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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Related Experiment Video

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Quantification of Strain in a Porcine Model of Skin Expansion Using Multi-View Stereo and Isogeometric Kinematics
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Delayed Infection of Tissue Expanders in Immediate Two-Stage Implant-Based Breast Reconstruction.

Hye Ju Han1, Ahran Kim1, Min Suk Park1

  • 1Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Archives of Plastic Surgery
|March 30, 2026
PubMed
Summary
This summary is machine-generated.

Delayed surgical site infections (SSIs) are common after breast reconstruction with tissue expanders. Early recognition is crucial, as delayed diagnosis impacts treatment outcomes and salvage rates.

Keywords:
implant-based breast reconstructionrisk factorssurgical wound infectiontissue expansion devices

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Area of Science:

  • Plastic Surgery
  • Surgical Complications
  • Breast Reconstruction

Background:

  • Surgical site infection (SSI) is a significant complication in implant-based breast reconstruction.
  • Delayed infections post-breast reconstruction are often underrecognized but clinically significant.

Purpose of the Study:

  • To identify risk factors associated with delayed SSI after tissue expander insertion.
  • To compare clinical outcomes between acute and delayed SSI following breast reconstruction.

Main Methods:

  • Retrospective review of patients undergoing immediate tissue expander-based breast reconstruction (March 2016 - February 2021).
  • Analysis and comparison of acute SSI (<30 days), delayed SSI (>60 days), and no-infection groups.

Main Results:

  • 26 SSIs occurred in 146 breasts; 50% were delayed.
  • Wound complication was the sole independent risk factor for delayed SSI.
  • Delayed SSI had a longer diagnosis interval (4.15 vs. 0.33 days) and lower salvage rate (31% vs. 83%) compared to acute SSI.

Conclusions:

  • Delayed SSI is a notable complication following expander-based breast reconstruction.
  • Diagnostic delays complicate salvage efforts for delayed infections.
  • Vigilance for risk factors and early detection are essential for managing delayed SSI.