The effect of body mass index and wound irrigation on outcome after bilateral breast reduction.
Abstract
Thirty patients undergoing bilateral breast reduction by inferior pedicle technique were entered into a prospective, randomized study to determine the effect of unilateral saline wound irrigation and body mass index (BMI) on outcome. Each patient was assessed at 1, 4, and 8 weeks after surgery for wound dehiscence, infection, fat necrosis, and breast comfort by means of a visual analog pain score. The mean patient age was 33 years; mean weight, 67.7 kg; mean BMI, 26.3; and mean weight of breast tissue excised per patient, 1270 g. In 60 breasts there were 13 cases of minor wound breakdown, all of which had healed by 8 weeks postoperatively. Wound irrigation had no significant effect on the rate of T-junction breakdown or on postoperative pain. BMI was associated significantly with wound breakdown (BMI > 26.3, 33% wound breakdown rate; BMI < 26.3, 10% wound breakdown rate; P < 0.05, chi2 test). Patients with a high BMI are more likely to have delayed healing after breast reduction.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 5 | |
| 시술 | breast reduction
|
유방성형술 | dict | 3 | |
| 해부 | fat
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | infection
|
감염 | dict | 1 | |
| 합병증 | necrosis
|
괴사 | dict | 1 | |
| 합병증 | wound dehiscence
|
상처열개 | dict | 1 | |
| 질환 | pain
|
C0030193
Pain
|
scispacy | 1 | |
| 질환 | postoperative pain
|
C0030201
Pain, Postoperative
|
scispacy | 1 | |
| 질환 | bilateral breast
|
scispacy | 1 | ||
| 질환 | breast tissue
|
scispacy | 1 | ||
| 기타 | saline wound
|
scispacy | 1 |
MeSH Terms
Adolescent; Adult; Aged; Body Mass Index; Female; Follow-Up Studies; Humans; Mammaplasty; Middle Aged; Patient Satisfaction; Probability; Prospective Studies; Reference Values; Risk Assessment; Surgical Wound Dehiscence; Surgical Wound Infection; Therapeutic Irrigation; Treatment Outcome; Wound Healing
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