title: Will 1-stage implant salvage after periprosthetic breast infection ever be routine? A 6-year successful experience.
abstract: BACKGROUND
  Concomitant with the recent increase in breast augmentations has been an increase in periprosthetic infections necessitating further surgery. The conventional treatment of periprosthetic infections has been a multistage procedure involving explantation, control of infection, and reimplantation.
  
  
  OBJECTIVE
  The authors describe a 1-stage salvage procedure for the management of periprosthetic infections. This technique may become the standard for managing infection following cosmetic breast surgery.
  
  
  METHODS
  The authors performed a retrospective review of all patients who had periprosthetic infection following cosmetic breast augmentation. The treatment included explantation, sequential cleaning of the wound, and immediate insertion of a new prosthesis and drain. All patients received intravenous antibiotics postoperatively. Of 3012 patients undergoing primary breast augmentation, periprosthetic infection developed in 17 patients. These 17 patients underwent 1-stage implant salvage. Patients were monitored for ≤6 years.
  
  
  RESULTS
  All implants were retained; aesthetic results were satisfactory; and no significant adverse events were recorded after implant salvage.
  
  
  CONCLUSIONS
  One-stage implant salvage for periprosthetic infection has similar outcomes to conventional multistage procedures and may be preferred by patients.
  
  
  METHODS
  4.
authors.affiliation: Dr Sforza directs the Elective Internship Program in Plastic Surgery at Dolan Park Hospital in Bromsgrove, United Kingdom, and is an Examiner for the Royal College of Surgeons of EdinburghDr Andjelkov is a plastic surgeon in private practice in Belgrade, SerbiaMr Husein is a medical student at Leeds Medical School in the United KingdomDr Zaccheddu is a plastic surgeon at Dolan Park Hospital marcos@marcossforza.com.
authors.forename: Marcos
authors.initials: M
authors.lastname: Sforza
authors.affiliation: Dr Sforza directs the Elective Internship Program in Plastic Surgery at Dolan Park Hospital in Bromsgrove, United Kingdom, and is an Examiner for the Royal College of Surgeons of EdinburghDr Andjelkov is a plastic surgeon in private practice in Belgrade, SerbiaMr Husein is a medical student at Leeds Medical School in the United KingdomDr Zaccheddu is a plastic surgeon at Dolan Park Hospital.
authors.forename: Katarina
authors.initials: K
authors.lastname: Andjelkov
authors.affiliation: Dr Sforza directs the Elective Internship Program in Plastic Surgery at Dolan Park Hospital in Bromsgrove, United Kingdom, and is an Examiner for the Royal College of Surgeons of EdinburghDr Andjelkov is a plastic surgeon in private practice in Belgrade, SerbiaMr Husein is a medical student at Leeds Medical School in the United KingdomDr Zaccheddu is a plastic surgeon at Dolan Park Hospital.
authors.forename: Rodwan
authors.initials: R
authors.lastname: Husein
authors.affiliation: Dr Sforza directs the Elective Internship Program in Plastic Surgery at Dolan Park Hospital in Bromsgrove, United Kingdom, and is an Examiner for the Royal College of Surgeons of EdinburghDr Andjelkov is a plastic surgeon in private practice in Belgrade, SerbiaMr Husein is a medical student at Leeds Medical School in the United KingdomDr Zaccheddu is a plastic surgeon at Dolan Park Hospital.
authors.forename: Renato
authors.initials: R
authors.lastname: Zaccheddu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001940:Breast / Q000601:surgery; D001941:Breast Diseases / Q000188:drug therapy / Q000601:surgery*; D018427:Breast Implants / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: 1-stage implant salvage; MRSA; biofilm; breast augmentation; capsular contracture; periprosthetic infection; sequential cleaning