Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study was designed to determine whether the duration of dressing wear following augmentation mammaplasty influence skin colonization and eventually surgical site infections rates.
Augmentation mammaplasty is currently one of the most performed plastic surgery procedures. It is a clean operation, and surgical site infection (SSI) rates are low. However, a SSI, since a minor one, leads to the failure of the procedure. Thus, minimizing SSI risks is imperative.
The Centers for Disease Control and Prevention (CDC) provides recommendations concerning prevention of SSI.No recommendation is offered for some practices, either because there is a lack of consensus regarding their efficacy or because of the available scientific evidence is insufficient to support their adoption.
CDC´s "Guideline for Prevention of Surgical Site Infection" recommends protecting with a sterile dressing for 24 to 48 hours an incision that has been closed primarily. There is no recommendation to cover the incision beyond 48 hours. One major risk factor for SSI is the presence of bacteria at surgical site.Thus, this trial was designed to verify the influence of dressing wear time on skin colonization.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Postoperative day 6 | Experimental | Dressing is removed on the sixth postoperative day |
|
| Postoperative day 1 | Experimental | Dressing is removed on the first postoperative day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| augmentation mammaplasty | Procedure | Dressing is removed on the first postoperative day |
|
| Measure | Description | Time Frame |
|---|---|---|
| skin colonization | skin colonization will be measured through semi-quantitative cultures of samples collected pre-dressing and on 6th postoperative day. | 6 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| surgical site infection | Surgical site infection will be assessed weekly, for 30 days. CDC´s criteria and definitions will be used. | 30 days postoperatively |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Daniela F Veiga, MD, PhD | Universidade Federal de São Paulo | Study Director |
| Joel Veiga-Filho, MD, PhD | Universidade do Vale do Sapucaà | Principal Investigator |
| Lydia M Ferreira, MD, PhD | Universidade Federal de São Paulo | Study Chair |
| Denise A Mendes, MD, PhD | Universidade Federal de São Paulo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das ClÃnicas Samuel Libanio | Pouso Alegre | Minas Gerais | 37550000 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25623237 | Background | Mendes Dde A, Veiga DF, Veiga-Filho J, Fonseca FE, de Paiva LF, Novo NF, Loyola AB, Ferreira LM. Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial. Trials. 2015 Jan 27;16:19. doi: 10.1186/s13063-014-0529-5. | |
| 29475792 | Result |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D013530 | Surgical Wound Infection |
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| augmentation mammaplasty | Procedure | Dressing is removed on the 6th postoperative day |
|
| Mendes DA, Veiga DF, Veiga-Filho J, Loyola ABAT, Paiva LF, Novo NF, Sabino-Neto M, Ferreira LM. Influence of dressing application time after breast augmentation on cutaneous colonization: A randomized clinical trial. J Plast Reconstr Aesthet Surg. 2018 Jun;71(6):906-912. doi: 10.1016/j.bjps.2018.01.021. Epub 2018 Feb 21. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |