Document Detail

Outcome following removal of infected tissue expanders in breast reconstruction: a 10-year experience.
MedLine Citation:
PMID:  17667404     Owner:  NLM     Status:  MEDLINE    
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.
Eric G Halvorson; Joseph J Disa; Babak J Mehrara; Brooke A Burkey; Andrea L Pusic; Peter G Cordeiro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  59     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-10-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-6     Citation Subset:  IM    
Plastic and Reconstructive Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
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MeSH Terms
Device Removal
Middle Aged
Prospective Studies
Prosthesis-Related Infections / etiology*
Time Factors
Tissue Expansion Devices / adverse effects*,  microbiology*

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