Salvage of Infected Breast Implants

Archives of Plastic Surgery
Joon Ho SongDae Hyun Lew

Abstract

Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5...Continue Reading

References

Aug 6, 2003·Plastic and Reconstructive Surgery·Maurice Y NahabedianPaul N Manson
Jun 1, 1956·A.M.A. Archives of Surgery·H W SOUTHWICKJ W OTTEN
Sep 26, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Vincent PinsolleAlain Faucher
Dec 3, 2009·Plastic and Reconstructive Surgery·Stacey H FrancisMichael J Miller
Mar 26, 2010·Plastic and Reconstructive Surgery·Scott L Spear, Mitchel Seruya
Nov 1, 2012·Plastic and Reconstructive Surgery·Maurice Y Nahabedian
Sep 24, 2015·Plastic and Reconstructive Surgery·Kavitha RanganathanAdeyiza O Momoh
Feb 25, 2017·Plastic and Reconstructive Surgery·Troy A PittmanScott L Spear

❮ Previous
Next ❯

Citations

Sep 17, 2019·Annals of Plastic Surgery·Dağhan Dağdelen, Alper Aksoy
Sep 13, 2019·Annals of Plastic Surgery·Joseph BanuelosBasel Sharaf
Aug 26, 2020·Aesthetic Plastic Surgery·Can OzturkWong Moon
Sep 23, 2020·Aesthetic Plastic Surgery·Luís Ricardo Martinhão Souto

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Software Mentioned

SAS

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.