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Title: Implant exposure and extrusion
Authors: Christina Garusi
Visnu Lohsiriwat
Istituto Europeo di Oncologia
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2013
Citation: Oncoplastic and Reconstructive Breast Surgery. (2013), 315-320
Abstract: © Springer-Verlag Italia 2013. The salvage of the infected and or exposed breast prosthesis remains a challenging but viable option for a subset of patients. Keys to success include culture-directed antibiotics, capsulectomy, device exchange, and adequate soft tissue coverage. Relative contraindications to breast device salvage include atypical pathogens on wound culture, such as Gram-negative rods, methicillin-resistant <Emphasis Type=–Italic—>Staphylococcus aureus</Emphasis>, and <Emphasis Type=–Italic—>Candida parapsilosis</Emphasis>. Patients with a prior device infection and exposure and a history of either radiotherapy or <Emphasis Type=–Italic—>S. aureus</Emphasis> on wound culture should be closely monitored for signs of recurrent breast prosthesis infection/exposure and managed cautiously in the setting of elective breast surgery.
Appears in Collections:Scopus 2011-2015

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