Effectiveness of a postoperative continuous irrigation system via a catheter following implant-based breast reconstruction

IF 0.2 Q4 SURGERY
H. Ha, Seong Heum Jeong, Tae Hyun Kim, H. Ahn, Euna Hwang
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引用次数: 0

Abstract

Background Implant-based breast reconstruction is a technique frequently used for breast reconstruction. Infection and inflammation are considered to be the most troublesome complications of implant-based breast reconstruction and can lead to capsular contracture or implant failure. To date, however, only a few methods have been proposed to prevent these complications. Therefore, the authors introduce a simple irrigation system using indwelling drain catheters to decrease postoperative inflammation.Methods Continuous saline irrigation was performed once per day for 3 days immediately after prosthesis-based breast reconstruction. Normal saline (500 mL) was inserted into the implant pocket through a superomedial-oriented drain catheter and drained through an inferolateral-oriented drain catheter using a suction device. Inflammatory indicators, including C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), white blood cell count (WBC), and postoperative complications were compared between the non-irrigation and irrigation groups.Results This study included 37 patients divided into two groups (20 non-irrigation and 17 irrigation). An analysis of inflammatory indicators revealed that the peak CRP level in the irrigation group was significantly lower than that in the non-irrigation group, while no statistically significant differences were found for the other mediators (ESR and WBC). In the immediate postoperative period, continuous irrigation effectively washed out tissue debris and blood clots within the implant pocket, which helped maintain the function of the drain catheter and decrease pro-inflammatory mediators.Conclusions This irrigation method was simple and cost-effective for decreasing inflammation within the breast pocket. Furthermore, it can also be applied to infected breast pockets in combination with antibiotics.
假体乳房重建术后导管持续冲洗系统的有效性
背景基于种植体的乳房重建是一种常用的乳房重建技术。感染和炎症被认为是基于植入物的乳房重建中最麻烦的并发症,并可能导致包膜挛缩或植入物失败。然而,迄今为止,只有少数几种方法被提出来预防这些并发症。因此,作者介绍了一种使用留置引流管的简单冲洗系统,以减少术后炎症。方法在人工乳房重建后立即进行连续盐水冲洗,每天一次,持续3天。将生理盐水(500mL)通过内侧上方引流导管插入植入物袋中,并使用抽吸装置通过外侧下方引流导管引流。比较非冲洗组和冲洗组的炎症指标,包括C反应蛋白(CRP)、血沉(ESR)、白细胞计数(WBC)和术后并发症。结果本研究包括37例患者,分为两组(20例非冲洗组和17例冲洗组)。炎症指标分析显示,冲洗组的CRP峰值水平显著低于非冲洗组,而其他介质(ESR和WBC)没有发现统计学上的显著差异。在术后不久,持续冲洗有效地冲洗了植入物袋内的组织碎片和血栓,这有助于维持引流导管的功能并减少促炎介质。结论这种冲洗方法简单,成本效益高,可减少乳腺囊内炎症。此外,它还可以与抗生素联合应用于受感染的乳房口袋。
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
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33.30%
发文量
35
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