Salvage of infected expander prostheses in breast reconstruction
| Autor: | Ngi-Wieh Yii, Christopher T. K. Khoo |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty Prosthesis-Related Infections business.industry medicine.medical_treatment Breast Implants Periprosthetic Tissue Expansion Devices Middle Aged Prosthesis Surgery Plastic surgery medicine Humans Implant business Breast reconstruction Breast augmentation Subcutaneous Mastectomy Mastectomy Aged Retrospective Studies |
| Zdroj: | Plastic and reconstructive surgery. 111(3) |
| ISSN: | 0032-1052 |
| Popis: | Periprosthetic infection is a devastating complication following breast reconstruction with prostheses. Traditional surgical principles dictate removal of the prosthesis to control infection. Although successful salvage of prostheses in the presence of periprosthetic infections has been reported in the plastic and other surgical literature, salvage procedures remain seldom practiced. Reports in the plastic surgery literature have been limited to implant salvage following cosmetic breast augmentation and subcutaneous mastectomy with implants. Salvage of saline-filled expander prostheses used in breast reconstruction following mastectomy for cancer has not been previously reported. The authors review their experience with implant salvage in patients with periprosthetic infections following breast reconstruction for a 6-year period. Fourteen patients (13 with saline-filled expander prostheses and one with silicone prosthesis) underwent implant salvage. Salvage of the breast reconstruction was successful in nine patients. Staphylococcus aureus infection was associated with poorer salvage rate (p = 0.023). Previous radiotherapy to the chest wall did not affect the salvage outcome (p = 0.50). In selected patients, immediate salvage of a breast reconstruction in the presence of prosthesis-related infection remains an alternative to implant removal followed by delayed reconstruction. |
| Databáze: | OpenAIRE |
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