Comment; This article completely ignores breast implant associated inflammation. This was a major problem with older silicone implants, but is still present in some ladies with saline implants and can involve inflammatory changes distant from the breast/involved implant. Explantation is often the only way to resolve the problem.
Lalani T1.
Author information
1Preventive Medicine and Biostatistics, Uniformed Services University of the Health Science, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Electronic address: tlalani@idcrp.org.
Abstract
Prosthetic breast implantation is a common surgical procedure for augmentation and reconstruction after mastectomy. The incidence of implant infection is 1% to 2.5% and is higher for reconstruction following mastectomy compared with augmentation. Most infections are caused by gram-positive pathogens, such as coagulase-negative staphylococci, Cutibacterium species, Staphylococcus aureus, and streptococci. Acute infections are usually associated with fever and breast pain, erythema, and drainage. Subacute infections may present with chronic pain, persistent drainage, failed healing of the incision site, or migration of the implant. Depending on severity of infection, patients are started on empiric intravenous or oral antibiotics and closely monitored.
Published by Elsevier Inc
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