Effect of Drain Care on Infection Rate and Quality of Life in Implant-Based Breast Reconstruction.
University of Missouri-Columbia
Summary
The goal of this clinical trial is to learn whether showering with surgical drain tubes in place after first stage breast reconstruction causes increased risk of infection. The main questions it aims to answer are: * Is there an increased risk of infection/complications with showering 48 hours after drain tubes are in place * Does showering after 48 hours with drain tubes in place affect quality of life.
Description
SSI (soft tissue infection) is an aggravating risk specifically associated with implants. Breast reconstruction quotes infection rates anywhere from 1-35% while cosmetic augmentations quote rates around 1.5%. Usually, the causative organisms are skin flora like Staph aureus and Staph epidermidis. Occasionally mycobacterium and other atypical bacterium are isolated more commonly in the immunocompromised. Despite perioperative antibiotics, SSI is still a prevalent complication increasing total expenditure of patients and hospital systems upwards of $4000/patient in reoperation fees and hospital…
Eligibility
- Age range
- 18–100 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * undergoing breast surgery with placement of tissue expander and drains, acceptance of protocol and procedures, age \> 18 Exclusion Criteria: * no existing wounds, previous infections related to implant device if delayed, refusal by patient
Interventions
- OtherShowering 48 hours after surgery
The main intervention is allowing patients to shower 48 hours after surgery
Location
- University of MissouriColumbia, Missouri