The effect of closed-suction drains on the incidence of local wound complications following tissue expander/implant reconstruction: A cohort study Journal Article
| Authors: | McCarthy, C. M.; Disa, J. J.; Pusic, A. L.; Mehrara, B. J.; Cordeiro, P. G. |
| Article Title: | The effect of closed-suction drains on the incidence of local wound complications following tissue expander/implant reconstruction: A cohort study |
| Abstract: | BACKGROUND: The purpose of this investigation was to evaluate the effect of drains on complications, including infection, seroma, and hematoma formation, in patients undergoing exchange of a temporary expander for a permanent breast implant. METHODS: A review of all tissue expander/implant breast reconstructions performed at a single center from 1997 to 2004 was undertaken. Two patient cohorts were identified: patients who underwent exchange of their expander to a permanent implant with the use of closed-suction drains and patients who underwent the exchange procedure without the use of drains. The incidence of infection, seroma, and hematoma formation was determined for each cohort. Chi-square and two-sample t tests were performed for categorical and continuous variables, respectively. RESULTS: A total of 2446 exchange procedures in 1863 patients were performed. In 1495 reconstructions (1165 patients), drains were placed after the exchange procedure; in 951 reconstructions (698 patients), no drains were used. There was no difference in the overall rate of complications following the exchange procedure with or without the use of drains (p = 0.886). Specifically, there was no difference in the incidence of infection necessitating implant removal in the presence of drains compared with that in the absence of drains (p = 0.585). Similarly, there was no significant difference in the rate of hematoma/seroma formation with or without the use of drains (p = 0.742). CONCLUSION: The use of periprosthetic, closed-suction drains after exchange of a temporary expander for a permanent breast implant does not affect the incidence of perioperative complications, including infection, seroma, and hematoma formation. ©2007American Society of Plastic Surgeons. |
| Keywords: | adult; controlled study; aged; aged, 80 and over; middle aged; implant; surgical technique; retrospective studies; major clinical study; comparative study; cohort studies; incidence; cohort analysis; breast reconstruction; mammaplasty; retrospective study; postoperative complication; statistical significance; instrumentation; surgical infection; postoperative infection; breast endoprosthesis; chi square test; hematoma; seroma; wound complication; student t test; suction; surgical wound infection; tissue expanders; closed drainage; suction drainage |
| Journal Title: | Plastic and Reconstructive Surgery |
| Volume: | 119 |
| Issue: | 7 |
| ISSN: | 0032-1052 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2007-06-01 |
| Start Page: | 2018 |
| End Page: | 2022 |
| Language: | English |
| DOI: | 10.1097/01.prs.0000260586.55628.29 |
| PUBMED: | 17519694 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 9" - "Export Date: 17 November 2011" - "CODEN: PRSUA" - "Source: Scopus" |
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