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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(5):723-728.
Published online September 1, 2004.
Experience of Recurrent Periprosthetic Infection After Augmentation Mammaplasty.
Seung Il Jung, Young Cheun You, Won Yong Yang, Jun Park
Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. khpsyc@ hanmail.net
Abstract
Infection following insertion of a breast implant is relatively uncommon, with an overall incidence of less than 4 percent, but can be devastating. Although its management options may be antibiotic therapy along with active surgical regimen like drainage, mechanical irrigation, debridement and implant removal, the efficacy of aforementioned therapeutic regimen is unclear in some cases, thus can be challenging. In particular cases of being chronic and refractory to therapy, spreading of infection which was originally localized in the periprosthetic space-over adjacent tissues by an aggressive curettage at the early stage appears to play a major role. Months elapse before a complete resolution of the infection, and it can also cause serious physical and mental issues in patients. Based on clinical and operative findings in four cases of a chronic, refractory and recurrent periprosthetic infection following an aggressive initial debridement and curettage, we suggest that surgeon should be watchful against debridement and curettage at the early stage of infection and pay special attention to make an accurate and limited curettage using endoscopy.
Keywords: Implant infection; Augmentation mammaplasty
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