Contemporary Trends in Antiseptic Pocket Rinse in Primary Breast Implant Surgery

Area of Science:

• Plastic Surgery
• Surgical Innovation
• Medical Device Research

Background:

• Antiseptic pocket rinse is broadly supported for breast implant surgery to reduce complications like capsular contracture.
• Current practices lack standardization and consensus regarding antiseptic rinse use.

Purpose of the Study:

• To analyze current trends in antiseptic rinse use for primary breast implant surgery in Australia using Australian Breast Device Registry (ABDR) data.
• To assess alignment of these trends with the 14-point plan recommendations.
• To establish feasibility for future studies comparing antiseptic rinse outcomes.

Main Methods:

• Analysis of national ABDR data for primary breast implant surgeries from 2015 to 2020.
• Categorization of surgeon-reported antiseptic rinse use, including povidone-iodine (PVP-I).
• Literature review to contextualize findings.

Main Results:

• Data from 37,143 patients (73,935 implants) were analyzed.
• Povidone-iodine (PVP-I) was used in 48.5% of cases.
• No antiseptic use was recorded in 32.8% of cases, with other agents used in the remainder.

Conclusions:

• Over half of Australian practitioners use antiseptic pocket irrigation solutions consistent with guidelines.
• A notable proportion (32.8%) do not use or record antiseptic pocket irrigation.
• This study provides a foundation for future research comparing outcomes of PVP-I versus no antiseptic rinse.