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Microbial growth within saline-filled tissue expanders.

Ronald D Ford1, William P Schmitt1, Mitchell G Eichhorn1

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|December 16, 2014
PubMed
Summary
This summary is machine-generated.

Tissue expander fluid from 39 breasts showed no microbial growth, indicating it is not a significant source of infection after mastectomy reconstruction. This finding supports the safety of saline-filled tissue expanders.

Keywords:
BreastCulturesExpandersMicrobialSalineTissue

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microbiology

Background:

  • Mastectomy reconstruction commonly uses tissue expanders.
  • Infection is a frequent complication, potentially causing reconstruction failure.
  • Identifying infection sources is crucial for improving outcomes.

Purpose of the Study:

  • To investigate microbial presence in saline-filled tissue expander fluid at the time of implant exchange.
  • To determine if expander fluid is a source of post-operative infection.

Main Methods:

  • Prospective cohort study of 25 patients (39 breasts).
  • Fluid samples analyzed via Gram stain and aerobic, anaerobic, fungal, and AFB cultures.
  • Average follow-up was 25 months post-exchange.

Main Results:

  • No microbial growth was detected in any of the 39 fluid samples.
  • All cultures, including Gram stain, aerobic, anaerobic, fungal, and AFB, were negative.

Conclusions:

  • Tissue expander fluid appears to maintain a sterile environment during the expansion phase.
  • The fluid itself is unlikely to be a significant source of contamination leading to infection.