Outcome following removal of infected tissue expanders in breast reconstruction: A 10-year experience Journal Article
| Authors: | Halvorson, E. G.; Disa, J. J.; Mehrara, B. J.; Burkey, B. A.; Pusic, A. L.; Cordeiro, P. G. |
| Article Title: | Outcome following removal of infected tissue expanders in breast reconstruction: A 10-year experience |
| Abstract: | Although several studies have analyzed risk factors for tissue expander removal prior to permanent implant placement in breast reconstruction, the outcome following explantation because of infection is unknown. From a prospectively maintained database covering a 10-year period, 39 such patients were identified. Twelve (30.8%) had prior radiotherapy. Nine patients (23%) underwent reexpansion, 3 (7.7%) had a latissimus dorsi flap and expander, and 1 (2.6%) received a free transverse rectus abdominis flap. Recurrent infection occurred in 1 reexpanded patient. Two patients developed late contractures. All other reconstructions were successful. Twenty-six patients (66.7%) did not undergo secondary reconstruction, most commonly due to a combination of patient preference, cancer progression, and radiotherapy. After removal of an infected expander, most patients who are interested and remain good candidates can still be reconstructed. Reexpansion was successful in patients without prior radiotherapy. Secondary reconstruction with autologous tissue is appropriate when there is a history of radiotherapy. © 2007 Lippincott Williams & Wilkins, Inc. |
| Keywords: | adult; controlled study; treatment outcome; middle aged; implant; major clinical study; cancer growth; cancer radiotherapy; prospective studies; infection; radiation; radiotherapy; breast reconstruction; mammaplasty; latissimus dorsi flap; device removal; prosthesis-related infections; tissue expansion; time factors; recurrent disease; outcome; infection risk; tissue expander; expansion; secondary; delayed; removal; explantation; tissue expanders |
| Journal Title: | Annals of Plastic Surgery |
| Volume: | 59 |
| Issue: | 2 |
| ISSN: | 0148-7043 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2007-08-01 |
| Start Page: | 131 |
| End Page: | 136 |
| Language: | English |
| DOI: | 10.1097/01.sap.0000252716.73356.68 |
| PUBMED: | 17667404 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 3" - "Export Date: 17 November 2011" - "CODEN: APCSD" - "Source: Scopus" |
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