MASTECTOMIA BILATERAL COM USO DE PICO™ SOFTPORT – SISTEMA DE TERAPIA DE PRESSÃO NEGATIVA DE FERIDAS

Authors

  • Caique Montanholi Bueno UNOESTE
  • Angelo Cesar Pereira de Almeida UNOESTE
  • Rafael da Silva Sá Universidade do Oeste Paulista - UNOESTE

Keywords:

Breast Cancer, Breast Neoplasm, Mastectomy, PICO ™ Softport.

Abstract

Currently, the main form of malignancy among women is breast cancer. With the advent of radiotherapy, conservative breast surgery (lumpectomy) has become a possible technique. However, radical mastectomy still maintains its indications in the face of a more advanced pathology or in patients with deleterious BRCA 1 / BRCA 2 mutations. Unfortunately, complications of the surgical wound exist. Faced with this problem, PICO ™ Softpor - Negative pressure wound therapy system, is a unique device that has been used in the negative pressure wound therapy system to improve wound healing, this includes improved perfusion, removal of excess fluid and edema leading to less tension in the surgical wound. The study aimed to report the experience of using the Wound Negative Pressure Therapy System through PICO ™ Softport in the surgical treatment of breast cancer through a case report. Patient M. R. V., female, 57 years old, G2P2A0, asymptomatic with a diagnosis of T4BN0M0 in the right breast and T1N0M0 in the left breast was submitted to bilateral modified radical mastectomy. We used bilateral dressings with the Wound Negative Pressure Therapy System in the form of PICO ™ Softport, which made it possible to reduce the incision healing complications. After surgical recovery, the patient underwent adjuvant radiotherapy, presenting himself until the moment of this stable report using anastrozole, being completely satisfied with the dermal healing result that the device provided.

Downloads

Download data is not yet available.

References

BULLOUGH, L.; WILKINSON, D.; BURNS, S.; WAN, Y. L. Changing wound care protocols to reduce postoperative caesarean section infection and readmission. Wounds UK; Vol 10; No 1; 2014.

DIETZ, J.; LUNDGREN, P.; VEERAMANI, A.; O´ROURKE, C.; BERNARD S.; DJOHAN, R.; LARSON, J.; ISAKOV, R.; YETMAN, R. Autologous inferior dermal sling (autoderm) with concomitante skin-envelope reduction mastectomy: na excelente surgical choice for women with macromastia and clinically significant ptosis. Ann Surg Oncol 2012 Oct; 19(10): 3282-8.

FISHER, B. Biological research in the evolution of cancer surgery: a personal perspective. Cancer Res. 2008;68(24):10007-20.

GALIANO, R.; DJOHAN, R.; SHIN, J.; HUDSON, D.; HULST, V.; BEUGELS, J.; DUTEILLE, F.; HUDDLESTON, E.; COCKWILL, J.; MEGGINSON, S. The effects of a single use canister-free Negative Pressure Wound Therapy (NPWT) System on the prevention of postsurgical wound complications in patients undergoing bilateral breast reduction surgery. Trademark of Smith & Nephew, 2014, 53625.

GOMOLL, A. H.; LIN, A.; HARRIS, M. B. Incisional vacuum-assisted closure therapy. J Orthop Trauma. 2006 Nov-Dec;20(10):705-9.

HOLT, R.; MURPHY, J. PICO™ incision closure in oncoplastic breast surgery: a case series. British Journal of Hospital Medicine Vol. 76, No. 4. 2015.

ISLAM, A.; AZIZ, I.; SHAH, J.; OBA, J.; HARNARAYAN, P.; RAMPERSAD, A. J.; NARAYNSINGH, V. The Impact of Breast Clinic on the Mastectomy and Axillary Clearance Rates at a Tertiary Hospital in an Eastern Caribbean Nation: A Comparative Study. Int J Breast Cancer. 2019; 2019: 8018242.

MAGANN, E. F.; CHAUHAN, S. P.; RODTS-PALENIK, S.; BUFKIN, L.; MARTIN, J. N. J.; MORRISON, J. C.; Subcutaneous stitch closure versus subcutaneous drain to prevent wound disruption after cesarean delivery: a randomized clinical trial. Am J Obstet Gynecol 2002;186:1119–23.

REZENDE, L. F.; BELETTI, P. O.; FRANCO, R. L.; MORAES, S. S.; GURGEL, M. S. C. Exercícios livres versus direcionados nas complicações pós-operatórias de câncer de mama. Rev. Assoc. Med. Bras. vol.52 no.1 São Paulo Jan./Feb. 2006.

SPILIOTIS, J.; TSIVERIOTIS, K.; DATSIS, A. D.; VAXEVANIDOU, A.; ZACHARIS, G.; GIAFIS, K.; KEKELOS, S.; ROGDAKIS, A. Wound dehiscence: is still a problem in the 21st century: a retrospective study. World J Emerg Surg 2009;4:12.

STANNARD, J. P.; GABRIEL, A.; LEHNER, B. Use of negative pressure wound therapy over clean, closed surgical incisions. Int Wound J 2012; 9 (Suppl. 1):32–39.

STANNARD, J. P.; VOLGAS, D. A.; McGWIN, G. III.; STEWART, R. L.; OBREMSKEY W.; MOORE, T.; ANGLEN, J. O.; Incisional negative pressure wound therapy after highrisk lower extremity fractures. J Orthop Trauma 2012;2637–42.

URBAN, C.; FREITAS-JUNIOR, R.; ZUCCA-MATTHES, G.; BIAZÚS, J. V.; BRENELLI, F. P.; PIRES, D. M.; SILVA, A. V.; RESENDE, M. A.; PAULINELLI, R. R.; LUCENA, C. E. M.; BARBOSA, E.; RUIZ, C. A.; PRUDÊNCIO, R. M. A.; OLIVEIRA, V. M.; VILLAVERDE, R. Cirurgia oncoplástica e reconstrutiva da mama: Reunião de Consenso da Sociedade Brasileira de Mastologia. Rev Bras Mastologia. 2015; 25(4):118-24.

ZUCCA-MATTHES, G.; MANCONI, A.; VIEIRA, R. A. C.; MICHELLI, R. A. D.; MATTHES, A. C. S. The evolution of mastectomies in the oncoplastic breast surgery era. Gland Surg. 2013;2(2):102-6.

ZUCCA-MATTHES, G.; VIEIRA, R. A. The value of patients’ expectation on breast oncoplastic surgery. Breast J. 2014;20(6):676-8.

Published

2022-06-10

How to Cite

1.
MASTECTOMIA BILATERAL COM USO DE PICO™ SOFTPORT – SISTEMA DE TERAPIA DE PRESSÃO NEGATIVA DE FERIDAS. Colloquium Vitae [Internet]. 2022 Jun. 10 [cited 2025 Jul. 4];13(3):25-3. Available from: https://journal.unoeste.br/index.php/cv/article/view/3920

Similar Articles

1-10 of 28

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)