Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice.


BACKGROUND:Implant-based breast reconstruction is commonly performed by plastic surgeons worldwide. Bacterial contamination is of paramount concern because of its role in biofilm formation and capsular contracture. Plastic surgeons have adopted a variety of perioperative interventions in efforts to reduce implant contamination; however, definitive evidence supporting these practices is lacking. OBJECTIVE:The goal of this study was to assess current practice patterns aimed at reducing implant-related infections. METHODS:A 20-question survey assessing practices aimed at preventing breast implant-associated infections was generated and distributed via SurveyMonkey to members of the American Society of Plastic Surgery whose e-mail addresses were listed on the American Society of Plastic Surgery member Web site in April 2015. RESULTS:A total of 1979 invitations to participate in the survey were sent, and 253 responses were received during the 4-month study period. Of respondents, 81% were in private practice. Respondents averaged 21 ± 9 years in practice, and 34 ± 50 implant-based breast reconstructions were performed per year. A majority of surgeons used chlorhexidine to prepare the surgical site (52%), a triple antibiotic soak for the implant prior to placement (50%) and povidone-iodine for implant pocket irrigation (44%). A no-touch technique utilizing the Keller funnel was adopted by 69% of surgeons. Regarding antibiotic use in the postoperative period, first-generation cephalosporins (eg, cephalexin, cefadroxil) were used by a majority of surgeons (84%), and the most common duration was until drain removal (45%). CONCLUSIONS:There is considerable heterogeneity in surgical practices aimed at preventing bacterial contamination in implant-based breast reconstruction. Surgeons may benefit from high-level studies designed to create standardized evidence-based practice guidelines.


Ann Plast Surg


Gowda AU,Chopra K,Brown EN,Slezak S,Rasko Y




Has Abstract


2017-02-01 00:00:00












  • Reperfusion of skeletal muscle after warm ischemia.

    abstract::The effect of 2 to 10 hours of tourniquet ischemia on the microcirculation of the tenuissimus muscle in 29 cats was studied by in vivo microscopy and electron microscopy. After release of the tourniquet there was immediate reperfusion and hyperemia in all muscles. Arterioles of 20 micron increased in diameter by 50% a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Eriksson E,Replogle RL,Glagov S

    更新日期:1987-03-01 00:00:00

  • Isolated and syndromic syngnathism: management, implications, and genetics.

    abstract::We present 2 contrasting cases of congenital interalveolar synechiae. The first occurred in the setting of Van der Woude syndrome and was associated with a cleft palate. In the second case, it was an isolated abnormality and there was no contributory family history or syndromic associations. We review the literature o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Tomlinson JK,Liem NT,Savarirayan R,Meara JG

    更新日期:2006-08-01 00:00:00

  • Simple Reshaping of the Breast in Massive Weight Loss Patients: Promising Preliminary Results.

    abstract:BACKGROUND:The challenging breast reshaping after massive weight loss (MWL) has been increasingly performed as the number of bariatric surgery procedures increase worldwide. The breasts often appear wide, lateralized, and deflated, with significant ptosis. OBJECTIVES:The aim of this article is to share our initial exp...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章


    authors: Ikander P,Gad D,Gunnarsson GL,Boljanovic S,Salzberg A,Sørensen JA,Thomsen JB

    更新日期:2017-02-01 00:00:00

  • Double breast contour in primary aesthetic breast augmentation: incidence, prevention and treatment.

    abstract::The goal of this study was to define the incidence of double breast contour in primary aesthetic breast augmentation and to analyze its risk factors. An independent plastic surgeon analyzed the data of 200 patients who had a primary aesthetic breast augmentation with silicone gel implant and with a minimum 12-month fo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Médard de Chardon V,Balaguer T,Chignon-Sicard B,Lebreton E

    更新日期:2010-04-01 00:00:00

  • Fluorescein Isothiocyanate: A Novel Application for Lymphatic Surgery.

    abstract::The Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) procedure entails performing a lymphovenous bypass (LVB) at the time of axillary lymph node dissection to reduce lymphedema risk. The two most common fluorophores utilized in LVB are blue dye and indocyanine green. We developed a novel application of flu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Spiguel L,Shaw C,Katz A,Guo L,Chen HC,Lee BT,Singhal D

    更新日期:2017-06-01 00:00:00

  • Small intestinal submucosa: utilization for repair of rodent abdominal wall defects.

    abstract::Prosthetic graft material is often used for the repair of abdominal wall defects that result from trauma, infection, neoplastic, or congenital deformities. A new material, porcine small intestinal submucosa, has been successfully used as an arterial and venous graft material in both canine and primate animal models wi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Prevel CD,Eppley BL,Summerlin DJ,Jackson JR,McCarty M,Badylak SF

    更新日期:1995-10-01 00:00:00

  • Anatomic study of the dorsalis pedis-first dorsal metatarsal artery.

    abstract::The vascular anatomy of the dorsalis pedis-first dorsal metatarsal artery was investigated with regard to its general distribution and variation. We especially focused on the status of the dorsalis pedis-first dorsal metatarsal-first plantar metatarsal arterial interconnection and the sagittal course of the first dors...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lee JH,Dauber W

    更新日期:1997-01-01 00:00:00

  • Useful arterialized flaps for head and neck reconstruction.

    abstract::During the past 10 years, there have been extensive developments in both "island" muscle and musculocutaneous flaps and in "free" microvascular transfers. Competition still exists between these two schools of surgical methodology, even though both methods are known to be complementary and have comparable success rates...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Posnick JC,McCraw JB

    更新日期:1987-10-01 00:00:00

  • Crane principle of the cross-leg fasciocutaneous flap: aesthetically pleasing technique for damaged dorsum of foot.

    abstract::Crushing injuries, including electrical burns on the dorsum of the foot, result in extensive tissue loss and exposure of bone and tendon. Debridement and covering of the wound with richly vascularized tissue are necessary at an early date. Flaps for the dorsum of the foot should be thin and the donor tissue to be sacr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Uhm KI,Shin KS,Lew JD

    更新日期:1985-09-01 00:00:00

  • Physiological roles of endothelium-derived nitric oxide in the epigastric island flaps of rabbits.

    abstract::Nitric oxide (NO), identified as the mediator of endothelium-dependent relaxation of vascular smooth muscle, is known to cause a number of inflammatory conditions, especially in ischemia/reperfusion injury. This experimental study, using a rabbit epigastric island flap, was designed to investigate whether skin flap is...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Oshima H,Inoue H,Aihara M,Tomioka M,Ishida H

    更新日期:1997-12-01 00:00:00

  • Anatomical characteristics of the nasal cartilages for successful rhinoplasty in Koreans.

    abstract:BACKGROUNDS:The aims of the present study were to determine the exact level of separation of the upper lateral cartilage from the septal cartilage, and to classify the patterns of connection between the upper lateral cartilage and the lower lateral cartilage. METHODS:We dissected and photographed 60 sides of noses; 18...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yoo JY,Kim JN,Lee JY,Shin KJ,Song WC,Koh KS,Choi HG,Shin DH,Jo DI,Jeon HS,Kim SH

    更新日期:2014-07-01 00:00:00

  • Rare Manifestation of Gout: Gouty Tophi in the Nose.

    abstract::Gout is a disease characterized by abnormal metabolism of the uric acid, leading to undesired buildup of monosodium urate crystals affecting mainly the first metatarsal-phalangeal joint of the foot and less commonly other joints or the soft tissues of the body. The prevalence of the disease increases with age, and it ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: IIliev G,Ivanova PP,Nedev P,Popov H

    更新日期:2019-06-01 00:00:00

  • Dermatofibrosarcoma protuberans of the toe.

    abstract::Dermatofibrosarcoma protuberans is an unusual soft-tissue tumor with a propensity for local recurrence and occasional metastatic spread. Given its indolent course, it may be mistaken for atypical scarring or a keloid growth. Most lesions are trunkal or on the proximal extremities with digital lesions being extremely r...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Kraemer BA,Fremling M

    更新日期:1990-10-01 00:00:00

  • Maxilla allograft for transplantation: an anatomical study.

    abstract:INTRODUCTION:The aim of this study is to present an anatomic study and a dissection technique to prepare maxilla graft for transplantation. METHODS:Six fixed adult human cadavers were used for dissection of the maxilla grafts. Retrospective reviews of archives of 10 MRI and 5 angiographies of the maxillary region were...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yazici I,Cavusoglu T,Comert A,Vargel I,Cavusoglu M,Tekdemir I,Siemionow M

    更新日期:2008-07-01 00:00:00

  • The contour lines of the upper lip and a revised method of cleft lip repair.

    abstract::Many techniques for cleft lip repair have been reported, but these techniques do not consider the contour lines of the upper lip and, in fact, destroy them. The upper lip has complicated contour lines including the vermilion free margin, vermilion border, upper lip horizontal groove (upper lip groove), philtrum (dimpl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Onizuka T,Ichinose M,Hosaka Y,Usui Y,Jinnai T

    更新日期:1991-09-01 00:00:00

  • Versatility of Pedicled Perforator-Based V-Y Advancement Flaps for Reconstruction of the Upper Limb: A Case Series and Review of the Literature.

    abstract:INTRODUCTION:The aim of any reconstruction is to provide a robust and cosmetically pleasing result that does not significantly alter function. We describe our experience of using the V-Y principle in advancement flaps designed around a distinct perforator to reconstruct soft tissue defects of the upper limb. The shortc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Kennedy AM,Lloyd MS,Niranjan NS

    更新日期:2020-05-01 00:00:00

  • The influence of ischemia/reperfusion injury on the jejunum.

    abstract::Ischemia/reperfusion injury (IRI) after free tissue transfer of the small intestine results in transmural tissue damage. This study examined the effects of IRI on the jejunum. Wistar rats served either as controls (N=10) or underwent clamping of the infrarenal aorta for 1 hour followed by 1 hour of reperfusion (N=10)....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Blennerhassett L,Kong SE,Heel K,McCauley R,Hall J

    更新日期:1998-06-01 00:00:00

  • Comparison of the ionic silver-containing hydrofiber and paraffin gauze dressing on split-thickness skin graft donor sites.

    abstract::The split-thickness skin graft (STSG) donor site dressing has been an inconclusive topic. Each of the Hydrofiber (Aquacel, ConvaTec A Bristol-Myers Squibb Company, Deeside, UK) and silver dressings have applied in many types of wound care with favorable outcomes. Our study compared the ionic silver-containing Hydrofib...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lohsiriwat V,Chuangsuwanich A

    更新日期:2009-04-01 00:00:00

  • Treatment of obstructing inferior turbinates with intranasal corticosteroids.

    abstract::The most common cause of nasal obstruction is chronic enlargement of the inferior turbinate bones. The variety of medical and surgical treatments available for this condition bears testimony to their frequent ineffectiveness and the frustration of the physician or surgeon caring for these patients. Removal or destruct...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Baker DC

    更新日期:1979-09-01 00:00:00

  • Transient postoperative stenosis in small-vessel anastomoses.

    abstract::Using a newly developed Doppler probe, we have found that a standard suture anastomosis in a rat femoral artery is accompanied by significant (30-60%) cross-sectional area stenosis, which dissipates to baseline levels within 24 hours. We hypothesized that spasm, deposition of coagulation products, or the suture techni...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Moskovitz MJ,Zhang L,Baron DA,Kanner BJ,Tuchler RE,Siebert JW

    更新日期:1995-03-01 00:00:00

  • Experimental reproduction of free flap errors: a new model of thrombosis.

    abstract::Surgical errors in the length and orientation of a flap pedicle can result in kinks, twists, or tension on the pedicle vessels. When these errors occur together with the microvascular repairs associated with free flap transfer, thrombosis and flap failure may be the outcome. A model was designed to simulate these even...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Ozbek MR,Deune EG,Cooley BC,Khouri RK

    更新日期:1994-05-01 00:00:00

  • Steatocystoma multiplex: a case report.

    abstract::A severe case is reported of a rare skin disorder characterized by multiple intracutaneous cystic lesions; the condition is difficult to manage and impossible to cure. The complicating cystic infections that accompany the condition are treated acutely using sound surgical principles, yet long-term management remains a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Kalus R,Lavey EB

    更新日期:1984-09-01 00:00:00

  • Correction of the secondary nasal tip.

    abstract::A technique used concomitantly with Rethi's incision to reach and treat the secondary nasal tip is described. The technique involves removing the cartilage remnants of both domes and placing a shaped cartilage autograft that is immobilized by sutures. No hypertrophic scarring has been observed in the 546 patients trea...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Juri J,Juri C,Grilli DA,Zeaiter MC,Belmont J

    更新日期:1986-04-01 00:00:00

  • Factitious disorders: potential litigation risks for plastic surgeons.

    abstract::Patients with factitious physical disorders can present with a myriad of signs and symptoms. Common presentations include persistent wounds and abscesses that are often treated by plastic surgeons. Because these individuals are surreptitiously trying to maintain their illness, rather than recover, adverse outcomes are...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Eisendrath SJ,Telischak KS

    更新日期:2008-01-01 00:00:00

  • Cryosurgery for hemangiomas of the body surface and oral cavity.

    abstract::The indications for and limitations of cryosurgery for various types of hemangiomas on the body surface or in the intraoral region are reported based on our clinical experience. In our opinion, cryosurgery is not the method of choice in the management of hemangiomas but is useful under certain conditions, as with a lo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Ohtsuka H,Shioya N,Tanaka S

    更新日期:1980-06-01 00:00:00

  • Psychological characteristics of women who undergo single and multiple cosmetic surgeries.

    abstract::Women over the age of 30 who had undergone single (N = 20) and multiple (N = 16) facial cosmetic surgery were compared with a control group (N = 49) on five personality measures. Cosmetic surgical patients were found to be more narcissistic (p = 0.05) and to have more problems with separation-individuation (p = 0.01) ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Dunofsky M

    更新日期:1997-09-01 00:00:00

  • Helical crus reconstruction using a postauricular chondrocutaneous flap.

    abstract::The authors describe a helical crus reconstruction technique using a postauricular chondrocutaneous flap vascularized by the postauricular vessels. They used this procedure on 7 patients who had developed a large defect on the helical crus following surgery. In each patient the flap design was adjusted to fit the form...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yotsuyanagi T,Urushidate S,Sawada Y

    更新日期:1999-01-01 00:00:00

  • Effects of levator retrodisplacement on conductive hearing loss in the cleft palate patient.

    abstract::The effect of a levator retrodisplacement procedure upon conductive hearing loss in cleft palate patients was evaluated. Forty-two children with cleft palates, operated upon between 1970 and 1975, were included in the study. The results suggest that 73.5% of those in the levator retrodisplacement group achieved normal...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Morgan RF,Dellon AL,Hoopes JE

    更新日期:1983-04-01 00:00:00

  • Benign fatty tumors of the peripheral nerves.

    abstract::Fatty tumors of the peripheral nerves, although rare, occur with sufficient frequency to pose problems in diagnosis and treatment. Moreover, the nomenclature of these tumors has suffered from controversy over their morpological description. These factors have contributed to a misunderstanding about the treatment of th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Terzis JK,Daniel RK,Williams HB,Spencer PS

    更新日期:1978-03-01 00:00:00

  • The results of nerve grafting in the wrist and hand.

    abstract::To evaluate the usefulness of nerve grafting we studied 38 patients having 11 median, 7 ulnar, and 33 digital nerve grafts. Group funicular (interfascicular) grafting using magnification was performed in all patients. We followed 12 patients with 8 median and 5 ulnar nerve grafts for at least one year and 18 patients ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Young VL,Wray RC,Weeks PM

    更新日期:1980-09-01 00:00:00