Successful treatment of acute periprosthetic breast infection with curettage, pulse lavage, and immediate device exchange
Acute periprosthetic breast infection in aesthetic surgical patients is a rare event. These patients would be expected to be less tolerant of the standard option of removing the infected implant and waiting 6 months (or possibly more) for tissue conditions to become favourable prior to reinsertion....
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| Published in | Aesthetic plastic surgery Vol. 29; no. 5; pp. 400 - 403 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
United States
Springer Nature B.V
01.10.2005
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Acute periprosthetic breast infection in aesthetic surgical patients is a rare event. These patients would be expected to be less tolerant of the standard option of removing the infected implant and waiting 6 months (or possibly more) for tissue conditions to become favourable prior to reinsertion. This report provides confirmatory evidence of a controversial method of management that involves removal of the infected implant, curettage of granulation tissue within the breast implant pocket, pulsed lavage, then switching to a "clean" setup (including gloves, gowns, drapes and instruments) and reinsertion of a new device with suction drainage. The technique allows for immediate replacement of the implant and if successful, obviates the need for any waiting period. Surgeons are encouraged to consider this management option in specific cases where tissue vascularity and patient health are satisfactory. |
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| AbstractList | Acute periprosthetic breast infection in aesthetic surgical patients is a rare event. These patients would be expected to be less tolerant of the standard option of removing the infected implant and waiting 6 months (or possibly more) for tissue conditions to become favourable prior to reinsertion. This report provides confirmatory evidence of a controversial method of management that involves removal of the infected implant, curettage of granulation tissue within the breast implant pocket, pulsed lavage, then switching to a "clean" setup (including gloves, gowns, drapes and instruments) and reinsertion of a new device with suction drainage. The technique allows for immediate replacement of the implant and if successful, obviates the need for any waiting period. Surgeons are encouraged to consider this management option in specific cases where tissue vascularity and patient health are satisfactory. Acute periprosthetic breast infection in aesthetic surgical patients is a rare event. These patients would be expected to be less tolerant of the standard option of removing the infected implant and waiting 6 months (or possibly more) for tissue conditions to become favourable prior to reinsertion. This report provides confirmatory evidence of a controversial method of management that involves removal of the infected implant, curettage of granulation tissue within the breast implant pocket, pulsed lavage, then switching to a "clean" setup (including gloves, gowns, drapes and instruments) and reinsertion of a new device with suction drainage. The technique allows for immediate replacement of the implant and if successful, obviates the need for any waiting period. Surgeons are encouraged to consider this management option in specific cases where tissue vascularity and patient health are satisfactory.[PUBLICATION ABSTRACT] |
| Author | De Lorenzi, Claudio |
| Author_xml | – sequence: 1 givenname: Claudio surname: De Lorenzi fullname: De Lorenzi, Claudio email: delorenzi@golden.net organization: delorenzi@golden.net |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16075354$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_anplas_2009_02_006 crossref_primary_10_1016_j_anplas_2011_08_005 crossref_primary_10_1016_j_bjps_2021_09_060 crossref_primary_10_1097_PRS_0000000000006501 crossref_primary_10_1016_j_anplas_2010_07_002 crossref_primary_10_1016_j_bjps_2011_05_007 crossref_primary_10_1007_s00266_017_1037_2 crossref_primary_10_1097_SAP_0000000000000409 crossref_primary_10_1097_GOX_0000000000004764 |
| Cites_doi | 10.1053/jinf.2000.0663 10.1097/01.PRS.0000070727.02992.54 10.1097/00000637-199607000-00014 10.1097/00000637-200203000-00001 10.1097/00000637-200044030-00014 10.1007/s002669900194 10.1097/00006534-199510000-00020 10.1097/00006534-199512000-00003 10.1097/01.PRS.0000054768.14922.44 10.1097/01.PRS.0000117194.21748.02 10.1097/00006534-199612000-00016 10.1016/0899-7071(94)00048-H 10.1097/01.SAP.0000044251.40733.2B 10.1097/01.PRS.0000046490.02212.BA 10.1097/00006534-199409000-00018 10.1007/s15010-001-1129-3 10.1097/00006534-199501000-00024 10.1056/NEJM199703063361001 10.1016/S0891-5520(20)30263-4 10.1097/00006534-200005000-00047 10.1177/014107680309601115 10.1097/00000637-199603000-00014 10.1097/00006534-199807000-00037 10.1007/s002669900188 10.1097/00006534-199511000-00032 10.1097/00006534-199501000-00009 10.1056/NEJMra035415 10.1097/00006534-199408000-00013 |
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| References_xml | – volume: 41 start-page: 110 issue: 1 year: 2000 ident: 132_CR17 publication-title: J Infect doi: 10.1053/jinf.2000.0663 contributor: fullname: LB Johnson – volume: 112 start-page: 467 issue: 2 year: 2003 ident: 132_CR6 publication-title: Plast Reconstr Surg doi: 10.1097/01.PRS.0000070727.02992.54 contributor: fullname: MY Nahabedian – volume: 37 start-page: 91 issue: 1 year: 1996 ident: 132_CR24 publication-title: Ann Plast Surg doi: 10.1097/00000637-199607000-00014 contributor: fullname: ZB Niazi – volume: 48 start-page: 229 issue: 3 year: 2002 ident: 132_CR2 publication-title: Ann Plast Surg doi: 10.1097/00000637-200203000-00001 contributor: fullname: K Kjoller – volume: 44 start-page: 330 issue: 3 year: 2000 ident: 132_CR16 publication-title: Ann Plast Surg doi: 10.1097/00000637-200044030-00014 contributor: fullname: JB Heistein – volume: 22 start-page: 222 issue: 3 year: 1998 ident: 132_CR22 publication-title: Aesthetic Plast Surg doi: 10.1007/s002669900194 contributor: fullname: C Bernardi – volume: 96 start-page: 1125 issue: 5 year: 1995 ident: 132_CR10 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199510000-00020 contributor: fullname: DT Netscher – volume: 43 start-page: 559 issue: 5 year: 1998 ident: 132_CR21 publication-title: Ann Chir Plast Esthet contributor: fullname: F Petit – volume: 96 start-page: 1521 issue: 7 year: 1995 ident: 132_CR1 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199512000-00003 contributor: fullname: N Handel – volume: 111 start-page: 1605 issue: 5 year: 2003 ident: 132_CR9 publication-title: Plast Reconstr Surg doi: 10.1097/01.PRS.0000054768.14922.44 contributor: fullname: A Pajkos – volume: 113 start-page: 1634 issue: 6 year: 2004 ident: 132_CR30 publication-title: Plast Reconstr Surg doi: 10.1097/01.PRS.0000117194.21748.02 contributor: fullname: SL Spear – volume: 98 start-page: 1225 issue: 7 year: 1996 ident: 132_CR8 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199612000-00016 contributor: fullname: CY Ahn – volume: 19 start-page: 193 issue: 3 year: 1995 ident: 132_CR28 publication-title: Clin Imaging doi: 10.1016/0899-7071(94)00048-H contributor: fullname: R Walsh – volume: 50 start-page: 447 issue: 5 year: 2003 ident: 132_CR14 publication-title: Ann Plast Surg doi: 10.1097/01.SAP.0000044251.40733.2B contributor: fullname: L Fodor – volume: 111 start-page: 1087 issue: 3 year: 2003 ident: 132_CR15 publication-title: Plast Reconstr Surg doi: 10.1097/01.PRS.0000046490.02212.BA contributor: fullname: NW Yii – volume: 94 start-page: 531 issue: 3 year: 1994 ident: 132_CR29 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199409000-00018 contributor: fullname: N Gnanadesigan – volume: 29 start-page: 291 issue: 5 year: 2001 ident: 132_CR18 publication-title: Infection doi: 10.1007/s15010-001-1129-3 contributor: fullname: ZA Memish – volume: 11 start-page: 1 issue: 1–2 year: 2001 ident: 132_CR7 publication-title: J Long 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Surg doi: 10.1097/00000637-199603000-00014 contributor: fullname: JG Hunter – volume: 102 start-page: 227 issue: 1 year: 1998 ident: 132_CR20 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199807000-00037 contributor: fullname: VJ Ablaza – volume: 22 start-page: 180 issue: 3 year: 1998 ident: 132_CR23 publication-title: Aesthetic Plast Surg doi: 10.1007/s002669900188 contributor: fullname: C Holm – volume: 96 start-page: 1430 issue: 6 year: 1995 ident: 132_CR27 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199511000-00032 contributor: fullname: VL Young – volume: 95 start-page: 63 issue: 1 year: 1995 ident: 132_CR5 publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199501000-00009 contributor: fullname: SA Slavin – volume: 350 start-page: 1422 issue: 14 year: 2004 ident: 132_CR12 publication-title: N Engl J Med doi: 10.1056/NEJMra035415 contributor: fullname: RO Darouiche – volume: 94 start-page: 300 issue: 2 year: 1994 ident: 132_CR11 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| SubjectTerms | Acute Disease Adult Bacterial Infections - therapy Breast Implants - microbiology Curettage - methods Female Humans Reoperation Therapeutic Irrigation - methods Treatment Outcome |
| Title | Successful treatment of acute periprosthetic breast infection with curettage, pulse lavage, and immediate device exchange |
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