nach oben

Aesthetic Plastic Surgery

Erschienen in:

01.05.2020 | Review

Controllable Factors to Reduce the Rate of Complications in Primary Breast Augmentation: A Review of the Literature

verfasst von: Paolo Montemurro, Per Hedén, Björn Behr, Christoph Wallner

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Aesthetic augmentation mammoplasties are one of the most demanded procedures performed in the aesthetic surgical sector. Because of the high epidemiological impact, the evaluation of measures to reduce the risk of complications is highly needed. The goal of this review is to evaluate the current literature for successful actions to reduce the risk of complications in aesthetic breast augmentation.

Methods

We searched Medline-listed journals for “complications primary breast augmentation” and defined surgeon-dependent and patient-dependent factors within those.

Results

Most of the strategies to reduce the risk of any complication are based on meticulous hygienic precautions and adequate training of the surgeon. The current literature suggests complications such as capsular contracture, infection and BIA-ALCL are closely linked with bacterial contamination and therefore can be avoided with different hygienic measures.

Level of Evidence III

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.

ASPS (2017) Plastic surgery statistics report 2016. https://www.plasticsurgery.org/documents/News/Statistics/2016/plastic-surgery-statistics-full-report-2016.pdf

Horsnell JD, Searle AE, Harris PA (2017) Intra-operative techniques to reduce the risk of capsular contracture in patients undergoing aesthetic breast augmentation—a review. Surgery 15(5):282–289

El-Sheikh Y, Tutino R, Knight C et al (2008) Incidence of capsular contracture in silicone versus saline cosmetic augmentation mammoplasty: a meta-analysis. Can J Plast Surg 16(4):211–215PubMedPubMedCentral

Calobrace MB, Stevens WG, Capizzi PJ et al (2018) Risk factor analysis for capsular contracture. Plast Reconstr Surg 141:20S–28SPubMed

Codner MA, Mejia JD, Locke MB et al (2011) A 15-year experience with primary breast augmentation. Plast Reconstr Surg 127(3):1300–1310PubMed

Adams WP, Culbertson EJ, Deva AK et al (2017) Macrotextured breast implants with defined steps to minimize bacterial contamination around the device. Plast Reconstr Surg 140(3):427–431PubMed

Kadin ME, Deva A, Xu H et al (2016) Biomarkers provide clues to early events in the pathogenesis of breast implant-associated anaplastic large cell lymphoma. Aesthetic Surg J 36(7):773–781. https://doi.org/10.1093/asj/sjw023CrossRef

Clemens MW, Horwitz SM (2017) NCCN consensus guidelines for the diagnosis and management of breast implant-associated anaplastic large cell lymphoma. Aesthet Surg J 37(3):285–289PubMed

de Boer M, van Leeuwen FE, Hauptmann M et al (2018) Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol 4(3):335. https://doi.org/10.1001/jamaoncol.2017.4510CrossRefPubMedPubMedCentral

10.

Au K, Hazard S, Dyer A et al (2008) Correlation of complications of body contouring surgery with increasing body mass index. Aesthet Surg J 28(4):425–429. https://doi.org/10.1016/j.asj.2008.04.003CrossRefPubMed

11.

Boustany AN, Elmaraghi S, Agochukwu N et al (2018) A breast prosthesis infection update: two-year incidence, risk factors and management at single institution. Indian J Plast Surg 51(1):7–14PubMedPubMedCentral

12.

Al-Ajam Y, Marsh DJ, Mohan AT et al (2015) Assessing the augmented breast: a blinded study comparing round and anatomical form-stable implants. Aesthet Surg J 35(3):273–278PubMed

13.

Montemurro P, Cheema M, Hedén P et al (2017) Do not fear an implant’s shape: a single surgeon’s experience of over 1200 round and shaped textured implants in primary breast augmentation. Aesthet Surg J 38:254–261

14.

Holt DR, Kirk SJ, Regan MC et al (1992) Effect of age on wound healing in healthy human beings. Surgery 112(2):293–297 (discussion 297–298)PubMed

15.

Sgonc R, Gruber J (2013) Age-related aspects of cutaneous wound healing: a mini-review. Gerontology 59(2):159–164PubMed

16.

Jansen LA, Backstein RM, Brown MH (2014) Breast size and breast cancer: a systematic review. J Plast Reconstr Aesthet Surg 67(12):1615–1623PubMed

17.

Montemurro P, Papas A, Hedén P (2017) Is rotation a concern with anatomical breast implants? A statistical analysis of factors predisposing to rotation. Plast Reconstr Surg 139(6):1367–1378PubMed

18.

Osborne M (2000) Breast anatomy and development. Dis Breast 9:216–219

19.

Shah AT, Jankharia BB (2016) Imaging of common breast implants and implant-related complications: a pictorial essay. Indian J Radiol Imaging 26:216–225PubMedPubMedCentral

20.

Montemurro P, Cheema M, Hedén P et al (2019) Benchmarking the outcomes of single-stage augmentation mastopexy against primary breast augmentation. Plast Reconstr Surg 144(2):326–334PubMed

21.

Lewin R, Göransson M, Elander A et al (2014) Risk factors for complications after breast reduction surgery. J Plast Surg Hand Surg 48(1):10–14. https://doi.org/10.3109/2000656X.2013.791625CrossRefPubMed

22.

Kaoutzanis C, Winocour J, Gupta V et al (2019) The effect of smoking in the cosmetic surgery population: analysis of 129,007 patients. Aesthet Surg J 39(1):109–119PubMed

23.

Sørensen LT (2012) Wound healing and infection in surgery. Ann Surg 255(6):1069–1079PubMed

24.

Bloom JA, Rashad R, Chatterjee A (2019) The impact on mortality and societal costs from smoking cessation in aesthetic plastic surgery in the United States. Aesthet Surg J 39(4):439–444PubMed

25.

Kennedy JM, van Rij AM, Spears GF et al (2000) Polypharmacy in a general surgical unit and consequences of drug withdrawal. Br J Clin Pharmacol 49(4):353–362PubMedPubMedCentral

26.

Jacobson JM, Gatti ME, Schaffner AD et al (2012) Effect of incision choice on outcomes in primary breast augmentation. Aesthet Surg J 32(4):456–462PubMed

27.

Wiener TC (2008) Relationship of incision choice to capsular contracture. Aesthet Plast Surg 32(2):303–306. https://doi.org/10.1007/s00266-007-9061-2CrossRef

28.

Stutman RL, Codner M, Mahoney A et al (2012) Comparison of breast augmentation incisions and common complications. Aesthet Plast Surg 36(5):1096–1104. https://doi.org/10.1007/s00266-012-9918-xCrossRef

29.

Li S, Chen L, Liu W et al (2018) Capsular contracture rate after breast augmentation with periareolar versus other two (inframammary and transaxillary) incisions: a meta-analysis. Aesthet Plast Surg 42(1):32–37. https://doi.org/10.1007/s00266-017-0965-1CrossRef

30.

Namnoum JD, Largent J, Kaplan HM et al (2013) Primary breast augmentation clinical trial outcomes stratified by surgical incision, anatomical placement and implant device type. J Plast Reconstr Aesthet Surg 66(9):1165–1172PubMed

31.

Shauly O, Gould DJ, Patel KM (2019) Microtexture and the cell/biomaterial interface: a systematic review and meta-analysis of capsular contracture and prosthetic breast implants. Aesthet Surg J 39(6):603–614PubMed

32.

Maxwell GP, Scheflan M, Spear S et al (2014) Benefits and limitations of macrotextured breast implants and consensus recommendations for optimizing their effectiveness. Aesthet Surg J 34(6):876–881PubMed

33.

Reda A, Said T, Mourad S (2016) New approach for subfascial breast augmentation. Egypt J Surg 35(1):44

34.

Montemurro P, Cheema M, Hedén P et al (2016) Role of macrotextured shaped extra full projection cohesive gel implants in primary aesthetic breast augmentation. Aesthet Surg J. https://doi.org/10.1093/asj/sjw199CrossRefPubMed

35.

FDA (2019) Medical device reports of breast implant-associated anaplastic large cell lymphoma. https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-breast-implant-associated-anaplastic-large-cell-lymphoma

36.

McCarthy CM, Loyo-Berríos N, Qureshi AA et al (2019) Patient registry and outcomes for breast implants and anaplastic large cell lymphoma etiology and epidemiology (PROFILE): initial report of findings, 2012–2018. Plast Reconstr Surg 143(3 A Review of Breast Implant Associated Anaplastic Large Cell Lymphoma):65S–73SPubMed

37.

Loch-Wilkinson A, Beath KJ, Knight RJW et al (2017) Breast implant-associated anaplastic large cell lymphoma in Australia and New Zealand. Plast Reconstr Surg 140(4):645–654PubMed

38.

Collett DJ, Rakhorst H, Lennox P et al (2019) Current risk estimate of breast implant-associated anaplastic large cell lymphoma in textured breast implants. Plast Reconstr Surg 143:30S–40SPubMed

39.

Rastogi P, Riordan E, Moon D et al (2019) Theories of etiopathogenesis of breast implant-associated anaplastic large cell lymphoma. Plast Reconstr Surg 143:23S–29SPubMed

40.

Wixtrom RN, Garadi V, Leopold J et al (2019) Device-specific findings of imprinted-texture breast implants: characteristics, risks, and benefits. Aesthetic Surg J. 40:167–173

41.

Hu H, Johani K, Almatroudi A et al (2016) Bacterial biofilm infection detected in breast implant-associated anaplastic large-cell lymphoma. Plast Reconstr Surg 137(6):1659–1669PubMed

42.

Mendonça Munhoz A, Santanelli di Pompeo F, De Mezerville R (2017) Nanotechnology, nanosurfaces and silicone gel breast implants: current aspects. Case Rep Plast Surg Hand Surg. 4(1):99–113. https://doi.org/10.1080/23320885.2017.1407658CrossRef

43.

Spear SL, Murphy DK (2014) Natrelle round silicone breast implants. Plast Reconstr Surg 133(6):1354–1361PubMedPubMedCentral

44.

Caplin DA (2014) Indications for the use of memoryshape breast implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 134:27S–37SPubMed

45.

Keramidas E, Lymperopoulos NS, Rodopoulou S (2016) Is antibiotic prophylaxis in breast augmentation necessary? A prospective study. Plast Surg 24(3):195–198

46.

Khan UD (2010) Breast augmentation, antibiotic prophylaxis, and infection: comparative analysis of 1,628 primary augmentation mammoplasties assessing the role and efficacy of antibiotics prophylaxis duration. Aesthet Plast Surg 34(1):42–47

47.

Darouiche RO, Wall MJ, Itani KMF et al (2010) Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. N Engl J Med 362(1):18–26PubMed

48.

Dumville JC, McFarlane E, Edwards P et al (2013) Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. In: Dumville JC (ed) Cochrane database of systematic reviews. Wiley, Chichester, p CD003949

49.

Frois AO, Harbour PO, Azimi F et al (2018) The role of antibiotics in breast pocket irrigation and implant immersion. Plast Reconstr Surg 6(9):e1868

50.

Lynch JM, Sebai ME, Rodriguez-Unda NA et al (2018) Breast pocket irrigation with antibiotic solution at implant insertion: a systematic review and meta-analysis. Aesthet Plast Surg 42(5):1179–1186. https://doi.org/10.1007/s00266-018-1166-2CrossRef

51.

Samargandi OA, Joukhadar N, Al Youha S et al (2018) Antibiotic irrigation of pocket for implant-based breast augmentation to prevent capsular contracture: a systematic review. Plast Surg 26(2):110–119

52.

Swanson E (2019) Concerns regarding antibiotic-impregnated mesh in breast augmentation. Aesthet Surg J 39(4):NP90–NP92PubMed

53.

Adams WP, Calobrace MB (2019) Discussion: the questionable role of antibiotic irrigation in breast augmentation. Plast Reconstr Surg 144(1):253–257PubMed

54.

Drinane JJ, Bergman RS, Folkers BL et al (2013) Revisiting triple antibiotic irrigation of breast implant pockets. Plast Reconstr Surg 1(7):e55

55.

Adams WP, Rios JL, Smith SJ (2006) Enhancing patient outcomes in aesthetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study. Plast Reconstr Surg 118(Supplement):46S–52SPubMed

56.

Ajdic D, Zoghbi Y, Gerth D et al (2016) The relationship of bacterial biofilms and capsular contracture in breast implants. Aesthet Surg J 36(3):297–309. https://doi.org/10.1093/asj/sjv177CrossRefPubMedPubMedCentral

57.

Moyer HR, Ghazi B, Saunders N et al (2012) Contamination in smooth gel breast implant placement: testing a funnel versus digital insertion technique in a cadaver model. Aesthet Surg J 32(2):194–199. https://doi.org/10.1177/1090820X11434505CrossRefPubMed

58.

Flugstad NA, Pozner JN, Baxter RA et al (2016) Does implant insertion with a funnel decrease capsular contracture? A preliminary report. Aesthet Surg J 36(5):550–556. https://doi.org/10.1093/asj/sjv237CrossRefPubMed

59.

Montemurro P, Fischer S, Schyllander S et al (2019) Implant insertion time and incision length in breast augmentation surgery with the Keller funnel: results from a comparative study. Aesthet Plast Surg 43(4):881–889

60.

Jain PK, Sowdi R, Anderson ADG et al (2004) Randomized clinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer. Br J Surg 91(1):54–60. https://doi.org/10.1002/bjs.4435CrossRefPubMed

61.

Wixtrom RN, Stutman RL, Burke RM et al (2012) Risk of breast implant bacterial contamination from endogenous breast flora, prevention with nipple shields, and implications for biofilm formation. Aesthet Surg J 32(8):956–963PubMed

62.

Collis N, Mirza S, Stanley PRW et al (1999) Reduction of potential contamination of breast implants by the use of ‘nipple shields’. Br J Plast Surg 52(6):445–447PubMed

63.

Nava MB, Rancati A, Angrigiani C et al (2017) How to prevent complications in breast augmentation. Gland Surg 6(2):210–217PubMedPubMedCentral

64.

Stevens WG, Nahabedian MY, Calobrace MB et al (2013) Risk factor analysis for capsular contracture. Plast Reconstr Surg 132(5):1115–1123PubMed

Titel: Controllable Factors to Reduce the Rate of Complications in Primary Breast Augmentation: A Review of the Literature
verfasst von: Paolo Montemurro
Per Hedén
Björn Behr
Christoph Wallner
Publikationsdatum: 01.05.2020
Verlag: Springer US
Erschienen in: Aesthetic Plastic Surgery / Ausgabe 2/2021
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-020-01726-x

Neu im Fachgebiet Chirurgie

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Wie sieht der OP der Zukunft aus?

04.05.2024 DCK 2024 Kongressbericht

Der OP in der Zukunft wird mit weniger Personal auskommen – nicht, weil die Technik das medizinische Fachpersonal verdrängt, sondern weil der Personalmangel es nötig macht.

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Recycling im OP – möglich, aber teuer

02.05.2024 DCK 2024 Kongressbericht

Auch wenn sich Krankenhäuser nachhaltig und grün geben – sie tragen aktuell erheblich zu den CO₂-Emissionen bei und produzieren jede Menge Müll. Ein Pilotprojekt aus Bonn zeigt, dass viele Op.-Abfälle wiederverwertet werden können.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Background

Methods

Results

Level of Evidence III

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2021

Late-Onset Inflammation in Asian Rhinoplasty Using Alloplastic Implants

Invited Discussion on: Body Dysmorphic Disorder in Rhinoplasty Candidates—Prevalence and Functional Correlations

Genital Beautification and Rejuvenation with Combined Use of Surgical and Non-surgical Methods

Efficacy of Progressive Tension Sutures without Drains in Reducing Seroma Rates of Abdominoplasty: A Systematic Review and Meta-Analysis

Extended Latissimus Dorsi Kite Flap (ELD-K Flap): Revisiting an Old Place for a Total Autologous Breast Reconstruction in Patients with Medium to Large Breasts

Invited Discussion on: Septorhinoplasty and Septoplasty—Outcomes of a Large Cohort Using Autologous Versus Homologous Cartilage 1999–2019

Update Chirurgie