11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 80 436 Perception of quality of life in patients undergoing DIEP (Deep inferior epigastric perforator) breast reconstruction versus silicone implant with biological mesh Angela Franco Carretero1 1, Pedro Castro Rebollo2, Silvia Condrea3, Gemma Pons Playa3, Jaume Masia3 1Hospital de la Santa Creu i Sant Pau, Surgical area, Barcelona, Spain, 2Hospital Clínico Barcelona, Intensive Care Department, Barcelona, Spain, 3Hospital de la Santa Creu i Sant Pau, Department of Plastic Surgery, Barcelona, Spain Background: According to the WHO, 2,3 million women are diagnosed with breast cancer. The usual treatment, depending on which stage the cancer is, is the mastectomy. This kind of surgery creates an important psychosocial impact on these patients. That’s why breast reconstruction is frequent. There are two types of breast reconstruction: the use of a silicone implant along with a biological mesh, and the autologous reconstruction (DIEP: Deep Inferior Epigastric Perforator), in which a section of fat, skin and vessels from the abdomen is dissected and removed to the breast-reconstructed area. Objectives: To know and compare the perception of quality of life referred to breast reconstruction using a silicone implant with biological mesh, versus the use of the DIEP technique. Methods: Retrospective, descriptive-analytical and observational study. The main variable was the quality of life of these patients, measured with the BREAST-Q questionnaire. Patients undergoing silicone implant with biological mesh type breast reconstruction or DIEP secondary to a mastectomy, during the period 2020-2021 at the Sant Pau’s Hospital, were included in this study. Data management and analysis have been carried out with the SPSS program, 25.0 version. A value of p<0,05 was considered significant. Results: Data from 50 patients were collected and analysed. 25 patients with silicone implant and biological mesh and DIEP reconstruction. The average age was 54. The 64% were unilateral reconstructions and the 34% of patients presented post-surgical complications. The hospital stay was 6 days. DIEP patients presented a higher degree of psychological well-being with 83 (64-100) score compared with patients with silicone implant and biological mesh, who presented a score of 60 (48-77). Conclusion: In our work, patients with a DIEP breast-reconstruction present a better quality of life perception in comparison to patients with a silicon implant and biological mesh reconstruction. 438 Management and impact of surgical smoke on team health in the intraoperative process: literature review Andrea Navarro Morte1 1Hospital de la Santa Creu i Sant Pau, Barcelona, Spain Background: Thousands of patients go through surgeries every year, in which most of them electrocautery and other technologies are used generating smoke plume. This surgical smoke is composed of different size particles and also potentially harmful components. Everyday exposure involves health risks and hazards for the surgical team as well as patients. Smoke evacuators exist in order to prevent them and using personal protective equipment (PPE) is recommended. Objectives: To describe hazards of surgical smoke and it’s intraoperative management Methods: In November 2023 a review was made of the literature in the following data bases: PubMed, SciELO and Cochrane Library. Moreover some articles included in an evidence table from the Association of periOperative Registered Nurses (AORN) were reviewed Results: After including the articles that met the screening criteria, 36 articles were finally selected for being reviewed. Results were divided in four groups: components of surgical smoke, risks and hazards of the exposure, knowledge and awareness of the problem, strategies and recommendations for surgical smoke mitigation Discussion: It has evidenced that surgical smoke from electrosurgical units causes biologic, chemical and physical harms to exposed personnel. Furthermore there are mitigation strategies to avoid them and so decrease associated diseases. Conclusion: New mitigation strategies for smoke evacuation are required to create compliance together with promoting use of HEPA filters and PPE and adequate smoking evacuators. Some laws should be implemented.
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