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Prevention and Treatment of Infections in Breast Reconstruction with Implants

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Oncoplastic and Reconstructive Breast Surgery

Abstract

Breast cancer is one of the main causes of deaths among women all over the world. Its treatment has been changed dramatically over the last decades with the paradigm change from radical mastectomy to conservative surgery associated with radiotherapy [1, 2]. Nonetheless, conservative surgeries could make deformities in the breast and better strategies needed to be used for better aesthetic results [3]. The oncoplastic surgery is the answer for this matter with greater benefits, including excellent cosmetic outcomes, better local control of the margins of the tumor, and greater satisfactions from patients and surgeons [4]. The skills of the breast surgeons have been improved in conservative techniques and also in reconstruction of the breast in cases of mastectomies, with a complication rate of 15–25% [5, 6].

This paper was conducted in the Santa Casa de Misericórdia, Belo Horizonte (MG), Brazil.

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References

  1. Hasteld WS (1907) The results of radical operations for cure of cancer of the breast. Ann Surg 46:1–19

    Article  Google Scholar 

  2. Veronessi U et al (1995) Breast conservation is safe method in patients with small cancer of the breast. Long-term results of three randomized trial son 1.973 patients. Eur J Cancer 31(10):1574–1579

    Article  Google Scholar 

  3. Clough KB et al (1998) Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg 41(5):471–481

    Article  CAS  Google Scholar 

  4. Piper M, Peled AW, Sbitany H (2015) Oncoplastic breast surgery: current strategies. Gland Surg 4(2):154–163

    PubMed  PubMed Central  Google Scholar 

  5. Losken A et al (2009) Oncoplastic breast surgery: past, present, and future directions in the United States. Plast Reconstr Surg 124(3):969–972

    Article  CAS  Google Scholar 

  6. Gulcelik MA et al (2011) Early complications of reduction mammoplasty technique in the treatment of macromastia with or without breast cancer. Clin Breast Cancer 11:395–399

    Article  Google Scholar 

  7. Cronin TD, Gerow FJ (1964) Augmentation mammoplasty: a new “natural feel” prostheses. In: Transactions of the third international congress of plastic surgery (no. 66). Amsterdam: Excerpta Medica International Congress Series. p 41

    Google Scholar 

  8. Gurunluoglu R et al (2010) Current trends in breast reconstruction: survey of the American Society of Plastic Surgeons. Ann Plast Surg 70:103–110

    Article  Google Scholar 

  9. Steiert AE, Boyce M, Sorg H (2013) Capsular contracture by silicone breast implants: possible causes, biocompatibility, and prophylactic strategies. Med Devices (Auckl) 6:211–218

    Google Scholar 

  10. Franchelli S et al (2012) Breast implant infections after surgical reconstruction in patients with breast cancer: assessment of risk factors and pathogens over extended post-operative observation. Surg Infect 13(3):154–158

    Article  Google Scholar 

  11. Francis SH et al (2009) Independent risk factors for infection in tissue expander breast reconstruction. Plast Reconstr Surg 124(6):1790–1796

    Article  CAS  Google Scholar 

  12. Mcgrath MH, Burkhardt BR (1984) The safety and efficacy of breast implants for augmentation mammoplasty. Plast Reconstr Surg 74:550–560

    Article  CAS  Google Scholar 

  13. Nezhadhoseini SE, Fotohi K, Vejdani M (2015) Risk factors associated with surgical site infection after breast surgery. Rev Clin Med 2(1):45–48

    Google Scholar 

  14. Eom JS et al (2014) The number of operations required for completing breast reconstruction. Plast Reconstr Surg Glob Open 2(10):242

    Article  Google Scholar 

  15. Potter S et al (2011) Reporting clinical outcomes of breast reconstruction: a systematic review. JNCI J Natl Cancer Inst 31(46):10–1093

    Google Scholar 

  16. Xue DQ, Qian C, Yang L, Wang XF (2012) Risk factors for surgical site infections after breast surgery: a systematic review and meta-analysis. Eur J Surg Oncol 38(5):375–381

    Article  CAS  Google Scholar 

  17. Degnim AC et al (2012) Surgical site infection after breast surgery: impact of 2010 CDC reporting guidelines. Ann Surg Oncol 19(13):4099–4103

    Article  Google Scholar 

  18. Leyngold MM et al (2012) Contributing variables to post mastectomy tissue expander infection. Breast J 18(4):351–356

    Article  Google Scholar 

  19. Kato H et al (2013) Risk factors and risk scoring tool for infection during tissue expansion in tissue expander and implant breast reconstruction. Breast J 19(6):618–626

    Article  Google Scholar 

  20. Fischer JP et al (2013) Risk analysis of early loss after immediate breast reconstruction: a review of 14,585 patients. J Am Coll Surg 217(6):983–990

    Article  Google Scholar 

  21. Winocour S et al (2015) Early surgical site infection following tissue expander breast reconstruction with or without acellular dermal matrix: national benchmarking using national surgical quality improvement program. Arch Plast Surg 42(2):194–200

    Article  Google Scholar 

  22. Voineskos SH, Frank SG, Cordeiro PG (2015) Breast reconstruction following conservative mastectomies: predictors of complications and outcomes. Gland Surg 4(6):484–496

    PubMed  PubMed Central  Google Scholar 

  23. Cordeiro PG, Mc Carthy CM (2006) A single surgeon’s 12-year experience with tissue expander/implant breast reconstruction: part II. Analysis of long-term complications, aesthetic outcomes, and patient satisfaction. Plast Reconstr Surg 118:832–839

    Article  CAS  Google Scholar 

  24. Berry MG, Cucchiara V, Davies DM (2010) Breast augmentation: part II. Adverse capsular contracture. J Plast Reconstr Aesthet Surg 63(12):2098–2107

    Article  CAS  Google Scholar 

  25. Liu X et al (2015) Comparison of the postoperative incidence rate of capsular contracture among different breast implants: a cumulative meta-analysis. PLoS One 10(2):e0116071. https://doi.org/10.1371/journal.pone.0116071

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Leite LP, Sá IC, Marques M (2013) Etiopatogenia e Tratamento da Contractura Capsular Mamária. Acta Med Port 26(6):737–745

    Google Scholar 

  27. Headon H, Kasem A, Mokbel K (2015) Capsular contracture after breast augmentation: an update for clinical practice. Arch Plast Surg 42:532–543

    Article  Google Scholar 

  28. Stevens WG et al (2013) Risk factor analysis for capsular contracture: a 5-year sientra study analysis using round, smooth, and textured implants for breast augmentation. Plast Reconstr Surg 132:1115–1123

    Article  CAS  Google Scholar 

  29. Craft RO, Damjanovic B, Colwell AS (2012) Evidence-based protocol for infection control in immediate implant-based breast reconstruction. Ann Plast Surg 69(4):446–450

    Article  CAS  Google Scholar 

  30. Eroglu A, Karasoy D, Kurt H, Baskan S (2014) National practice in antibiotic prophylactic in breast cancer surgery. J Clin Med Res 6(1):30–35

    PubMed  Google Scholar 

  31. Olsen MA, Lefta M, Dietz JR et al (2008) Risk factors for surgical site infection after major breast operation. J Am Coll Surg 207:326–335

    Article  Google Scholar 

  32. Clayton JL et al (2012) Once is not enough: with holding postoperative prophylactic antibiotics in prosthetic breast reconstruction is associated with an increased risk of infection. Plast Reconstr Surg 130(3):495–502

    Article  CAS  Google Scholar 

  33. Jones DJ, Bunn F, Bell-Syer S (2014) Prophylactic antibiotics to prevent surgical site infection after breast cancer surgery. Cochrane Database Syst Rev 3:CD005360

    Google Scholar 

  34. Huang N, Liu M, Yu P, Wu J (2015) Antibiotic prophylaxis in prosthesis-based mammoplasty: a systematic review. Int J Surg 15:31–37

    Article  Google Scholar 

  35. Yalanis GC, Liu EW, Cheng HT (2015) Efficacy and safety of povidone-iodine irrigation in reducing the risk of capsular contracture in aesthetic breast augmentation: a systematic review and meta-analysis. Plast Reconstr Surg 136:687–698

    Article  CAS  Google Scholar 

  36. Adams WP Jr, Rios JL, Smith SJ (2006) Enhancing patient out-comes in aesthetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study. Plast Reconstr Surg 117:30–36

    Article  CAS  Google Scholar 

  37. Giordano S et al (2013) Povidone-iodine combined with antibiotic topical irrigation to reduce capsular contracture in cosmetic breast augmentation: a comparative study. Aesthet Surg J 33:675–680

    Article  Google Scholar 

  38. Weichman KE, Levine SM, Wilson SC, Choi M, Karp NS (2013) Antibiotic selection for the treatment of infectious complications of implant-based breast reconstruction. Ann Plast Surg 71(2):140–143

    Article  CAS  Google Scholar 

  39. Prince MD, Suber JS, Aya-Ay ML, Cone JD Jr, Greene JN, Smith DJ Jr, Smith PD (2012) Prosthesis salvage in breast reconstruction patients with periprosthetic infection and exposure. Plast Reconstr Surg 129(1):42–48

    Article  CAS  Google Scholar 

  40. Reish RG, Damjanovic B, Austen WG Jr, Winograd J, Liao EC, Cetrulo CL, Balkin DM, Colwell AS (2013) Infection following implant-based reconstruction in 1952 consecutive breast reconstructions: salvage rates and predictors of success. Plast Reconstr Surg 131(6):1223–1230

    Article  CAS  Google Scholar 

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Cavalcante, E.F., de Miranda Pires, D., Paulinelli, R.R., Figueiredo, C.L., Valadares, C.N., dos Santos Nascimento, M. (2019). Prevention and Treatment of Infections in Breast Reconstruction with Implants. In: Urban, C., Rietjens, M., El-Tamer, M., Sacchini, V.S. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62927-8_46

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  • DOI: https://doi.org/10.1007/978-3-319-62927-8_46

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