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采用交互式敷料与传统敷料的肿瘤整形乳房手术术后强化评估:一项对比研究

Enhanced Postoperative Evaluation in Oncoplastic Breast Surgery With Interactive Versus Traditional Dressings: A Comparative Study.

作者信息

Magalotti Cesare, Nisi Martina, Pastor Ruiz Elisabeth, Romiti Chiara, Tinti Andrea, Barillaro Ivan, Muccitelli Alessandro, Franchini Lisa, Brera Daniela, Guarro Giuseppe

机构信息

From the Senologia-Breast Unit, Azienda Sanitaria Territoriale Pesaro Urbino, Italy.

Department of Plastic and Reconstructive Surgery, USL Umbria 1, Perugia, Italy.

出版信息

Plast Reconstr Surg Glob Open. 2025 Apr 24;13(4):e6724. doi: 10.1097/GOX.0000000000006724. eCollection 2025 Apr.


DOI:10.1097/GOX.0000000000006724
PMID:40275909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12020685/
Abstract

BACKGROUND: Oncoplastic breast surgery balances tumor excision and aesthetics focusing on patient well-being. Patient-centered care is crucial aligning with contemporary healthcare goals. This study explored the impact of an interactive dressing on postoperative outcomes in oncoplastic breast surgery. METHODS: A cohort of 376 patients undergoing bilateral oncoplastic breast surgery was studied. Traditional dressings were applied on one side and the interactive dressing on the other. Patient demographics, procedures, and outcomes were collected. Patient-reported outcomes were assessed using the BREAST-Q questionnaire. Statistical analysis used R software. RESULTS: Comparing the interactive dressing to traditional dressings, 79.26% exhibited improved wound healing, 80.05% reported lower pain, and 80.32% preferred the side with the interactive dressing, according to the BREAST-Q. Efficient resource utilization is crucial. The interactive dressing's potential in wound healing aligns with evolving oncoplastic breast surgery practices. CONCLUSIONS: Comparing the interactive dressing with traditional dressings in oncoplastic breast surgery suggests advantages in wound healing, pain management, shorter hospital stays, and higher patient satisfaction. Further research is needed for confirmation. Patient-centric metrics such as the BREAST-Q support a holistic evaluation aligning with healthcare objectives for improved postoperative quality of life.

摘要

背景:肿瘤整形乳房手术在切除肿瘤与美观之间取得平衡,注重患者的健康状况。以患者为中心的护理对于实现当代医疗保健目标至关重要。本研究探讨了一种交互式敷料对肿瘤整形乳房手术术后结果的影响。 方法:对376例行双侧肿瘤整形乳房手术的患者进行了研究。一侧使用传统敷料,另一侧使用交互式敷料。收集患者的人口统计学资料、手术情况和结果。使用BREAST-Q问卷评估患者报告的结果。采用R软件进行统计分析。 结果:根据BREAST-Q问卷结果,与传统敷料相比,79.26%使用交互式敷料的患者伤口愈合情况改善,80.05%报告疼痛减轻,80.32%的患者更喜欢使用交互式敷料的一侧。高效利用资源至关重要。交互式敷料在伤口愈合方面的潜力与不断发展的肿瘤整形乳房手术实践相契合。 结论:在肿瘤整形乳房手术中,将交互式敷料与传统敷料进行比较,结果显示在伤口愈合、疼痛管理、缩短住院时间和提高患者满意度方面具有优势。需要进一步研究加以证实。以患者为中心的指标如BREAST-Q支持进行全面评估,这与改善术后生活质量的医疗保健目标相一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac4/12020685/83220fe55739/gox-13-e6724-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac4/12020685/228b7507cac5/gox-13-e6724-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac4/12020685/83220fe55739/gox-13-e6724-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac4/12020685/228b7507cac5/gox-13-e6724-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac4/12020685/83220fe55739/gox-13-e6724-g002.jpg

相似文献

[1]
Enhanced Postoperative Evaluation in Oncoplastic Breast Surgery With Interactive Versus Traditional Dressings: A Comparative Study.

Plast Reconstr Surg Glob Open. 2025-4-24

[2]
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[3]
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J Plast Reconstr Aesthet Surg. 2022-11

[4]
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[5]
Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): a prospective study.

Breast Cancer. 2023-9

[6]
Is Using Closed Incision Negative Pressure Therapy in Reconstructive and Oncoplastic Breast Surgery Helpful in Reducing Skin Necrosis?

Cureus. 2023-4-26

[7]
Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT.

Health Technol Assess. 2020-8

[8]
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[9]
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J Wound Care. 2020-3-2

[10]
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本文引用的文献

[1]
Use of hyperoxidized oils-based medical devices for the wound healing in post-surgical patients.

Acta Biomed. 2023-4-27

[2]
INDICATIONS FOR LIMITATIONS OF THE OMENTAL PEDICLE FLAP IN IMMEDIATE BREAST RECONSTRUCTION - SURGICAL RESULTS EVALUATION AND BREAST-Q© 2.0 SURVEY.

J Plast Reconstr Aesthet Surg. 2022-4

[3]
Comparative study of surgical and oncological outcomes in oncoplastic versus non oncoplastic breast-conserving surgery for breast cancer treatment.

JPRAS Open. 2021-6-6

[4]
Treatment With Oxygen-Enriched Olive Oil Improves Healing Parameters Following Augmentation-Mastopexy.

Aesthet Surg J Open Forum. 2021-5-4

[5]
Post-mastectomy seromas and wound drains.

Eur J Surg Oncol. 2021-4

[6]
Patient Satisfaction Following Inverted-T and Short-Scar Mammaplasty as Measured by the Breast Evaluation Questionnaire 55.

Aesthet Surg J. 2021-5-18

[7]
Bleeding in Plastic-Aesthetic Surgery: A Prognostic Pathway with Clinical Application.

Aesthetic Plast Surg. 2020-2

[8]
Short-Scar Augmentation Mastopexy in Massive-Weight Loss Patients: Four-Step Surgical Principles for Reliable and Reproducible Results.

Aesthetic Plast Surg. 2020-4

[9]
The Tissue-Based Triad in Augmentation Mastopexy: Single-Stage Technical Refinements.

Aesthet Surg J. 2019-11-13

[10]
Standardized Practice Reduces Complications in Breast Augmentation: Results with the First 290 Consecutive Cases Versus Non-standardized Comparators.

Aesthetic Plast Surg. 2018-12-12

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