RESUMO
Objetivos. Comparar la incidencia conjunta e individual de complicaciones postoperatorias, comodidad y calidad de vida dependiendo del uso de apósito compresivo o de órtesis específica de compresión controlada. Pacientes y método. Estudio prospectivo aleatorizado sobre 198 casos distribuidos en 2 grupos: apósito (n=88) y órtesis (n=99), recogiendo variables relacionadas con complicaciones inmediatas postoperatorias y satisfacción en la calidad de vida. Se realizó un estudio comparativo y de la evolución temporal de las variables durante el primer mes postoperatorio. Resultados. La incidencia de complicaciones totales fue significativamente menor con órtesis a 7 días (p=0,032) y a 15 días(p=0,009). Se evidenció una reducción significativa del dolor con órtesis a 7 días (p=0,002) y a 15 días (p=0,012) y en la incidencia de lesiones cutáneas: 0-2% en órtesis frente a 35% con apósito (p<0,0005). También se encontraron diferencias significativas en la calidad de vida a favor del uso de órtesis (p<0,0005). Conclusiones. El uso de órtesis de compresión controlada en el postoperatorio inmediato de la cirugía conservadora de cáncer de mama reduce del 32 al 15% la incidencia conjunta de complicaciones posquirúrgicas y mejora en términos de eficacia, seguridad y comodidad al apósito compresivo habitual (AU)
Objectives. To compare the overall and individual incidence of postoperative complications, comfort and quality of life resulting from the use of compressive bandaging versus a specific controlled compression garment. Patients and method. A randomised controlled trial was conducted in 198 patients distributed in 2 groups: bandaging (n=88) and compression garment (n=99). Variables related to immediate postoperative complications and satisfaction with quality of life were collected. Changes in the variables were compared in the 2 groups during the first postoperative month. Results. The incidence of total complications was significantly lower with the compression garment: 7 days (P=.032) and 15 days (P=.009). Pain was significantly reduced with the compression garment: 7 days (P=.002) and 15 days (P=.012). The incidence of skin injury was also significantly reduced: 0-2% with the compression garment versus 35% with bandaging (P<0.0005). Significant differences were found in quality of life in favour of the use of the compression garment (P<0.0005). Conclusions. The use of a specific controlled compression garment in the immediate postoperative period after breast cancer-conserving surgery reduces the likelihood of postoperative complications from 32 to 15% and enhanced efficacy, safety, and patient comfort compared with the usual compressive dressing (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Aparelhos Ortopédicos , Mastectomia Segmentar/métodos , Mastectomia Segmentar , Qualidade de Vida , Curativos Oclusivos/normas , Curativos Oclusivos , Aparelhos Ortopédicos/tendências , Estudos Prospectivos , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Resultado do TratamentoRESUMO
Breast cancer is the most common malignancy in women. The surgical approach is one of the cornerstones in the treatment of this disease. One of the complications of surgery is postoperative seroma. Despite not being a serious complication, for women it is, and involves discomfort, more hospital visits and sometimes delay of adjuvants treatments.
Assuntos
Drenagem/instrumentação , Mastectomia/efeitos adversos , Seroma/etiologia , Seroma/cirurgia , Idoso , Idoso de 80 Anos ou mais , Desenho de Equipamento , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
El cáncer de mama es la neoplasia maligna más frecuente en la mujer. El abordaje quirúrgico constituye uno de los pilares fundamentales en el tratamiento de esta enfermedad. Una de las complicaciones de la cirugía es el seroma posquirúrgico. A pesar de no ser una complicación grave, para la mujer sí lo es e implica incomodidad, más visitas hospitalarias y, en ocasiones, retraso de los tratamientos coadyuvantes (AU)
Breast cancer is the most common malignancy in women. The surgical approach is one of the cornerstones in the treatment of this disease. One of the complications of surgery is postoperative seroma. Despite not being a serious complication, for women it is, and involves discomfort, more hospital visits and sometimes delay of adjuvants treatments (AU)
