Document Detail


Capsular contracture: what is it? What causes it? How can it be prevented and managed?
MedLine Citation:
PMID:  19055967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For more than 40 years capsular contracture has plagued plastic surgery as the most common complication of aesthetic and reconstructive breast surgery. This article reviews the basis for capsular contracture and defines the methods to prevent it and treat it when it occurs. Capsular contracture is most commonly a result of a subclinical colonization of the implant pocket with bacteria. Sound techniques-including precise, atraumatic, bloodless dissection; appropriate triple antibiotic breast pocket irrigation; and minimizing any points of contamination during the procedure-have produced very low capsular contracture rates. Treatment of capsular contracture is most often surgical total capsulectomy with site change when indicated and replacement with a new implant.
Authors:
William P Adams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in plastic surgery     Volume:  36     ISSN:  1558-0504     ISO Abbreviation:  Clin Plast Surg     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-05     Completed Date:  2009-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0424767     Medline TA:  Clin Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  119-26, vii     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, University of Texas Southwestern Medical Center, 6901 Snider Plaza, Suite 120, Dallas, TX 75205, USA. dr@dr-adams.com
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MeSH Terms
Descriptor/Qualifier:
Bacterial Infections / microbiology
Breast Diseases / microbiology,  prevention & control*,  surgery
Breast Implantation / adverse effects*
Breast Implants / adverse effects*
Contracture / microbiology,  prevention & control*,  surgery
Female
Humans
Reoperation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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