Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions

Adrian SH Ooi,1,2 David H Song1 1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA; 2Department of Plastic, Reconstructive, and Aesthetic Surgery, Singapore General Hospital, Singapore Abstract: Implant-based procedures are the mo...

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Autores principales:	Ooi ASH, Song DH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Implant-based breast reconstruction implant infection risk reduction acellular dermal matrix Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/6251b82bc28947cf87c9c9b8ad85c23c
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spelling	oai:doaj.org-article:6251b82bc28947cf87c9c9b8ad85c23c2021-12-02T02:16:06ZReducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions1179-1314https://doaj.org/article/6251b82bc28947cf87c9c9b8ad85c23c2016-09-01T00:00:00Zhttps://www.dovepress.com/reducing-infection-risk-in-implant-based-breast-reconstruction-surgery-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Adrian SH Ooi,1,2 David H Song1 1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA; 2Department of Plastic, Reconstructive, and Aesthetic Surgery, Singapore General Hospital, Singapore Abstract: Implant-based procedures are the most commonly performed method for postmastectomy breast reconstruction. While donor-site morbidity is low, these procedures are associated with a higher risk of reconstructive loss. Many of these are related to infection of the implant, which can lead to prolonged antibiotic treatment, undesired additional surgical procedures, and unsatisfactory results. This review combines a summary of the recent literature regarding implant-related breast-reconstruction infections and combines this with a practical approach to the patient and surgery aimed at reducing this risk. Prevention of infection begins with appropriate reconstructive choice based on an assessment and optimization of risk factors. These include patient and disease characteristics, such as smoking, obesity, large breast size, and immediate reconstructive procedures, as well as adjuvant therapy, such as radiotherapy and chemotherapy. For implant-based breast reconstruction, preoperative planning and organization is key to reducing infection. A logical and consistent intraoperative and postoperative surgical protocol, including appropriate antibiotic choice, mastectomy-pocket creation, implant handling, and considered acellular dermal matrix use contribute toward the reduction of breast-implant infections. Keywords: implant infection, risk reduction, acellular dermal matrixOoi ASHSong DHDove Medical PressarticleImplant-based breast reconstructionimplant infectionrisk reductionacellular dermal matrixNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 8, Pp 161-172 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Implant-based breast reconstruction implant infection risk reduction acellular dermal matrix Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Implant-based breast reconstruction implant infection risk reduction acellular dermal matrix Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Ooi ASH Song DH Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
description	Adrian SH Ooi,1,2 David H Song1 1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA; 2Department of Plastic, Reconstructive, and Aesthetic Surgery, Singapore General Hospital, Singapore Abstract: Implant-based procedures are the most commonly performed method for postmastectomy breast reconstruction. While donor-site morbidity is low, these procedures are associated with a higher risk of reconstructive loss. Many of these are related to infection of the implant, which can lead to prolonged antibiotic treatment, undesired additional surgical procedures, and unsatisfactory results. This review combines a summary of the recent literature regarding implant-related breast-reconstruction infections and combines this with a practical approach to the patient and surgery aimed at reducing this risk. Prevention of infection begins with appropriate reconstructive choice based on an assessment and optimization of risk factors. These include patient and disease characteristics, such as smoking, obesity, large breast size, and immediate reconstructive procedures, as well as adjuvant therapy, such as radiotherapy and chemotherapy. For implant-based breast reconstruction, preoperative planning and organization is key to reducing infection. A logical and consistent intraoperative and postoperative surgical protocol, including appropriate antibiotic choice, mastectomy-pocket creation, implant handling, and considered acellular dermal matrix use contribute toward the reduction of breast-implant infections. Keywords: implant infection, risk reduction, acellular dermal matrix
format	article
author	Ooi ASH Song DH
author_facet	Ooi ASH Song DH
author_sort	Ooi ASH
title	Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
title_short	Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
title_full	Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
title_fullStr	Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
title_full_unstemmed	Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
title_sort	reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/6251b82bc28947cf87c9c9b8ad85c23c
work_keys_str_mv	AT ooiash reducinginfectionriskinimplantbasedbreastreconstructionsurgerychallengesandsolutions AT songdh reducinginfectionriskinimplantbasedbreastreconstructionsurgerychallengesandsolutions
_version_	1718402599593443328

Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions

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