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Related Experiment Videos

Infection following breast reconstruction.

R W Armstrong1, R L Berkowitz, F Bolding

  • 1Department of Medicine, Good Samaritan Hospital, San Jose, CA.

Annals of Plastic Surgery
|October 1, 1989
PubMed
Summary

Immediate breast reconstruction with tissue expander implants after mastectomy shows a high infection risk, particularly for bilateral procedures. Careful consideration of these combined techniques is crucial for patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Surgical Oncology
  • Infectious Disease

Background:

  • Breast reconstruction is a common procedure following mastectomy.
  • Tissue expander implants are frequently used in immediate breast reconstruction.
  • Understanding infection risks associated with different reconstruction techniques is vital.

Purpose of the Study:

  • To evaluate the infection rates associated with immediate breast reconstruction using tissue expander implants.
  • To identify risk factors contributing to breast implant infections in reconstructive surgery.
  • To compare infection rates between unilateral and bilateral breast procedures.

Main Methods:

  • Retrospective analysis of 33 patients undergoing 49 breast implantations for reconstructive surgery.

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  • Subgroup analysis of 15 patients receiving immediate breast reconstruction with tissue expander implants post-mastectomy.
  • Microbiological analysis to identify causative organisms.

    • Main Results:

    • An overall infection rate of 24% (8/33 patients) was observed.
    • Patients undergoing immediate reconstruction with tissue expanders had a significantly higher infection rate (53%, 8/15).
    • Bilateral procedures and coagulase-negative staphylococcus were associated with increased infection risk.

    Conclusions:

    • The combination of immediate reconstruction with tissue expander implants presents an unacceptable infection risk, especially in bilateral cases.
    • Neither tissue expanders nor immediate reconstruction alone are significant risk factors.
    • Coagulase-negative staphylococcus was the predominant pathogen identified.