1. 2.3.9. Can MEBO be applied to treat operative incision of patients with breast cancer after resection and what are the steps for dressing change in clinic?
    • 2010/10/25 15:16:33
    Yes, it is applicable. It is shown by clinical results that MEBO exerts a remarkable therapeutic effect of preventing skin flap necrosis and other complications caused by resection of breast cancer. According to the results, MEBO can reduce the skin flap ischemia, operative incision infection, and lower the rate of nonhealing incision and scar hyperplasia. 
    Method: After the suturation of the operative incision, MEBO gauze should be applied immediately on the incision with an excess of 2cm beyond the incision edge, which is then followed by routine pressure bandaging. Remove the pressure bandage on the breast 5 days after resection, and continue applying MEBO gauze on the incision with dress changing 1-2 times a day.
    In order to prevent skin flap necrosis, several cautions should be noted: (1)The pressure dressing should not be over-tensioned while keeping the skin flap adhered to the chest wall properly, avoiding the influence on blood circulation of the skin flap; (2) forced suturation should be avoided according to the skin flap tension, otherwise the skin flap necrosis or fluidification will occur due to the poor blood circulation; (3) the free skin flap should not be too thin; (4)insure the smooth drainage on the wound.