Management of Expander- and Implant-Associated Infections in Breast Reconstruction

Öztürk, Can; Öztürk, Cemile Nurdan; Platek, Mary E.; Soucise, Allison; Laub, Peter; Morin, Nabiha; Lohman, Robert; Moon, Wong

doi:10.1007/s00266-020-01923-8

Cited by 19 publications

(17 citation statements)

References 44 publications

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“…Our data showed a 46.2% prosthesis salvage rate for SSIs that were treated with parenteral antibiotics only. Our salvage rate is comparable to those reported by other authors who have employed both surgical and medical treatments [ 27 , 28 , 29 ].…”

Section: Discussionsupporting

confidence: 89%

Protocol for Prevention and Monitoring of Surgical Site Infections in Implant-Based Breast Reconstruction: Preliminary Results

et al. 2021

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Surgical site infection in implant-based breast reconstruction is a complication with variable incidence reported in the literature. Due to potential loss of implant and reconstruction, it can have a strong psychological impact on patients. Background and objectives: This study aimed primarily at analyzing the current status of the surgical site infection (SSI), (type, time of onset, clinical presentation, pathogens and management) in patients who underwent implant-based breast reconstruction at our Breast Unit. Secondarily, we wanted to establish whether introduction of a new, updated evidence-based protocol for infection prevention can reduce SSI in implant-based breast reconstruction. Materials and Methods: A single-center retrospective study was performed primarily to evaluate the incidence and features of SSI after implant-based breast reconstruction from 2007 to 2020. In June 2020, a protocol for prevention of SSI in implant-based breast reconstruction was introduced in clinical practice. Secondarily, a data analysis of all patients who underwent implant-based breast reconstruction in compliance with this protocol was performed after preliminarily assessing its efficacy. Results: 756 women were evaluated after mastectomy and implant-based breast reconstruction for breast cancer. A total of 26 surgical site infections were detected. The annual incidence of SSI decreased over time (range 0–11.76%). Data relating to infections’ features, involved pathogens and implemented treatments were obtained. Since the introduction of the protocol, 22 patients have been evaluated, for a total of 29 implants. No early infections occurred. Conclusions: Surgical site infection rates at our Breast Unit are comparable to those reported in the literature. The SSI rates have shown a decreasing trend over the years. No SSI has occurred since the introduction of the prevention protocol for surgical site infection in June 2020.

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Section: Discussionsupporting

confidence: 89%

Protocol for Prevention and Monitoring of Surgical Site Infections in Implant-Based Breast Reconstruction: Preliminary Results

et al. 2021

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“…Surgical treatment includes incisional drainage, tissue debridement and prothesis replacement with continuous irrigation, and is normally performed by some hospitals in Japan [ 10 , 11 ]. A prothesis is generally removed when infection is severe and not responding to intravenous antibiotics or cellulitis is accompanied by purulent drainage with systemic signs (i.e., fever and tachycardia) [ 12 , 13 ]. The salvage rate is 70% for TE and 88.2% for protheses [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Successful salvage of an infected breast prothesis by changing from continuous to intermittent suction under continuous irrigation

Takeuchi

Kuwahara

Ando

et al. 2021

International Journal of Surgery Case Reports

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Highlights Continuous irrigation does not always salvage infected breast implants. It is unclear whether continuous or intermittent suction is more effective. We salvaged a breast implant by changing from continuous to intermittent suction. Intermittent suction worked well in this patient and it is worthy of further studies.

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“…Инфекционные осложнения раннего послеоперационного периода в нашем исследовании были зарегистрированы у 11 (3,1 %) пациенток, перенесших мастэктомию, нагноение ложа эндопротеза наблюдалось в 2 (1,5 %) случаях при немедленной реконструкции и в 1 (1,3 %) случае при отсроченной, что согласуется с данными литературы. В исследованиях других Оригинальные статьи авторов отмечается, что перипротезная инфекция остается частым осложнением после имплантационной реконструкции молочной железы, составляя от 1 до 35 % случаев [22][23][24]. Данное осложнение является серьезной угрозой для пациенток с реконструкцией молочной железы, поскольку может привести к удалению имплантата и неудовлетворительным результатам реконструкции [23].…”

Section: Discussionunclassified

“…В исследованиях других Оригинальные статьи авторов отмечается, что перипротезная инфекция остается частым осложнением после имплантационной реконструкции молочной железы, составляя от 1 до 35 % случаев [22][23][24]. Данное осложнение является серьезной угрозой для пациенток с реконструкцией молочной железы, поскольку может привести к удалению имплантата и неудовлетворительным результатам реконструкции [23]. Исследования зарубежных авторов показали, что повышенный риск развития гнойносептических осложнений имеют женщины с большим размером груди, страдающие ожирением, гипертонической болезнью, сахарным диабетом, никотинозависимостью, а также больные, получающие лучевую и химиотерапию [22,25].…”

Section: Discussionunclassified

Early postoperative complications in patients operated on for breast cancer using different surgical techniques

Исмагилов

Karasev²

2021

Opuholi ženskoj reproduktivnoj sistemy

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Background. Given the steady and intense increase in the incidence of breast cancer, the problem of the development of early complications of reconstructive operations, depending on the characteristics of surgery, remains urgent.Objective: to analyze the characteristics of the early postoperative period in patients operated on for breast cancer using different surgical techniques.Materials and methods. A comparative analysis of clinical examination data was carried out, as well as laboratory and instrumental diagnostic methods for 353 women with stage I to IIIA breast cancer after various surgical treatment options and 40 patients after mammoplasty.Results and conclusions. It has been shown that neither single-step nor delayed reconstructive operations after radical mastectomy increase the incidence of complications in the early postoperative period. Single-step breast reconstruction with the help of an expander can be used in patients with I–IIIA stages of the tumor process.

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Management of Expander- and Implant-Associated Infections in Breast Reconstruction

Cited by 19 publications

References 44 publications

Protocol for Prevention and Monitoring of Surgical Site Infections in Implant-Based Breast Reconstruction: Preliminary Results

Protocol for Prevention and Monitoring of Surgical Site Infections in Implant-Based Breast Reconstruction: Preliminary Results

Successful salvage of an infected breast prothesis by changing from continuous to intermittent suction under continuous irrigation

Early postoperative complications in patients operated on for breast cancer using different surgical techniques

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