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Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a
Denise de Almeida Mendes1,2, Daniela Francescato Veiga3,4, Joel Veiga-Filho5,6
1Division of Plastic Surgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 715,-4° andar, São Paulo - SP, CEP, 04024-002, Brazil. deniseamendes@uol.com.br.
Prolonged sterile dressing application after breast augmentation may reduce wound colonization. This study compared early versus late dressing removal to assess its impact on infection risk.
Area of Science:
- Plastic Surgery
- Infectious Disease Prevention
- Surgical Site Infections
Background:
- Breast augmentation with silicone implants is a common cosmetic procedure.
- Surgical site infections (SSIs) are a significant complication, often linked to skin microorganisms.
- Current guidelines recommend sterile dressings for 24-48 hours post-surgery.
Purpose of the Study:
- To evaluate how the duration of postoperative wound dressing affects bacterial colonization in breast augmentation patients.
- To compare two wound care protocols regarding dressing application time.
Main Methods:
- A randomized clinical trial involving 96 women undergoing breast augmentation with silicone implants.
- Participants were assigned to either early (1-day) or late (6-day) postoperative dressing removal.
- Skin flora cultures assessed wound colonization; SSI incidence and patient perceptions were secondary outcomes.
Main Results:
- The study aimed to determine the influence of dressing duration on wound colonization.
- Results are pending, but the trial is designed to provide data on this aspect.
- Secondary outcomes include the incidence of surgical site infections and patient feedback.
Conclusions:
- Minimizing risk factors is crucial for preventing surgical site infections.
- Postoperative dressing application duration is a key factor in SSI prevention strategies.
- Findings may inform standardized wound care protocols for breast augmentation surgery.
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