Patients undergoing a mammoplasty procedure for cancer Surgery
Conditions
Interventions
This is a single centre blinded study (wound assessing clinicians are blinded). Patients are randomised in a 1:1 fashion. All enrolled patients will be undergoing bilateral surgery and shall be inclu
Sponsors
Newcastle upon Tyne Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Patients undergoing bilateral Wise pattern or vertical scar mammoplasty surgery 2. Indication for surgery: unilateral oncoplastic procedure with simultaneous contralateral symmetrising surgery 3. English speaking 4. Capacity to consent 5. Age 18-80 years
Exclusion criteria
Exclusion criteria: 1. Sensitivity to silver (PREVENA is contraindicated)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The overall occurrence of surgical site complication (SSC) rate at 6 weeks. Patients who experience any of the following complications (infection, necrosis, wound dehiscence) will be counted as an occurrence. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessed clinically 1, 2 and 6 weeks unless otherwise stated: 1. Infection occurrence as binary outcome (yes/no) for each patient 2. Clinical assessment using the ASEPSIS scoring system 3. USS for all patients who have clinical signs of infection (as per validated score system) 4. If collection seen, USS guided aspiration, documenting volume and fluid type (1. Pus, 2. Seroma, 3. Fat necrosis) 5. Skin/nipple necrosis evaluated in the following ways: 5.1. Skin/nipple occurrence as binary outcome (yes/no) for each patient 5.2. Percentage of skin necrosis of the total wound length for each patient 5.3. Percentage of nipple necrosis of the total nipple area for each patient 6. Wound dehiscence occurrence as binary outcome (yes/no) for each patient 7. Pain measured using visual analogue scale (1-10) 8. Return to theatre (including laterality of problem leading to re-admission presentation) at 30 days 9. Re-admission rates (including laterality of problem leading to re-admission presentation) at 30 days | — |
Countries
England, United Kingdom
Contacts
Public ContactLorna Ingoe
Outcome results
None listed