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Barbed Ribbon Device for Progressive Tension Closure Reduces Seroma After Breast Reconstruction.

Devan Griner1, Caleb M Steffen, Kristopher M Day

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Annals of Plastic Surgery
|September 1, 2017
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Summary

Bioabsorbable barbed ribbon devices (BRDs) for progressive tension closure (PTC) significantly reduced seroma formation in breast reconstruction. This novel approach also decreased the need for post-operative drainage, improving patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Biomaterials in Medicine

Background:

  • Seroma formation is a common complication in implant-based breast reconstruction.
  • Progressive tension closure (PTC) is effective for soft tissue stabilization but challenging for mastectomy flaps.

Purpose of the Study:

  • To evaluate the efficacy of bioabsorbable barbed ribbon devices (BRDs) for progressive tension closure (PTC) in reducing seroma formation during breast reconstruction.
  • To assess the impact of BRD-assisted PTC on complication rates and drainage duration.

Main Methods:

  • Retrospective review comparing patients who underwent mastectomy and reconstruction with BRD-assisted PTC versus those without flap stabilization.
  • Data collection included patient demographics, comorbidities, seroma incidence, and total drain days.

Main Results:

  • The BRD-PTC group (36 breasts) showed no seromas, compared to 19.6% (11/56) in the non-stabilized control group (P=0.05).
  • Drains were removed an average of 5 days sooner in the BRD-PTC group (P=0.006).
  • No significant differences in age, BMI, or tobacco use were observed between groups.

Conclusions:

  • Progressive tension stabilization of mastectomy flaps using BRDs significantly reduces seroma formation.
  • BRD-assisted PTC decreases the duration of closed suction drainage required after breast reconstruction.