Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial

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dc.contributor.authorMendes, Denise de Almeida [UNIFESP]
dc.contributor.authorVeiga, Daniela Francescato [UNIFESP]
dc.contributor.authorVeiga-Filho, Joel [UNIFESP]
dc.contributor.authorFonseca, Fernando Elias Martins
dc.contributor.authorPaiva, Luiz Francisley de
dc.contributor.authorNovo, Neil Ferreira
dc.contributor.authorLoyola, Ana Beatriz Alkmin Teixeira
dc.contributor.authorFerreira, Lydia Masako [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Vale Sapucai
dc.date.accessioned2016-01-24T14:39:55Z
dc.date.available2016-01-24T14:39:55Z
dc.date.issued2015-01-27
dc.description.abstractBackground: Breast augmentation with silicone implants is one of the most frequently performed cosmetic surgeries worldwide. Surgical site infection (SSI) remains an important complication of this procedure. One of the most important risk factors for SSI is the presence of microorganisms on the skin surrounding the wound. Guidelines by the Centers for Disease Control (CDC) recommend that surgical wounds be covered with a sterile dressing for 24 to 48 hours. However, a recent study showed that the application of a dressing for six days after breast reduction reduced wound colonization by coagulase-negative staphylococci.Methods/Design: A randomized clinical trial was designed to assess two protocols of postoperative wound care to determine how the application duration of the postoperative dressing influences wound colonization in patients undergoing breast augmentation with silicone implants. Women aged between 18 and 60 years who are candidates for breast augmentation with silicone implants will be randomly allocated to group I (n = 48), in which the dressing will be removed on the first postoperative day, or group II (n = 48), in which the dressing will be removed on the sixth postoperative day. Cutaneous colonization will be assessed by cultures of samples of skin flora taken from the wound region. the incidence of SSI, using standardized CDC criteria, and the perceptions of patients towards the dressing will be secondary outcomes.Discussion: An important component of SSI prevention is to minimize all possible risk factors, and the application of postoperative dressing plays a key role in this endeavor. the results of this clinical trial may help to standardize postoperative wound care after breast augmentation with silicone implants.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Plast Surg, BR-04024002 São Paulo, Brazil
dc.description.affiliationUniv Vale Sapucai, Dept Surg, Div Plast Surg, BR-37550000 Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Dept Microbiol, BR-37550000 Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Dept Biostat, BR-37550 Pouso Alegre, MG, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Plast Surg, BR-04024002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)
dc.format.extent6
dc.identifierhttp://dx.doi.org/10.1186/s13063-014-0529-5
dc.identifier.citationTrials. London: Biomed Central Ltd, v. 16, 6 p., 2015.
dc.identifier.doi10.1186/s13063-014-0529-5
dc.identifier.fileWOS000348863700002.pdf
dc.identifier.issn1745-6215
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/38644
dc.identifier.wosWOS:000348863700002
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofTrials
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBreasten
dc.subjectProsthesis implantationen
dc.subjectAugmentation mammaplastyen
dc.subjectPostoperative careen
dc.subjectDressingsen
dc.subjectSurgical wound infectionen
dc.subjectBacterial growthen
dc.subjectPatient satisfactionen
dc.titleApplication time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trialen
dc.typeinfo:eu-repo/semantics/article
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