title: A New Method of Salvaging Breast Reconstruction After Breast Implant Using Negative Pressure Wound Therapy and Instillation.
abstract: Breast implant infections and their associated inflammatory response can have severe consequences, such as the loss of the prosthesis and cavity, or extensive scarring. Negative pressure wound therapy has been indicated for the management of implant infections. This report describes situations where negative pressure wound therapy was used in conjunction with instillation therapy to treat breast implant infections. The findings showed that the application of these techniques accelerated the treatment of the infections and, most importantly, maintained the breast cavity for future reconstruction.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
authors.affiliation: Division of Breast Surgery, Royal Prince Alfred Hospital and Chris O'Brien Lifehouse, 119-143 Missenden Road, Camperdown, Sydney, NSW, 2050, Australia. santiago-james@hotmail.com.
authors.forename: Ju Yong
authors.identifier: http://orcid.org/0000-0002-1600-7632
authors.initials: JY
authors.lastname: Cheong
authors.affiliation: Division of Breast Surgery, Royal Prince Alfred Hospital and Chris O'Brien Lifehouse, 119-143 Missenden Road, Camperdown, Sydney, NSW, 2050, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Goltsman
authors.affiliation: Division of Breast Surgery, Royal Prince Alfred Hospital and Chris O'Brien Lifehouse, 119-143 Missenden Road, Camperdown, Sydney, NSW, 2050, Australia.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Warrier
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects* / Q000379:methods; D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000628:therapy*; D018570:Risk Assessment; D016879:Salvage Therapy / Q000379:methods; D012494:Sampling Studies; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: Automated volumetric fluid administration; Breast; Implant failure; Negative pressure wound therapy (NPWT); Nipple-sparing mastectomy; Reconstruction; Wound breakdown