Implant exposure and extrusion

Christina Garusi, Visnu Lohsiriwat

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The salvage of the infected and or exposed breast prosthesis remains a challenging but viable option for a subset of patients. Keys to success include culture-directed antibiotics, capsulectomy, device exchange, and adequate soft tissue coverage. Relative contraindications to breast device salvage include atypical pathogens on wound culture, such as Gram-negative rods, methicillin-resistant Staphylococcus aureus, and Candida parapsilosis. Patients with a prior device infection and exposure and a history of either radiotherapy or S. aureus on wound culture should be closely monitored for signs of recurrent breast prosthesis infection/exposure and managed cautiously in the setting of elective breast surgery.

Original languageEnglish
Title of host publicationOncoplastic and Reconstructive Breast Surgery
PublisherSpringer-Verlag Italia s.r.l.
Pages315-320
Number of pages6
ISBN (Print)9788847026520, 9788847026513
DOIs
Publication statusPublished - Jan 1 2013

Keywords

  • Breast augmentation
  • Breast reconstruction
  • Deep inferior epigastric perforator flap
  • Exposure
  • Implant

ASJC Scopus subject areas

  • Medicine(all)

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