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Influence of Rifampin on Capsule Formation Around Silicone Implants in a Rat Model

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Abstract

This study investigated the effect of rifampin on the thickness of capsules around silicone implants by bactericidal activity against Stapylococcus epidermidis. Silicone blocks (1 × 1 cm) were placed into pockets created for each of the 40 rats included in the study. In group 1, the operation was performed under aseptic conditions. In group 2, standard S. epidermidis was inoculated into the pocket, whereas rifampin and S. epidermidis were applied in group 3. In group 4, only rifampin was applied topically on implants. After 12 weeks, the peri-implant capsules were removed and examined under a photomicroscope and a scanning electron microscope. The mean thickness of the capsules was 63.307 μm in group 1, 111.538 μm in group 2, 43.076 μm in group 3, and 30.384 μm in group 4. The differences between groups 2 and 3 and groups 2 and 4 were found to be statistically significant (p < 0.001). Rifampin appears to be an agent for preventing peri-implant capsule formation.

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References

  1. Ajmal N, Riordan C-L, Cardwell N, Nanney L-B, Shack R-B: The effectiveness of sodium 2-mercaptoethane sulfonate (mesna) in reducing capsular formation around implants in a rabbit model. Plast Reconstr Surg 112:1455–1461, 2003

    Article  PubMed  Google Scholar 

  2. Asplund O, Gylbert L, Jurell G, Ward C: Textured or smooth implants for submuscular breast augmentation: A controlled study. Plast Reconstr Surg 97:1200–1206, 1996

    Article  PubMed  CAS  Google Scholar 

  3. Baker J-L Jr, Bartels R-J, Douglas W-M: Closed compression technique for rupturing a contracted capsule around a breast implant. Plast Reconstr Surg 58:137–141, 1976

    Article  PubMed  Google Scholar 

  4. Barker D-E, Retsky M-I, Schutz S: Bleeding of silicone from baggel breast implants and its clinical relation to fibrous capsule reaction. Plast Reconstr Surg 61:836–840, 1978

    Article  PubMed  CAS  Google Scholar 

  5. Bronz G: How reliable are textured implants used in breast surgery? A review of 510 implants. Aesth Plast Surg 23:424–427, 1999

    Article  CAS  Google Scholar 

  6. Burkhardt B-R, Dempsey P-D, Schnur P-L, Tofield J-J: Capsular contracture: A prospective study of the effect of local antibacterial agents. Plast Reconstr Surg 77:919–932, 1986

    Article  PubMed  CAS  Google Scholar 

  7. Burkhardt B-R, Fried M, Schnur P-L, Tofield J-J: Capsules, infection, and intraluminal antibiotics. Plast Reconstr Surg 68:43–49, 1981

    Article  PubMed  CAS  Google Scholar 

  8. Cachay-Velasquez H, Ale A-A: Lateral approach to mammary implants. Ann Plast Surg 25:258–262, 1990

    Article  PubMed  CAS  Google Scholar 

  9. Caffee H: Intracapsular injection of triamcinolone for intractable capsule contracture. Plast Reconstr Surg 94:824–828, 1994

    Article  PubMed  CAS  Google Scholar 

  10. Chang L, Caldwell E, Reading G: A comparison of conventional and low-bleed implants in augmentation mammaplasty. Plast Reconstr Surg 89:79–82, 1992

    PubMed  CAS  Google Scholar 

  11. Coleman D-J, Foo I-T, Sharpe D-T: Textured or smooth implants for breast augmentation? A prospective controlled trial. Br J Plast Surg 44:444–448, 1991

    Article  PubMed  CAS  Google Scholar 

  12. Deva A-K, Chang L-C: Bacterial biofilms: A cause for accelerated capsular contracture? Aesth Surg J 19:130–136, 1999

    Article  Google Scholar 

  13. Dobke M-K, Svahn J-K, Vastine V-L, Landon B-N, Stein P-C, Parsons C-L: Characterization of microbial presence at the surface of silicone mammary implants. Ann Plast Surg 34:563–569, 1995

    Article  PubMed  CAS  Google Scholar 

  14. Domanskis E-J, Owsley J-Q Jr: Histological investigation of the etiology of capsule contracture following augmentation mammaplasty. Plast Reconstr Surg 58:689–693, 1976

    PubMed  CAS  Google Scholar 

  15. Ersek R-A: Rate and incidence of capsular contracture: A comparison of smooth and textured silicone double lumen breast prosthesis. Plast Reconstr Surg 87:879–884, 1991

    Article  PubMed  CAS  Google Scholar 

  16. Freedman A-M, Jackson I-T: Infections in breast implants. Infect Dis Clin North Am 3:275–287, 1989

    PubMed  CAS  Google Scholar 

  17. Friemann J, Bauer M, Golz B, Rombeck N, Hohr D, Erbs G, Steinau H-U, Olbrisch R-R: Physiologic and pathologic patterns of reaction to silicone breast implants. Zentralbl Chir 122:551–564, 1997

    PubMed  CAS  Google Scholar 

  18. Gabriel S-E, Woods J-E, O’Fallon W-M, Beard C-M, Kurland L-T, Melton L-J III: Complications leading to surgery after breast implantation. N Engl J Med 336:677–682, 1997

    Article  PubMed  CAS  Google Scholar 

  19. Hakelius L, Ohlsen L: Tendency to capsular contracture around smooth and textured gel-filled silicone mammary implants: A 5-year follow-up. Plast Reconstr Surg 100:1566–1569, 1997

    Article  PubMed  CAS  Google Scholar 

  20. Handel N, Jensen J-A, Black Q, Waisman J-R, Silverstein M-J: The fate of breast implants: A critical analysis of complications and outcomes. Plast Reconstr Surg 96:1521–1533, 1995

    Article  PubMed  CAS  Google Scholar 

  21. Hester T-R Jr, Nahai F, Bostwick J, Cukic J: A 5-year experience with polyurethane-covered mammary prostheses for treatment of capsular contracture, primary augmentation mammaplasty, and breast reconstruction. Clin Plast Surg 15:569–585, 1988

    PubMed  Google Scholar 

  22. Jennings D-A, Morykwas M-J, DeFranzo A-J, et al.: Analysis of silicone in human breast and capsular tissue surrounding prostheses and expanders. Ann Plast Surg 27:553–558, 1991

    Article  PubMed  CAS  Google Scholar 

  23. Kossovsky N, Freiman C-J: Silicone breast implant pathology: Clinical data and immunologic consequences. Arch Pathol Lab Med 118:686–693, 1994

    PubMed  CAS  Google Scholar 

  24. Lavine D-M: Saline inflatable prosthesis: 14 years’ experience. Aesth Plast Surg 17:325–330, 1993

    Article  CAS  Google Scholar 

  25. Lemperle G, Exner K: Effects of cortisone in double-lumen breast implants: 10-year experience. Aesth Plast Surg 17:317–323, 1993

    Article  CAS  Google Scholar 

  26. Oneal R-M, Argenta L-C: Late side effects related to inflatable breast implants containing soluble steroids. Plast Reconstr Surg 69:641–645, 1982

    Article  PubMed  CAS  Google Scholar 

  27. Parsons C-L, Stein P-C, Dobke M-K, Virden C-P, Frank D-H: Diagnosis and therapy of subclinically infected implants. Surg Gynecol Obstet 177:504–506, 1993

    PubMed  CAS  Google Scholar 

  28. Pfleiderer B, Garrido L: Migration and accumulation of silicone in the liver of women with silicone gel-filled breast implants. Magn Reson Med 33:8–17, 1995

    Article  PubMed  CAS  Google Scholar 

  29. Potera C: Biofilms invade microbiology. Science 273:1795–1797, 1996

    Article  PubMed  CAS  Google Scholar 

  30. Puckett C-L, Croll G-H, Reichel C-A, Concannon M-J: A critical look at capsular contracture in subglandular versus subpectoral mammary augmentation. Aesth Plast Surg 11:23–28, 1987

    Article  CAS  Google Scholar 

  31. Rees T-D, Ballantyne D-L Jr, Seidman I, Hawthorne G-A: Visceral response to subcutaneous and intraperitoneal injections of silicone in mice. Plast Reconstr Surg 39:402–410, 1967

    Article  PubMed  CAS  Google Scholar 

  32. Reid G, Bailey R-R: Biofilm infections: Implications for diagnosis and treatment. N Z Med J 109:41–42, 1996

    PubMed  CAS  Google Scholar 

  33. Roggendorf E: The biostability of silicone rubbers, a polyamide, and polyester. J Biomed Mater Res 10:123–143, 1976

    Article  PubMed  CAS  Google Scholar 

  34. Shah Z, Lehman J-A Jr, Stevenson G: Capsular contracture around silicone implants: The role of intraluminal antibiotics. Plast Reconstr Surg 69:809–814, 1982

    Article  PubMed  CAS  Google Scholar 

  35. Shah Z, Lehman J-A Jr, Tan J: Does infection play a role in breast capsular contracture? Plast Reconstr Surg 68:34–42, 1981

    Article  PubMed  CAS  Google Scholar 

  36. Smahel J: Effect of expansion exercises on capsular contraction around silicone implants. Aesth Plast Surg 3:339–341, 1976

    Google Scholar 

  37. Smahel J: Histology of capsule causing constrictive fibrosis around breast implants. Br J Plast Surg 30:324–329, 1977

    Article  PubMed  CAS  Google Scholar 

  38. Smahel J: Fibrous reactions in the tissues which surround silicone breast prostheses. Br J Plast Surg 31:250–251, 1978

    PubMed  CAS  Google Scholar 

  39. Sung J-J: Bacterial biofilm and clogging of biliary stents. J Indust Microbiol 15:152–155, 1995

    Article  CAS  Google Scholar 

  40. Tatum A-H, Shelburne J-D, Ingram P, et al.: Scanning electron microscopy and x-ray microanalysis of foreign bodies associated with silastic implants in humans. Contraception 28:543–564, 1983

    Article  PubMed  CAS  Google Scholar 

  41. Thuesen B, Siim E, Christensen L, Schroder M: Capsular contracture after breast reconstruction with the tissue expansion technique: A comparison of smooth and textured silicone breast prostheses. Scand J Plast Reconstr Surg Hand Surg 29:9–13, 1995

    PubMed  CAS  Google Scholar 

  42. Virden C-P, Dobke M-K, Stein P, Parsons C-L, Frank D-H: Subclinical infection of silicone breast implant surface as a possible cause of capsular contracture. Aesth Plast Surg 16:173–178, 1992

    Article  CAS  Google Scholar 

  43. Wagner H, Beller F-K, Pfautsch M: Electron and light microscopy examination of capsules around breast implants. Plast Reconstr Surg 60:49–55, 1977

    Article  PubMed  CAS  Google Scholar 

  44. Wilflingsedar P, Propst A, Mikuz G: Constrictive fibrosis following silicon implants in mammary augmentation. Clin Plast Surg 2:215–222, 1974

    Google Scholar 

  45. Wyatt L-E, Sinow J-D, Wollman J-S, et al.: The influence of time on human breast capsule histology: Smooth and textured silicone-surfaced implants. Plast Reconstr Surg 102:1922–1931, 1998

    Article  PubMed  CAS  Google Scholar 

  46. Yeoh G, Russell P, Jenkins E: Spectrum of histological changes reactive to prosthetic breast implants: A clinopathological study of 84 patients. Pathology 28:232–235, 1996

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Asu Deniz Yilmaz M.D..

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Unlu, R.E., Yilmaz, A.D., Orbay, H. et al. Influence of Rifampin on Capsule Formation Around Silicone Implants in a Rat Model. Aesth Plast Surg 31, 358–364 (2007). https://doi.org/10.1007/s00266-006-0248-8

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