Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis
Fifty to 70 % of transgender patients undergo gender-affirming top surgery. In other types of surgeries, the use of negative pressure wound therapy (NPWT) was described as a major point in reducing complications, and we, therefore, examined possible similar effects when using it in gender-affirming...
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Elsevier
2025-04-01
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| Series: | Surgery Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845025000223 |
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| author | Carmen Leser Georg Dorffner Fiona Kabashi Christine Deutschmann Daniel König Zaza Kashibadze Selina Ebner Daphne Gschwantler-Kaulich |
| author_facet | Carmen Leser Georg Dorffner Fiona Kabashi Christine Deutschmann Daniel König Zaza Kashibadze Selina Ebner Daphne Gschwantler-Kaulich |
| author_sort | Carmen Leser |
| collection | DOAJ |
| description | Fifty to 70 % of transgender patients undergo gender-affirming top surgery. In other types of surgeries, the use of negative pressure wound therapy (NPWT) was described as a major point in reducing complications, and we, therefore, examined possible similar effects when using it in gender-affirming top surgery.We investigated differences in the complication rates after body contouring surgery with or without the use of NPWT and included 58 female-to-male transgender patients who have been operated on at the Medical University of Vienna between 2017 and 2020 in this retrospective analysis.Without NPWT, significantly more patients suffered from wound dehiscence (p = 0.026) and slightly more patients had to undergo postoperative percutaneous drainage due to seroma (p = 0.129). However, patients had significantly less revision surgery because of severe bleeding with the conventional dressing (p = 0.005). The surgical method was another factor influencing the occurrence of wound dehiscence, especially regarding the incision type and the resected volume. Large breasts and the necessity for using a typical mastectomy incision were underlying factors for dehiscence.There are fewer complications when using NPWT, especially regarding wound dehiscence in top surgery; however, postsurgery monitoring is required for severe bleeding afterward. |
| format | Article |
| id | doaj-art-b6ca00fe0cbb42279fe8569f23db5c85 |
| institution | DOAJ |
| issn | 2589-8450 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj-art-b6ca00fe0cbb42279fe8569f23db5c852025-08-20T03:14:54ZengElsevierSurgery Open Science2589-84502025-04-01251410.1016/j.sopen.2025.03.003Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysisCarmen Leser0Georg Dorffner1Fiona Kabashi2Christine Deutschmann3Daniel König4Zaza Kashibadze5Selina Ebner6Daphne Gschwantler-Kaulich7Department of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, Austria; Corresponding author at: Department of Obstetrics and Gynecology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.Section for Artificial Intelligence and Decision Support, Medical University of Vienna, Vienna, AustriaDepartment of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, AustriaDepartment of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, AustriaClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaDepartment of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, AustriaDepartment of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, AustriaDepartment of Obstetrics and Gynecology, Cancer Comprehensive Center, Medical University of Vienna, Vienna, AustriaFifty to 70 % of transgender patients undergo gender-affirming top surgery. In other types of surgeries, the use of negative pressure wound therapy (NPWT) was described as a major point in reducing complications, and we, therefore, examined possible similar effects when using it in gender-affirming top surgery.We investigated differences in the complication rates after body contouring surgery with or without the use of NPWT and included 58 female-to-male transgender patients who have been operated on at the Medical University of Vienna between 2017 and 2020 in this retrospective analysis.Without NPWT, significantly more patients suffered from wound dehiscence (p = 0.026) and slightly more patients had to undergo postoperative percutaneous drainage due to seroma (p = 0.129). However, patients had significantly less revision surgery because of severe bleeding with the conventional dressing (p = 0.005). The surgical method was another factor influencing the occurrence of wound dehiscence, especially regarding the incision type and the resected volume. Large breasts and the necessity for using a typical mastectomy incision were underlying factors for dehiscence.There are fewer complications when using NPWT, especially regarding wound dehiscence in top surgery; however, postsurgery monitoring is required for severe bleeding afterward.http://www.sciencedirect.com/science/article/pii/S2589845025000223Transgender top surgeryBreast operationsNegative pressure wound therapyComplication rates, body contouring |
| spellingShingle | Carmen Leser Georg Dorffner Fiona Kabashi Christine Deutschmann Daniel König Zaza Kashibadze Selina Ebner Daphne Gschwantler-Kaulich Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis Surgery Open Science Transgender top surgery Breast operations Negative pressure wound therapy Complication rates, body contouring |
| title | Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis |
| title_full | Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis |
| title_fullStr | Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis |
| title_full_unstemmed | Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis |
| title_short | Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis |
| title_sort | comparison of complication rates in transgender top surgery female to male between conventional bandages and negative pressure wound therapy a retrospective analysis |
| topic | Transgender top surgery Breast operations Negative pressure wound therapy Complication rates, body contouring |
| url | http://www.sciencedirect.com/science/article/pii/S2589845025000223 |
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