Strategies for Prevention and Management of Postoperative Wounds and Scars Following Microsurgical Breast Reconstruction: An Evidence-Based Review.
GENERAL PURPOSE: To provide an evidence-based review of strategies for the prevention and management of wounds and postoperative scars following microsurgical autologous breast reconstruction. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse...
| Published in: | Advances in Skin & Wound Care Vol. 38; no. 3; pp. 125 - 132 |
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| Main Authors: | , , , , , |
| Format: | CEU review tables/charts Journal Article |
| Published: |
Lippincott Williams & Wilkins
Apr2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183911476&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183911476 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15277941 38T jtl: Advances in Skin & Wound Care issn: 15277941 maglogo: N pubinfo: dt: Apr2025 vid: 38 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 183911476 183911476 183911476 10.1097/ASW.0000000000000282 183911476 ppf: 125 ppct: 7 formats: tig: atl: Strategies for Prevention and Management of Postoperative Wounds and Scars Following Microsurgical Breast Reconstruction: An Evidence-Based Review. aug: au: Cuccolo, Nicholas G. Tran, David L. Boyd, Carter J. Shah, Alay R. Geronemus, Roy G. Chiu, Ernest S. sug: subj: Breast Reconstruction Adverse Effects Microsurgery Adverse Effects Autografts Adverse Effects Postoperative Complications Prevention and Control Surgical Wound Care Cicatrix Prevention and Control Wound Healing Education, Continuing (Credit) Medical Practice, Evidence-Based Skin Care Wound Care Patient Safety Bandages and Dressings Hyperbaric Oxygenation Ointments Injections Laser Therapy Mastectomy Adverse Effects Necrosis Therapy Surgery, Plastic Adverse Effects Pyoderma Gangrenosum Therapy ab: GENERAL PURPOSE: To provide an evidence-based review of strategies for the prevention and management of wounds and postoperative scars following microsurgical autologous breast reconstruction. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will: 1. Identify operative considerations to promote wound healing in microsurgical autologous breast reconstruction. 2. Synthesize management strategies for major flap complications following microsurgical autologous breast reconstruction. 3. Explain features in the assessment, prevention, and treatment of scars following microsurgical autologous breast reconstruction. Postoperative wound complications and unsightly scars have the potential to plague even the most elegant reconstructions performed by experienced surgeons. For patients undergoing autologous breast reconstruction, the risks of such outcomes may be increased, and so too are the oncologic and psychosocial consequences of prolonged reconstruction and increased scar burden. Strategies and products reported to aid in the prevention and management of such complications are abundant in the literature. In addition to a thorough preoperative assessment and optimization, the careful planning of incisions, flap design, and postoperative mobilization protocols may all aid in risk reduction. Prompt diagnosis and treatment of wound complications with various regimens, ranging from simple dressing changes to adjunctive technologies such as hyperbaric oxygen therapy, are critical. Obtaining an optimal scar appearance relies initially on a robust, tension-free closure. Postoperative dressings, ointments, injections, lasers, and other interventions have been used in a variety of settings with expectedly varied results. As such, this article aims to provide an evidence-based review of strategies for the prevention and management of wounds and postoperative scars following microsurgical autologous breast reconstruction. pubtype: Academic Journal doctype: CEU review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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