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Surgical site infection after breast reconstruction with silicone implant – a retrospective analysis of risk factors
Autoři: B. Englcová 1; J. Kulhánek 1; Z. Dvořák 2; D. Erhart 3
Působiště autorů: Department of Plastic Surgery, Na Františku Hospital, Prague, Czech Republic 1; Department of Plastic and Aesthetic Surgery, Faculty of Medicine, Masaryk University, and St. Anne’s University Hospital, Brno, Czech Republic 2; Department of Surgery, Na Františku Hospital, Prague, Czech Republic 3
Vyšlo v časopise: ACTA CHIRURGIAE PLASTICAE, 67, 3, 2025, pp. 172-179
doi: https://doi.org/10.48095/ccachp2025172
Zdroje
1. Song DH., Kim H., Jung H., et al. Postoperative complication rates and patient satisfaction following direct-to-implant breast reconstruction: a prospective study. Ann Plast Surg. 2014, 72 (3): 296–301.
2. Cordeiro PG., McCarthy CM. A single surgeon’s 12-year experience with tissue expander/implant breast reconstruction: part I. A prospective analysis of early complications. Plast Reconstr Surg. 2006, 118 (4): 825–831.
3. McCarthy CM., Mehrara BJ. Complications in postmastectomy breast reconstruction using expanders and implants. Plast Reconstr Surg. 2008, 121 (1): 1–6.
4. Cordeiro PG., Pusic AL., Disa JJ., et al. Irradiation after immediate tissue expander/implant breast reconstruction: outcomes, complications, aesthetic results, and satisfaction among 156 patients. Plast Reconstr Surg. 2004, 113 (3): 877–881.
5. Spear SL, Onyewu C. Staged breast reconstruction with saline-filled implants in the irradiated breast: recent trends and therapeutic implications. Plast Reconstr Surg. 2000, 105 (3): 930–942.
6. Krueger EA., Wilkins EG., Strawderman M., et al. Complications and patient satisfaction following expander/implant breast reconstruction with and without radiotherapy. Int J Radiat Oncol Biol Phys. 2001, 49 (3): 713–721.
7. Pittet B., Montandon D., Pittet D. Infection in breast implants. Lancet Infect Dis. 2005, 5 (3): 94–106.
8. Kronowitz SJ. Immediate versus delayed reconstruction in the setting of postmastectomy radiation: a meta-analysis. Ann Plast Surg. 2016, 76 (2): 219–224.
9. Lee KT. Risk factors for surgical site infection after breast reconstruction surgery. J Plast Reconstr Aesthet Surg. 2020, 73 (3): 573–581.
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11. Choi M. Autologous fat grafting and tissue regeneration. Gland Surg. 2017, 6 (1): 9–24.
12. Tiron EA. Role of lipofilling in breast reconstructive surgery. J Clin Med. 2019, 8 (10): 1532.
13. Yoshimura K., Sato K., Aoi N., et al. Cell-assisted lipotransfer for cosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesthetic Plast Surg. 2008, 32 (1): 48–55.
14. Davison SP. Complications of implant-based reconstruction after mastectomy. Ann Plast Surg. 2008, 60 (3): 246–250.
15. Delay E. Fat injection to the breast: technique, results, and complications. Ann Chir Plast Esthet. 2009, 54 (6): 534–543.
16. Tiron EA., Bruce S., Atisha DM. Fat grafting in breast reconstruction: a literature review of technique, outcomes, and applications. Ann Plast Surg. 2019, 83 (6): 713–721.
17. Choi M., Small K., Levovitz C., et al. The use of autologous fat grafting for breast reconstruction: a systematic review with meta-analysis. J Plast Reconstr Aesthet Surg. 2013, 66 (12): 1642–1653.
18. Sforza M., Hammond DC., Botti G., et al. A 14-year experience with polyurethane-covered breast implants. Aesthetic Plast Surg. 2014, 38 (2): 290–296.
19. Montemurro P., Tay V., Svanberg T., et al. One-stage breast reconstruction with polyurethane-coated implants after skin-sparing mastectomy: a prospective study of complications and outcomes. Aesthet Surg J. 2024, 44 (5): 491–499.
20. Manders EK., Keller KM. Polyurethane implants in 2-stage breast reconstruction: 9-year clinical experience. Aesthet Surg J. 2017, 37 (2): 171–178.
21. American Society of Plastic Surgeons. Clinical practice guideline: smoking cessation and plastic surgery. ASPS; 2019.
22. Chun YS., Verma K., Rosen H., et al. Implant-based breast reconstruction using acellular dermal matrix and the risk of postoperative complications. Plast Reconstr Surg. 2010, 125 (2): 429–436.
23. Olsen MA., Nickel KB., Fox IK., et al. Incidence of surgical site infection following mastectomy with and without immediate reconstruction using private insurer claims data. Infect Control Hosp Epidemiol. 2015, 36 (8): 907–914.
24. Tamboto H. Microbiology and antibiotic treatment of breast implant infections. ANZ J Surg. 2010, 80 (9): 651–656.
25. Wixtrom RN. Surgical site infections after breast surgery: a 10-year analysis. Am J Surg. 2014, 208 (5): 846–852.
26. Tanna N. Understanding and managing infection after implant-based breast reconstruction. Gland Surg. 2017, 6 (2): 194–202.
27. Rosen H., Lester ME., Wenke JC., et al. Predictors of complications in immediate breast reconstruction. Am J Surg. 2017, 214 (4): 671–675.
28. Lin KY. Risk factors for wound complications in immediate breast reconstruction. Plast Reconstr Surg. 2011, 127 (3): 1080–1087.
29. Krueger EA., Wilkins EG., Strawderman M., et al. The impact of radiation on complications in expander-implant breast reconstruction. Int J Radiat Oncol Biol Phys. 2020, 106 (1): 109–116.
30. Santosa KB., et al. Postmastectomy radiation therapy and breast reconstruction: a literature review and meta-analysis. Plast Reconstr Surg. 2016, 138 (1): 1–10.
31. Song DH., McCarthy CM., Young VL., et al. The effect of smoking on reconstructive complications. Ann Plast Surg. 2014, 72 (1): 56–60.
32. Spear SL., Ducic I., Cuoco F., et al. The effect of smoking on flap and implant-based breast reconstruction. Plast Reconstr Surg. 2010, 125 (1): 25–30.
33. Fischer JP. Diabetes and complications in breast reconstruction. Plast Reconstr Surg. 2013, 131 (6): 1119–1127.
34. Gdalevitch P. Diabetes as a predictive factor for complications in breast reconstruction. J Plast Reconstr Aesthet Surg. 2012, 65 (3): 362–366.
35. Rosen H., Krishnan NM. Diabetes and infection risk in implant-based breast reconstruction: a comprehensive review. J Plast Reconstr Aesthet Surg. 2017, 70 (5): 678–685.
36. Omranipour R. Complications of breast implant surgery in patients receiving antithrombotic therapy. Eur J Plast Surg. 2015, 38 : 175–180.
37. Kitzinger HB. Perioperative management of antithrombotic therapy in plastic surgery: a review of the literature. J Plast Reconstr Aesthet Surg. 2015, 68 (4): 421–428.
38. Phillips BT., Fourman MS., Bishawi M., et al. Are prophylactic postoperative antibiotics necessary for immediate breast reconstruction? Results of a prospective randomized clinical trial. J Am Coll Surg. 2016, 222 (6): 1116–1124.
39. Phillips BT., Halvorson EG., Khan SU., et al. Clinical practice guideline: breast reconstruction with expanders and implants. Plast Reconstr Surg. 2016, 138 (3): 585–594.
40. Lee KT., Mun GH. Updated evidence of risk factors for surgical site infections after breast reconstruction: a meta-analysis. Aesthetic Plast Surg. 2020, 44 (1): 36–44.
Barbora Englcová, MD, MSc.
Na Františku Hospital
Na Františku 847/8
110 00 Prague 1
Czech Republic
englcova@nnfp.cz
Submitted: 12. 8. 2025
Accepted: 31. 10. 2025
Štítky
Chirurgie plastická Ortopedie Popáleninová medicína Traumatologie
Článek vyšel v časopiseActa chirurgiae plasticae
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