Negative pressure treatment for improvement of surgical wounds after circumferential thigh lift


COD: 2831_18_06_2018_AOP Categorie: ,

Filippo Boriani, Andrea Margara, Donatella Granchi, Nicola Baldini

Ann Ital Chir, Digital Edition 2018; 7
Epub Ahead of Print – June 18

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BACKGROUND: The circumferential thigh lift (CTL) with vertical scar is a more extensive and effective procedure compared
to the traditional lift, but the scar is not aequally concealed. Negative pressure treatment (NPT) is considered to
have a beneficial effect on the physiological process of wound healing and early scar formation. A comparison study was
therefore carried out in order to evaluate the effect of NPT on scar quality.
METHODS: All postobese patients consecutively treated for thigh laxity in the period January 2012 to April 2013 were
recruited in a prospective cohort study. All patients underwent CTL. In group A, NPT was applied on the sutured
wound in the immediate postoperative phase for a period of one week. In Group B traditional dressings were used. The
quality of scars was evaluated by means of the Stony Brook Scar Evaluation Scale (SBSES) at 7, 15, 30 and 365 days
RESULTS: 91 patients were included in the period defined, of whom 48 in group A and 43 in group B. In group A,
the mean SBSES score was 4.4 at 7 days, 4 at 15 days, 4.6 at 30 days and 4.8 at 365 days. In group B the SBSES
score was 3.2 at 7 days, 3 at 15 days, 3 at 30 and 365 days.
At all postoperative stages the quality of the scar showed to be significantly improved by the use of NPT (p<0.05). CONCLUSIONS: NPT is a useful adjunct to the postoperative wound healing after circumferential thigh lift, when compared to a hostile cohort of patients whose wounds are not treated with NPT.