Use of Antimicrobial Irrigation and Incidence of Capsular Contracture in Breast Augmentation and Immediate Implant-Based Breast Reconstruction.
Aesthetic Plast Surg
; 47(6): 2345-2350, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-37410129
ABSTRACT
Capsular contracture (CC) is one of the most common complications of implant-based breast reconstruction or augmentation surgery. Common risk factors of CC include biofilm, surgical site infections, history of prior CC or fibrosis, history of radiation therapy, and implant characteristics. Though bacterial contamination of breast protheses is associated with adverse sequelae, there are not universally accepted guidelines and limited best practice recommendations for antimicrobial breast pocket irrigation. Despite advanced molecular biology, the exact mechanism of this complication is not fully understood. Interventions that decrease the rate of CC include antibiotic prophylaxis or irrigation, acellular dermal matrix, leukotriene inhibitors, surgical techniques, and others. However, there is inconsistent evidence supporting these risk factors, and the current data was based on broad heterogeneous studies. The objective of this review was to provide a summary of the current data of contributing risk factors as well as preventative and treatment measures for CC.Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http//www.springer.com/00266.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mamoplastia
/
Implantes de Mama
/
Contractura
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Implantación de Mama
/
Antiinfecciosos
Tipo de estudio:
Guideline
/
Incidence_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Aesthetic Plast Surg
Año:
2023
Tipo del documento:
Article
País de afiliación:
Italia