Postoperative Impact of Closed Incision Negative Pressure Therapy Following Oncoplastic Breast Surgery

Area of Science:

• Oncoplastic surgery
• Surgical wound management
• Negative pressure therapy

Background:

• Closed incision negative pressure therapy (ciNPT) is suggested to reduce surgical site complications.
• Evidence supporting ciNPT in oncoplastic breast surgery is limited.
• This study evaluates ciNPT's efficacy in reducing complications after oncoplastic breast procedures.

Purpose of the Study:

• To compare major and minor wound complication rates in patients undergoing oncoplastic breast surgery with and without ciNPT.
• To assess the impact of ciNPT on postoperative outcomes in breast cancer surgery.

Main Methods:

• A prospective cohort using ciNPT was compared to a retrospective control group.
• Patients underwent breast conserving oncoplastic procedures.
• Major complications included those requiring drainage or return to OR; minor complications were less severe wound issues.

Main Results:

• A total of 186 patients were analyzed (93 ciNPT, 93 control).
• The ciNPT group showed significantly fewer major complications (1.1% vs. 10.8%, p=0.010).
• No significant differences were observed in minor complication rates or based on patient comorbidities/tumor characteristics.

Conclusions:

• ciNPT effectively decreases major postoperative wound complications in oncoplastic breast surgery.
• Reducing major complications facilitates prompt initiation of adjuvant therapy.
• ciNPT is a valuable tool for improving outcomes in breast cancer oncoplastic procedures.