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Microbial Evaluation in Capsular Contracture of Breast Implants.
Marilena Galdiero1,2, Fabio Larocca1,2, Maria Rosaria Iovene1,2
1Naples, Italy.
Plastic and Reconstructive Surgery
|December 28, 2017
Summary
Bacterial biofilm formation on breast implants increases capsular contracture risk. This study links microbial contamination to implant complications, suggesting personalized antibiotic therapy to prevent reoperation.
Area of Science:
- Plastic Surgery
- Microbiology
- Biomaterials Science
Background:
- Capsular contracture is a frequent complication of breast implants, often necessitating reoperation.
- Subclinical infections and bacterial biofilm formation are implicated in capsular contracture development.
Purpose of the Study:
- To investigate the correlation between bacterial contamination and biofilm formation in mammary implants.
- To identify risk factors associated with capsular contracture in patients undergoing breast augmentation or reconstruction.
Main Methods:
- Microbiological assessment of bacterial flora from breast skin, nipple-areola complex, and mammary gland biopsy specimens.
- Comparison of microbial cultures from periprosthetic capsules and prosthesis surfaces.
- Study included 65 female patients undergoing breast plastic surgery in Naples, Italy.
Main Results:
- A higher incidence of capsular contracture was observed in oncologic patients who received radiotherapy.
- Patients with prior capsular contracture and cutaneous contamination by biofilm-producing microbes showed increased risk.
- Microbial contamination and biofilm production were correlated with implant contracture.
Conclusions:
- Despite advancements in surgical techniques, residual bacterial contamination is unavoidable.
- Preventative, personalized antibiotic therapy is recommended to mitigate the risk of capsular contracture.
- Understanding microbial involvement is crucial for improving breast implant outcomes.
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