Preoperative Octenidine Application in Breast Reconstruction Surgery.

Area of Science:

• Plastic Surgery
• Infectious Disease Prevention

Background:

• Postoperative infection is a significant concern in implant-based breast reconstruction.
• Preoperative use of disinfecting agents may lower infection rates.

Purpose of the Study:

• To evaluate the efficacy of preoperative Octenisan® wash lotion in reducing postoperative complications and infection rates in breast reconstructive surgery.

Main Methods:

• Retrospective analysis of 127 women undergoing implant-based breast reconstruction (2016-2019).
• Patients were instructed to use Octenisan® for five days preoperatively.
• Cohorts were divided based on adherence to the protocol (48.7% adherence).

Main Results:

• No significant difference in minor complication rates (34.4% vs. 36.6%) between Octenisan® users and non-users.
• No significant difference in major complication rates (7% vs. 5%) between groups.
• Low patient adherence (48.7%) was observed.

Conclusions:

• Octenisan® is safe for use in implant-based breast reconstructive surgery.
• The study did not demonstrate a significant reduction in complication or infection rates, likely due to small sample size and low adherence.
• Further larger studies are warranted to confirm efficacy, emphasizing patient education for protocol compliance.