294 440

Cited 4 times in

Salvage of Infected Breast Implants

DC Field Value Language
dc.contributor.author김영석-
dc.contributor.author송승용-
dc.contributor.author송준호-
dc.contributor.author유대현-
dc.contributor.author이동원-
dc.contributor.author정복기-
dc.date.accessioned2018-07-20T12:03:33Z-
dc.date.available2018-07-20T12:03:33Z-
dc.date.issued2017-
dc.identifier.issn2234-6163-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161711-
dc.description.abstractBACKGROUND: Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. METHODS: We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. RESULTS: The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5% of the cases of explantation. Explantation after infection was performed more often in patients who had undergone 2-stage expander/implant reconstruction than in those who had undergone direct-to-implant reconstruction. CONCLUSIONS: Preventing infection is essential in implant-based breast reconstruction. The high salvage rate argues against early implant removal. However, when infection is due to methicillin-resistant S. aureus and the patient's clinical symptoms do not improve, surgeons should consider implant removal.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Society of Plastic and Reconstructive Surgeons-
dc.relation.isPartOfArchives of Plastic Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSalvage of Infected Breast Implants-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery-
dc.contributor.googleauthorJoon Ho Song-
dc.contributor.googleauthorYoung Seok Kim-
dc.contributor.googleauthorBok Ki Jung-
dc.contributor.googleauthorDong Won Lee-
dc.contributor.googleauthorSeung Yong Song-
dc.contributor.googleauthorTai Suk Roh-
dc.contributor.googleauthorDae Hyun Lew-
dc.identifier.doi10.5999/aps.2017.01025-
dc.contributor.localIdA00709-
dc.contributor.localIdA02032-
dc.contributor.localIdA05353-
dc.contributor.localIdA02459-
dc.contributor.localIdA02729-
dc.relation.journalcodeJ00231-
dc.identifier.eissn2234-6171-
dc.identifier.pmid29076316-
dc.subject.keywordBreast implants-
dc.subject.keywordInfection-
dc.subject.keywordMethicillin-resistant Staphylococcus aureus-
dc.subject.keywordSeroma-
dc.contributor.alternativeNameKim, Young Seok-
dc.contributor.alternativeNameSong, Seung Yong-
dc.contributor.alternativeNameSong, Joon Ho-
dc.contributor.alternativeNameLew, Dae Hyun-
dc.contributor.alternativeNameLee, Dong Won-
dc.contributor.affiliatedAuthorKim, Young Seok-
dc.contributor.affiliatedAuthorSong, Seung Yong-
dc.contributor.affiliatedAuthorSong, Joon Ho-
dc.contributor.affiliatedAuthorLew, Dae Hyun-
dc.contributor.affiliatedAuthorLee, Dong Won-
dc.citation.volume44-
dc.citation.number6-
dc.citation.startPage516-
dc.citation.endPage522-
dc.identifier.bibliographicCitationArchives of Plastic Surgery, Vol.44(6) : 516-522, 2017-
dc.identifier.rimsid61732-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.