Publication: Implant exposure and extrusion
Issued Date
2013-01-01
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Other identifier(s)
2-s2.0-84956726027
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Mahidol University
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SCOPUS
Bibliographic Citation
Oncoplastic and Reconstructive Breast Surgery. (2013), 315-320
Suggested Citation
Christina Garusi, Visnu Lohsiriwat Implant exposure and extrusion. Oncoplastic and Reconstructive Breast Surgery. (2013), 315-320. doi:10.1007/978-88-470-2652-0_32 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32649
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Title
Implant exposure and extrusion
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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.