title: Quality of life and scar evolution after negative pressure or conventional therapy for wound dehiscence following post-bariatric abdominoplasty.
abstract: No studies have examined scars and quality of life after different treatments of wound dehiscence in patients undergoing post-bariatric abdominoplasty. Scars and quality of life of patients with postoperative wound dehiscence managed with negative pressure wound therapy (group A) and conventional wound therapy (group B) were reviewed 6 months after wound healing. Of 38 patients undergoing treatment for wound dehiscence after 203 abdominoplasty, 35 (group A = 14 versus group B = 21) entered the study. Wound healing in group A was significantly faster than group B (P = 0·001). Patients (P = 0·0001) and observers (P = 0·0001) reported better overall opinions on a scar assessment scale for group A. Better overall quality of life and general health satisfaction were observed in group A (P < 0·05). A significant correlation was observed between the World Health Organization Quality of Life scores and Patient and Observer Scar Assessment Scale scores (r=-0·68, P < 0·0001) in all 35 patients. Negative pressure wound therapy is feasible and effective in patients with wound dehiscence following post-bariatric abdominoplasty. An adequate post-treatment outcome is achieved compared with conventional wound therapy in light of a strong association found between worse patient scar self-assessment and poor overall quality of life, regardless of the received treatment.
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Limongelli
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Casalino
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Tolone
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Brusciano
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Docimo
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Gianmattia
authors.initials: G
authors.lastname: Del Genio
authors.affiliation: Department of Medical, Surgical, Neurologic, Metabolic and Aging Sciences, XI Division of General and Obesity Surgery, Second University of Naples, Naples Italy.
authors.forename: Ludovico
authors.initials: L
authors.lastname: Docimo
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects*; D000328:Adult; D049088:Bariatrics / Q000379:methods; D002921:Cicatrix; D005260:Female; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D011788:Quality of Life / Q000523:psychology; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
keywords: Abdominoplasty; Negative pressure wound therapy; Quality of life; Scar; Wound dehiscence