conclusion: In this study, objectively measured mean fluorescence values representing breast tissue remaining after dissection showed little utility in the assessment of postoperative wound healing outcomes as they did not identify patients who would later have complications of wound healing.

Declaration of interest: The authors have no conflicts of interest to declare.

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使用 SPY 血管造影术评估乳房再造术后伤口愈合效果。

研究目的本研究旨在评估使用 SPY Elite 图像（美国 LifeCell 公司）对手术区域外围的存活组织进行系统图像评估的方案是否与乳房切除术和乳房再造术后伤口愈合的积极结果有关：方法：纳入在一家三级医疗中心接受乳房切除术和随后乳房重建手术的患者。采用系统图像评估方案对 SPY 图像进行前瞻性分析，并通过测量每张图像的周边原位组织计算平均荧光的绝对值。对患者的医疗记录进行了回顾性审查，以了解其人口统计学特征、手术特征和术后结果。对这些变量与平均荧光的关系进行了统计学检验：共有 63 名患者被纳入最终分析。我们发现，客观测定的平均荧光值与术后并发症没有明显的统计学关联：在这项研究中，客观测量的平均荧光值代表了切除术后残留的乳腺组织，在评估术后伤口愈合结果方面作用不大，因为它们不能确定哪些患者日后会出现伤口愈合并发症：作者无利益冲突需要声明。

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

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.