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Related Experiment Video

Updated: Jun 15, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

Published on: April 3, 2026

Decreasing expander breast infection: A new drain care protocol.

John D Murray¹, Eric T Elwood, Glyn E Jones

¹Division of Plastic Surgery, University of Illinois College of Medicine at Peoria;

The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique

|March 2, 2010

Summary

In expander breast reconstruction, closed suction drains increase infection risk. A new protocol using topical antibiotics, early drain removal, and expander protection significantly reduced infection rates.

Keywords:

Adult Alloderm Breast expander Breast implants Breast neoplasms Breast reconstruction Closed suction drains Combined modality therapy Drains Female Humans Infection Mammaplasty Mastectomy Mupirocin Tissue expansion devices

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Published on: May 17, 2024

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Last Updated: Jun 15, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

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Published on: April 3, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Area of Science:

Plastic Surgery
Reconstructive Surgery
Infection Control

Background:

Infection is a known complication of expander breast reconstruction.
The role of drain use in expander infection risk remains unclear.

Purpose of the Study:

To evaluate a simple drain management protocol to decrease infection rates in expander breast reconstruction.
To investigate the impact of drain placement and management on infection risk.

Main Methods:

Retrospective review of 200 immediate first-stage expander breast reconstructions.
Comparison of two series: standard care versus a new protocol involving topical mupirocin, early drain removal (1 week), and physical barrier (Alloderm or subdermal tunneling) between drain and expander.
Infection defined clinically, with or without positive cultures.

Main Results:

The infection rate in the first series was 5.65% (10/177 breasts).
The second series, utilizing the new protocol, achieved a 0% infection rate (0/23 breasts).
This difference was statistically significant (P=0.001), despite similar baseline risk factors.

Conclusions:

Percutaneous closed suction drains are associated with an increased risk of expander infection.
Implementing expander protection (Alloderm or subdermal tunneling), topical antibiotic use, and early drain removal can significantly reduce infection rates in expander breast reconstruction.