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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Related Experiment Video

Updated: Nov 9, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

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

Published on: May 17, 2024

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Routine Postoperative Antibiotics After Tissue Expander Placement Postmastectomy Does Not Improve Outcome.

Feras Yamin1, Andrew Nouri, Phoebe McAuliffe

  • 1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University Hospital, Health Sciences Center T19-060, Stony Brook Medicine, Stony Brook, NY.

Annals of Plastic Surgery
|April 9, 2021
PubMed
Summary
This summary is machine-generated.

Routine postoperative antibiotics after tissue expander breast reconstruction do not reduce infection rates. This study found no significant difference in complications between prolonged antibiotic use and perioperative antibiotics only.

Related Experiment Videos

Last Updated: Nov 9, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

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

Published on: May 17, 2024

3.4K

Area of Science:

  • Plastic Surgery
  • Surgical Oncology
  • Infectious Disease

Background:

  • Postoperative antibiotics are commonly used after tissue expander breast reconstruction to prevent infections.
  • Evidence is mounting to question the routine prophylactic use of these antibiotics.

Purpose of the Study:

  • To compare the efficacy of prolonged postoperative antibiotics versus perioperative-only antibiotics for prophylaxis in immediate mastectomy reconstruction using tissue expanders.

Main Methods:

  • Retrospective chart review of 529 patients undergoing immediate tissue expander placement post-mastectomy.
  • Group A received perioperative antibiotics only; Group B received perioperative plus at least 7 days of oral antibiotics.
  • Comparison of demographics, risk factors, and complication incidence (infection, wound issues, etc.).

Main Results:

  • No significant demographic differences between the 241 patients in Group A and 288 in Group B.
  • Infection incidence was 23.24% in Group A vs. 21.53% in Group B (P=0.412).
  • Other complication rates showed similar trends between groups.

Conclusions:

  • Routine use of postoperative antibiotics following tissue expander placement for immediate mastectomy reconstruction does not decrease complication rates.
  • Clinical outcomes are not improved by extending antibiotic administration beyond the perioperative period.