000			03113nam a22003977a 4500
008			220222s20222022 xxu||||| |||| 00| 0 eng d
024			_a10.1097/GOX.0000000000004096 [doi]
024			_aPMC8835626 [pmc]
040			_aOvid MEDLINE(R)
099			_a35169527
245			_aUtility of Negative Pressure Wound Therapy: Raising the Bar in Chest Masculinization Surgery.
251			_aPlastic and Reconstructive Surgery - Global Open. 10(2):e4096, 2022 Feb.
252			_aPlast. reconstr. surg., Glob. open. 10(2):e4096, 2022 Feb.
253			_aPlastic and reconstructive surgery. Global open
260			_c2022
260			_fFY2022
260			_p2022 Feb
265			_sepublish
266			_d2022-02-22
520			_aBackground: Prophylactic use of negative pressure wound therapy (NPWT) has been shown to decrease the incidence of postoperative complications. This study aimed to evaluate the utility of NPWT in chest masculinization with free nipple graft (FNG).
520			_aConclusions: Patients receiving NPWT over their closed incisions following chest masculinization with FNG were found to have significantly lower rates of partial nipple graft necrosis, seroma formation, and time to drain removal compared to those receiving SWC. Future prospective, randomized studies to further elucidate the role of NPWT in top surgery are warranted. Copyright (c) 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
520			_aMethods: All consecutive male patients undergoing chest masculinization with FNG by a single provider at a single center were reviewed. Postoperative treatment with either NPWT or standard wound care (SWC) defined this study's cohorts. Patient characteristics and postoperative complications were compared between patients receiving NPWT versus SWC.
520			_aResults: One hundred thirty-one patients with 262 closed breast incisions (NPWT=72, SWC=190) met inclusion criteria. Overall complications were higher in the SWC cohort (n=80/190, 42%) compared to the NPWT cohort (n = 13/72, 18%, p < 0.001). The NPWT group had significantly lower rates of partial nipple graft loss (9/72, 12.5% versus 47/190, 24.7%, p = 0.031), seroma formation (1/72, 1.4% versus 15/190, 7.9%, p = 0.037), and nipple hypopigmentation (6/72, 8.3% versus 36/190, 18.9%, p = 0.024) when compared to the SWC cohort. Time to drain removal was significantly faster in the NPWT group (NPWT 7 days versus SWC 9 days, p <= 0.001).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aPlastic Surgery Residency
656			_aSurgery/Plastic Surgery
657			_aJournal Article
700			_aFan, Kenneth L
700			_aOrra, Susan
790			_aAbu El Hawa AA, Dekker PK, Del Corral G, Fan KL, Mizher R, Orra S
856			_uhttps://dx.doi.org/10.1097/GOX.0000000000004096 _zhttps://dx.doi.org/10.1097/GOX.0000000000004096
942			_cART _dArticle
999			_c783 _d783