Subclinical Infection of the Silicone Breast Implant Surface as a Possible Cause of Capsular Contracture.

Autor: Virden CP; Division of Plastic Surgery, University of California, San Diego, 225 Dickinson St., 8890, San Diego, CA, 92103, USA., Dobke MK; Division of Plastic Surgery, University of California, San Diego, 225 Dickinson St., 8890, San Diego, CA, 92103, USA., Paul Stein; Division of Plastic Surgery, University of California, San Diego, 225 Dickinson St., 8890, San Diego, CA, 92103, USA., Lowell Parsons C; Division of Plastic Surgery, University of California, San Diego, 225 Dickinson St., 8890, San Diego, CA, 92103, USA., Frank DH; Division of Plastic Surgery, University of California, San Diego, 225 Dickinson St., 8890, San Diego, CA, 92103, USA.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2020 Aug; Vol. 44 (4), pp. 1141-1147.
DOI: 10.1007/s00266-020-01816-w
Abstrakt: In order to reexamine the possible association between bacterial presence and capsular contracture, 55 silicone devices (mammary implants or tissue expanders) were cultured at the time of their removal from 40 patients. Special culture techniques were used in an attempt to recover bacteria adhering to the smooth-surfaced implant and encased in glycocalyx biofilm. Bacteria were detected on 56% (15 of 27) of implants surrounded by contracted capsules and on 18% (5 of 28) of those without capsular contracture (p < 0.05). Only three implants tested positive using routine plating techniques. The predominant isolate was Staphylococcus epidermidis. The concept that capsular contracture is associated with subclinical infection of silicone implants is supported by this study. With changes in the microbiological technique, bacterial recovery and growth occurs at a frequency greater than previously thought.
Databáze: MEDLINE
Externí odkaz: