Postoperative aesthetic and healing features of postectomy using three different surgical techniques: a randomized, prospective, and interdisciplinary analysis

FALCÃO, BRUNO PINHEIRO; STEGANI, MARCELO MARCONDES; TENÓRIO, SÉRGIO BERNARDO; MATIAS, JORGE EDUARDO FOUTO

doi:10.1590/0100-6991e-20202626

BRUNO PINHEIRO FALCÃO

- Universidade Federal do Paraná, Departamento de Cirurgia Pediátrica - Curitiba - PR - Brasil

https://orcid.org/0000-0001-9603-1992

MARCELO MARCONDES STEGANI

- Universidade Federal do Paraná, Departamento de Cirurgia Pediátrica - Curitiba - PR - Brasil

- Universidade Federal do Paraná, Departamento de Cirurgia - Curitiba - PR - Brasil

SÉRGIO BERNARDO TENÓRIO

- Universidade Federal do Paraná, Departamento de Cirurgia - Curitiba - PR - Brasil

- Universidade Federal do Paraná, Programa de Pós-graduação em Clínica Cirúrgica - Curitiba - PR - Brasil

JORGE EDUARDO FOUTO MATIAS ACBC-PR

- Universidade Federal do Paraná, Departamento de Cirurgia - Curitiba - PR - Brasil

- Universidade Federal do Paraná, Programa de Pós-graduação em Clínica Cirúrgica - Curitiba - PR - Brasil

Mailing address: Bruno Pinheiro Falcão E-mail: brunofalcaocipe@gmail.com

Conflict of interest:

no.

Figures (1)
Tables (5)

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Figure 1
Demonstration of the preset angles of the patients’ photographs. 1) profile (right side view); 2) superior (top view); 3) caudal-cranial (view from feet of the stretcher); 4) close up of the suture line; 5) hemostatic device named Plastibell® and used for postectomies. The patient of images 1 to 4 belongs to the PB group and was photographed in the 60th PO day.

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Table 1
Distribution of specialty scores in relation to the healing and aesthetic aspects in the photographs of the 30 ^th and 60 ^th postoperative days.

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Table 2
Relationship between the surgical technique used and the pediatric scores as to the healing and aesthetic aspects in the photographs of the 30 ^th and 60 ^th postoperative day.

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Table 3
Relationship between the surgical technique used and the dermatologist scores as to the healing and aesthetic aspects in the photographs of the 30 ^th and 60 ^th postoperative day.

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Table 4
Relationship between the surgical technique used and the plastic surgeon scores as to the healing and aesthetic aspects in the photographs of the 30 ^th and 60 ^th postoperative day.

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Table 5
Quantitative statistical analysis, through averages and media, from the specialty scores as to the aesthetic and healing aspects in the photographs of the 30 ^th and 60 ^th days of postoperative, as a technique.

Healing evaluation (scores)	Pediatrician		Dermatologist		Plastic Surgeon
30^th PO day	n	%	n	%	n	%
Up to 3	22	25%	18	20.7%	36	40.9%
4 or 5	66	75%	69	79.3%	52	59.1%
Total	88	100.0	87	100.0	88	100.0
Comparison between specialties (30^th PO day)				p-value *
Pediatrician x Dermatologist				0.678
Pediatrician x Plastic Surgeon				0.004
Dermatologist x Plastic Surgeon				0.002
Aesthetic evaluation	Pediatrician		Dermatologist		Plastic Surgeon
(Scores) 30^th PO day	n	%	n	%	n	%
Up to 3	10	11.4%	35	41.2%	41	46.6%
4 or 5	78	88.6%	50	58.8%	47	53.4%
Total	88	100.0	85	100.0	88	100.0
Comparison between specialties (30^th PO day)				p-value*
Pediatrician x Dermatologist				<0.001
Pediatrician x Plastic Surgeon				<0.001
Dermatologist x Plastic Surgeon				0.597
Healing evaluation (scores) 60^th PO day	Pediatrician		Dermatologist		Plastic Surgeon
	n	%	n	%	n	%
Up to 3	2	4%	1	2%	6	12%
4 or 5	48	96%	48	98%	44	88%
Total	50	100.0	49	100.0	50	100.0
Comparison between specialties (60^th PO day)				p-value*
Pediatrician x Dermatologist				1.000
Pediatrician x Plastic Surgeon				0.219
Dermatologist x Plastic Surgeon				0.125
Aesthetic evaluation	Pediatrician		Dermatologist		Plastic Surgeon
(Scores) 60^th PO day	n	%	n	%	n	%
Up to 3	2	4%	6	12.5%	9	18%
4 or 5	48	96%	42	87.5%	41	82%
Total	50	100.0	48	100.0	50	100.0
Comparison between specialties (60^th PO day)				p-value*
Pediatrician x Dermatologist				0.219
Pediatrician x Plastic Surgeon				0.065
Dermatologist x Plastic Surgeon				1.000

Pediatrician	Surgical technique			p-value*
Healing 30^th PO	SC	CV	PB
≤ 3	5	10	7	0.383
	17.86%	33.33%	23.33%
≥ 4	23	20	23
	82.14%	66.67%	76.67%
Total	28	30	30
Pediatrician	Surgical technique			p-value*
Healing 60^th PO	SC	CV	PB
≤ 3	0	1	1	NA
	0%	8.3%	4.7%
≥ 4	17	11	20
	100%	91.7%	95.3%
Total	17	12	21
Pediatrician	Surgical technique			p-value*
Aesthetic aspect 30^th PO	SC	CV	PB
≤ 3	2	4	4	0.695
	7.14%	13.33%	13.33%
≥ 4	26	26	26
	92.86%	86.67%	86.67%
Total	28	30	30
Pediatrician	Surgical technique			p-value*
Aesthetic aspect 60^th PO	SC	CV	PB
≤ 3	0	1	1	NA
	0%	8.3%	4.7%
≥ 4	17	11	20
	100%	91.7%	95.3%
Total	17	12	21

Dermatologist	Surgical technique			p-value*
Healing 30^th PO	SC	CV	PB
≤ 3	4	8	6	0.461
	14.3%	27.6%	20%
≥ 4	24	21	24
	85.7%	72.4%	80%
Total	28	29	30
Dermatologist	Surgical technique			p-value*
Healing 60^th PO	SC	CV	PB
≤ 3	0	1	0	NA
	0%	8.3%	0%
≥ 4	17	11	20
	100%	91.7%	100%
Total	17	12	20
Dermatologist	Surgical technique			p-value*
Aesthetic aspect 30^th PO	SC	CV	PB
≤ 3	14	13	8	0.162
	51.85%	44.83%	27.59%
≥ 4	13	16	21
	48.15%	55.17%	72.41%
Total	27	29	29
Dermatologist	Surgical technique			p-value*
Aesthetic aspect 60^th PO	SC	CV	PB
≤ 3	1	4	1	0.024
	5.9%	36.4%	5%
≥ 4	16	7	19
	94.1%	63.6%	95%
Total	17	11	20

Plastic surgeon	Surgical technique			p-value*
Healing 30^th PO	SC	CV	PB
≤ 3	11	14	11	0.717
	39.3%	46.7%	36.7%
≥ 4	17	16	19
	60.7%	53.3%	63.3%
Total	28	30	30
Plastic surgeon	Surgical technique			p-value*
Healing 60^th PO	SC	CV	PB
≤ 3	1	4	1	0.033
	5.9%	33.3%	4.7%
≥ 4	16	8	20
	94.1%	66.7%	95.3%
Total	17	12	21
Plastic surgeon	Surgical technique			p-value*
Aesthetic aspect 30^th PO	SC	CV	PB
≤ 3	11	17	13	0.377
	39.3%	56.7%	43.3%
≥ 4	17	13	17
	60.7%	43.3	56.7%
Total	28	30	30
Plastic surgeon	Surgical technique			p-value*
Aesthetic aspect 60^th PO	SC	CV	PB
≤ 3	0	6	3	0.002
	0%	50%	14.3%
≥ 4	17	6	18
	100%	50%	85.7%
Total	17	12	21

Evaluator	Evaluation	Surgical technique	n	Average	Median	Minimum	Maximum	p-value*
Pediatrician	Healing - 30^th PO	SC	28	4.1	4	3	5
		CV	30	3.8	4	2	5
		PB	30	4.0	4	3	5	0.257
	Aesthetics - 30^th PO	SC	28	4.1	4	3	5
		CV	30	4.2	4	3	5
		PB	30	4.0	4	3	5	0.332
	Healing - 60^th PO	SC	17	4.7	5	4	5
		CV	12	4.2	4	2	5
		PB	21	4.8	5	3	5	0.022
	Aesthetics - 60^th PO	SC	17	4.4	4	4	5
		CV	12	4.5	5	3	5
		PB	21	4.2	4	3	5	0.205
Dermato	Healing - 30^th PO	SC	28	4.1	4	3	5
		CV	29	4.0	4	3	5
		PB	30	4.1	4	3	5	0.689
	Aesthetics - 30^th PO	SC	27	3.6	3	3	5
		CV	29	3.7	4	2	5
		PB	29	3.9	4	2	5	0.263
	Healing - 60^th PO	SC	17	4.8	5	4	5
		CV	12	4.6	5	3	5
		PB	20	4.9	5	4	5	0.437
	Aesthetics - 60^th PO	SC	17	4.3	4	3	5
		CV	11	3.8	4	3	5
		PB	20	4.4	4	3	5	0.079
Plastic	Healing - 30^th PO	SC	28	3.7	4	3	5
		CV	30	3.6	4	2	5
		PB	30	3.8	4	2	5	0.570
	Aesthetics - 30^th PO	SC	28	3.7	4	3	5
		CV	30	3.4	3	2	5
		PB	30	3.8	4	2	5	0.253
	Healing - 60^th PO	SC	17	4.4	4	3	5
		CV	12	3.8	4	3	5
		PB	21	4.6	4	2	5	0.010
	Aesthetics - 60^th PO	SC	17	4.5	4	4	5
		CV	12	3.6	3.5	2	5
		PB	21	4.5	5	3	5	0.008

[1] Mailing address: Bruno Pinheiro Falcão E-mail: brunofalcaocipe@gmail.com

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Postoperative aesthetic and healing features of postectomy using three different surgical techniques: a randomized, prospective, and interdisciplinary analysis

ABSTRACT

Objective:

Methods:

Results:

Conclusion: