Efficacy of Prophylactic Antibiotics in Reduction Mammoplasty

Jm, Serletti; Ms, Davenport; Hr, Herrera; Eh, Caldwell

doi:10.1097/00000637-199411000-00003

Cited by 47 publications

(27 citation statements)

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“…The analysis of our patients showed that postoperative infections were present in 35.7% (15/42) of patients, and this incidence was higher than that reported in literature (1-20%) [5,6,[14][15][16] where series have low incidences of smokers. Furthermore, in our study, 66.7% of infections (10/15) occurred in smokers and 41.7% of smoking patients (10/24) experienced wound infections, compared to 27.8% (5/18) of nonsmokers.…”

Section: Discussioncontrasting

confidence: 45%

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Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

et al. 2008

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Section: Discussioncontrasting

confidence: 45%

“…When present, these factors delay the healing process, increase morbidity, and endanger the final aesthetic outcome. Among complications, wound infections are present in 1-20% of cases [5,6,[14][15][16] and are related with the amount of tissue removed (cut-off of 1,000 g) and the BMI [8].…”

Section: Introductionmentioning

confidence: 99%

Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

et al. 2008

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“…Serletti et al 26 examined 106 consecutive inferior pedicle reduction mammaplasties and antibiotic prophylaxis. They found that infection rates were higher in obese patients and delayed healing rates were higher in those patients with reductions of 600 g per breast or greater, but that the rates were unaffected by prophylactic antibiotics.…”

Section: Resultsmentioning

confidence: 99%

A Comparison of Complication Rates in Large and Small Inferior Pedicle Reduction Mammaplasty

O'Grady

Thoma

Cin

2005

Plastic and Reconstructive Surgery

120

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The main objective of this retrospective study was to determine whether the rates of complications are higher in large reductions (> or =1000 g per breast) as compared with smaller reductions (< or =999 g per breast) using the inferior pedicle technique. A retrospective chart review of 133 consecutive patients operated on between October of 2000 and March of 2002 was undertaken. Complication data were recorded and analyzed on a per-breast basis. Two hundred sixteen breasts had reductions of 999 g or less, whereas 50 breasts had reductions of 1000 g or more. The overall mean follow-up period was 152 days (range, 20 to 522 days). There were no statistically significant differences in the rates of nipple necrosis, hematoma formation, seroma, delayed healing, culture-positive wound infection, fat necrosis, cyst formation, nipple sensation, or hypertrophic scarring between the large and small reductions. However, the rate of wound dehiscence was significantly lower in the smaller reduction group. The rates of wound dehiscence and hypertrophic scarring were also significantly lower in patients who had received at least 5 days of postoperative antibiotics. A statistically significant difference was also reported for clinical wound infection (p < 0.0005). Body mass index had no statistically significant effect on the rate of nipple necrosis, hematoma formation, fat necrosis, cyst formation, nipple sensation, or hypertrophic scarring. However, body mass index had a statistically significant effect on delayed healing, wound dehiscence, and culture-positive wound infection. A higher mean body mass index predicted a delayed healing, wound dehiscence, and infection. The inferior pedicle technique is a safe method of breast reduction regardless of degree of parenchymal resection. However, the use of postoperative antibiotics for at least 5 days is recommended to reduce rates of wound dehiscence and improve postoperative scarring.

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“…[1][2][3][4][5][6][7][8][9][10][11] In the United Kingdom, the National Institute for Health and Clinical Excellence only recommends systemic antibiotic prophylaxis, to reduce surgical-site infection, for clean surgery involving placement of a prosthesis or implant; clean-contaminated surgery; and contaminated surgery. 12 The American Society of Plastic Surgeons has recently published guidance to advocate the use of antibiotic prophylaxis for reduction mammaplasty, but not augmentation mammaplasty.…”

mentioning

confidence: 99%

Are Systemic Antibiotics Indicated in Aesthetic Breast Surgery? A Systematic Review of the Literature

Hardwicke

Bechar²,

Skillman³

2013

Plastic &Amp; Reconstructive Surgery

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Efficacy of Prophylactic Antibiotics in Reduction Mammoplasty

Cited by 47 publications

References 0 publications

Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

A Comparison of Complication Rates in Large and Small Inferior Pedicle Reduction Mammaplasty

Are Systemic Antibiotics Indicated in Aesthetic Breast Surgery? A Systematic Review of the Literature

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