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采用全层切口负压伤口治疗修复乳房缩小术后乳头乳晕复合体静脉充血

Salvage of Nipple-areolar Complex Venous Congestion Following Reduction Mammaplasty with Full-coverage Incisional Negative Pressure Wound Therapy.

作者信息

Goh Celine Yi Ling, Goh Cindy Siaw Lin

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore.

出版信息

J Plast Reconstr Surg. 2024 Oct 25;4(2):87-91. doi: 10.53045/jprs.2024-0002. eCollection 2025 Apr 27.

DOI:10.53045/jprs.2024-0002
PMID:40657172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240694/
Abstract

Nipple-areolar complex necrosis following vascular compromise is an infrequent, but devastating complication of reduction mammaplasty. Negative pressure wound therapy has revolutionized wound care since its advent more than 20 years ago and has been used in various surgical settings. Here, we report the novel use of a full-coverage breast-specific incisional negative pressure wound therapy dressing in successfully salvaging nipple-areolar complex compromise in reduction mammaplasty.

摘要

血管受损后乳头乳晕复合体坏死是缩乳术罕见但极具破坏性的并发症。自20多年前负压伤口治疗问世以来,它彻底改变了伤口护理方式,并已应用于各种手术场景。在此,我们报告了一种全覆盖乳房专用切口负压伤口治疗敷料在成功挽救缩乳术中乳头乳晕复合体受损方面的新用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/6534522608d5/jprs-04-02-0087-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/288686072e46/jprs-04-02-0087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/79a95e5ac81a/jprs-04-02-0087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/f5792e08e7a1/jprs-04-02-0087-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/91a8a553af87/jprs-04-02-0087-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/6534522608d5/jprs-04-02-0087-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/288686072e46/jprs-04-02-0087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/79a95e5ac81a/jprs-04-02-0087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/f5792e08e7a1/jprs-04-02-0087-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/91a8a553af87/jprs-04-02-0087-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/628b/12240694/6534522608d5/jprs-04-02-0087-g005.jpg

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本文引用的文献

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Closed-Incision and Surrounding Soft Tissue Negative Pressure Dressings in Post-Mastectomy Pre-Pectoral Direct-to-Implant Breast Reconstruction: A Pilot Study.乳房切除术后胸大肌前直接植入式乳房重建中闭合切口及周围软组织负压敷料的初步研究
Plast Surg (Oakv). 2022 Nov;30(4):325-332. doi: 10.1177/22925503211019628. Epub 2021 May 28.
2
Closed Incision Negative Pressure Therapy vs Standard of Care Dressing in Breast Surgery: A Systematic Review.乳腺手术中封闭切口负压治疗与标准护理敷料的比较:一项系统评价
Cureus. 2022 Apr 26;14(4):e24499. doi: 10.7759/cureus.24499. eCollection 2022 Apr.
3
The use of closed incision negative pressure therapy for incision and surrounding soft tissue management: Expert panel consensus recommendations.
切口闭合负压治疗在切口及周围软组织管理中的应用:专家小组共识建议。
Int Wound J. 2022 Mar;19(3):643-655. doi: 10.1111/iwj.13662. Epub 2021 Aug 12.
4
Negative Pressure Wound Therapy as a Salvage Procedure in Venous Congestion of Microsurgical Procedures.负压伤口治疗作为显微外科手术静脉淤血的挽救性手术
Plast Reconstr Surg Glob Open. 2021 Aug 4;9(8):e3725. doi: 10.1097/GOX.0000000000003725. eCollection 2021 Aug.
5
Negative Pressure Wound Therapy for Improved Nipple Survival in Large Volume Reduction Mammaplasty.负压伤口治疗可提高巨乳缩小术中乳头的存活率。
Aesthetic Plast Surg. 2022 Feb;46(1):108-112. doi: 10.1007/s00266-021-02492-0. Epub 2021 Aug 5.
6
Closed Incisional Negative Pressure Therapy Significantly Reduces Early Wound Dehiscence after Reduction Mammaplasty.闭合切口负压治疗显著降低缩乳术后早期伤口裂开发生率。
Plast Reconstr Surg Glob Open. 2021 Mar 22;9(3):e3496. doi: 10.1097/GOX.0000000000003496. eCollection 2021 Mar.
7
A Novel Use of Next-Generation Closed Incision Negative Pressure Wound Therapy After Major Limb Amputation and Amputation Revision.下一代封闭切口负压伤口治疗在大肢体截肢和截肢修复后的新用途。
Cureus. 2020 Sep 11;12(9):e10393. doi: 10.7759/cureus.10393.
8
The Efficacy of Prophylactic Negative Pressure Wound Therapy for Closed Incisions in Breast Surgery: A Systematic Review and Meta-Analysis.预防性负压伤口疗法在乳房手术闭合切口的疗效:系统评价和荟萃分析。
World J Surg. 2020 May;44(5):1526-1537. doi: 10.1007/s00268-019-05335-x.
9
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Plast Reconstr Surg Glob Open. 2018 Jan 12;6(1):e1560. doi: 10.1097/GOX.0000000000001560. eCollection 2018 Jan.
10
Randomized Controlled Study Comparing Disposable Negative-Pressure Wound Therapy with Standard Care in Bilateral Breast Reduction Mammoplasty Evaluating Surgical Site Complications and Scar Quality.随机对照研究比较了双侧乳房缩小成形术中使用一次性负压伤口治疗与标准护理在评估手术部位并发症和瘢痕质量方面的效果。
Aesthetic Plast Surg. 2018 Aug;42(4):927-935. doi: 10.1007/s00266-018-1095-0. Epub 2018 Feb 13.