Tettamanzi Matilde, Ziani Federico, Manconi Anna, Arrica Giovanni, Trignano Claudia, Filigheddu Edoardo, Rampazzo Silvia, Ginatempo Ilaria, Sorotos Michail, Santanelli di Pompeo Fabio, Rubino Corrado, Trignano Emilio
Plastic Surgery Unit, University Hospital Trust of Sassari, Sassari, Italy.
Department of Biomedical Sciences, University of Sassari, Sassari, Italy.
Case Reports Plast Surg Hand Surg. 2025 Jan 9;12(1):2450102. doi: 10.1080/23320885.2025.2450102. eCollection 2025.
This investigation explores the potential impact of Negative Pressure Wound Therapy (NPWT) dressing on mommy makeover surgical wounds. The focus is on optimizing the healing process and post-surgical care to mitigate complications like wound dehiscence, seroma, and hematoma.
A prospective study spanned from October 2015 to April 2022, involving 40 patients undergoing mommy makeover surgery for aesthetic purposes. The randomized division resulted in two groups. Group one ( = 20) had donor sites covered with NPWT dressing, while group two ( = 20) received standard dressings lacking known healing-promoting agents. The assessment of complications served as an index of NPWT efficacy, and scars were evaluated using the Vancouver Scale.
Immediate post-surgical use of NPWT dressings significantly expedited wound healing compared to fine-mesh gauze dressings. Furthermore, it almost eradicated discomfort and pain in all patients, indicating excellent compliance. Patients tolerated NPWT well, with no instances of dressing failure or non-compliance.
This study underscores the utility of NPWT dressing in managing mommy makeover surgery wounds. The dressing's bio-occlusive properties create an optimal environment for wound healing, simultaneously minimizing pain, discomfort, and preventing key complications such as seroma and unfavorable scar appearance.
本研究探讨负压伤口治疗（NPWT）敷料对妈咪整形手术伤口的潜在影响。重点在于优化愈合过程和术后护理，以减轻诸如伤口裂开、血清肿和血肿等并发症。
一项前瞻性研究从2015年10月持续至2022年4月，纳入40例因美容目的接受妈咪整形手术的患者。随机分组后形成两组。第一组（n = 20）供区覆盖NPWT敷料，而第二组（n = 20）接受不含已知促愈合剂的标准敷料。对并发症的评估作为NPWT疗效指标，使用温哥华瘢痕量表对瘢痕进行评估。
与细网纱布敷料相比，术后立即使用NPWT敷料显著加快了伤口愈合。此外，它几乎消除了所有患者的不适和疼痛，表明依从性良好。患者对NPWT耐受性良好，未出现敷料失效或不依从的情况。
本研究强调了NPWT敷料在处理妈咪整形手术伤口方面的效用。该敷料的生物封闭特性为伤口愈合创造了最佳环境，同时将疼痛、不适降至最低，并预防血清肿和不良瘢痕外观等关键并发症。
