Mammaplasty, Post-Surgical Complication, Wound Healing Disorder
Conditions
Keywords
Surgical wounds, Breast surgery, Plastic surgery, Oxygen-enriched oil, Dressing, Wound healing, Scar quality, postoperative complications, Breast reduction
Brief summary
Breast reduction is one of the most frequently performed plastic surgeries. Studies have shown that breast reduction surgery significantly improves the patients' suffering and leads to a better health-related quality of life.However, as in every surgery, there can be complications. Wound disorders, such as open wounds and skin loss account for the most commonly encountered postoperative complications. NovoX® Cup is a new single-use wound dressing that is shaped cupular in order to tightly adapt to the breast anatomy. It is internally coated with oxygen-enriched oil releasing reactive oxygen species and is free from active pharmaceutical ingredients. It is intended, among other indications, for the use in surgical wounds after oncological breast surgery, breast reconstruction and cosmetic breast surgery. In two studies, a total of 140 patients (surgical wounds after breast augmentation-mastopexy, mammary lesions) were treated successfully with NovoX® Cup and no product-related adverse events were reported.The claimed advantages sound promising but an advantage compared to established wound dressings such as sterile strips or tapes has still to be investigated. The aim of the following study is to compare the outcomes (postoperative complications, scar quality and patients' satisfaction) of breast reduction and application of the wound dressing NovoX® Cup in comparison to already established wound closure systems 2 weeks and 3 months after surgery.
Detailed description
A prospective intra-individually controlled cohort study. One breast will be chosen (left or right) to be treated with the NovoX®-Cup. The other breast will serve as the "standard of care" control. Randomization within this clinical investigation will be done intra-individually in a 1:1 ratio.
Interventions
DEVICETreatment with NovoX® Cup
NovoX® Cup treatment
DEVICETreatment with Omnistrip®
Omnistrip® treatment
Sponsors
MOSS S.p.A.
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Written informed consent * Female patients 18 years and older * Patient able to give informed consent * Patients undergoing bilateral breast reduction
Exclusion criteria
* Absent informed consent * Patients from protected groups and those who are not personally able to give consent. * Patients younger than 18 years * Pregnancy (pregnancy test before enrollment) and breastfeeding women * Former radiation of the breast(s) * Former surgery at the operation site * Skin abnormalities in the operation area (e.g. burn scars) * Participation in other clinical trials during this study * Active malignant disease * Breast cancer history * Radiation or chemotherapy during the study period or up to 6 months before possible enrollment * Immune disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scar quality (Vancouver Scar Scale, VSS) | 2 weeks and 3 months after surgery. | scar quality measured through VSS scale (total scores 0 to 13), higher scores indicate worse scar outcome |
| Scar quality (Patient and Observer Scar Assessment Scale, POSAS) | 2 weeks and 3 months after surgery. | scar quality measured through POSAS scale (total scores 6 to 60), higher scores indicate worse scar outcome |
| Wound healing disorder | 2-weeks and 3 months post-surgery | occurrence of wound healing disorders (yes/no) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain (Numerical Scale Rating NRS) | before surgery, 2-weeks and 3 months post-surgery | Pain evaluated with Numerical Scale Rating (NRS score 0 to 10) higher score indicates worse pain |
| Surgical Complications (Clavien-Dindo-Classification CDC) | 3 months post-surgery | Clavien-Dindo-Classification (CDC grade I to V) of surgical complications, higher grade indicates higher severity of the complications |
| Breast-Q® Outcome | before surgery, 2 weeks and 3 months post-surgery | Breast-Q® questionnaire satisfaction with outcome (scores 0 - 100 for each breast), higher score indicates greater satisfaction |
| Breast-Q® breasts | before surgery, 2 weeks and 3 months post-surgery | Breast-Q® questionnaire satisfaction with breasts (scores 0 - 100 for each breast), higher score indicates greater satisfaction |
| Breast-Q® nipples | before surgery, 2 weeks and 3 months post-surgery | Breast-Q® questionnaire satisfaction with nipples (scores 0 - 100 for each breast), higher score indicates greater satisfaction |
Countries
Austria
Contacts
PRINCIPAL_INVESTIGATORLars-Peter Kamolz, Prof.
Medical University of Graz
Outcome results
None listed