Capsular contracture: a prospective study of the effect of local antibacterial agents.

Plastic and reconstructive surgery 1986 Vol.77(6) p. 919-32

Burkhardt BR, Dempsey PD, Schnur PL, Tofield JJ

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Abstract

In a prospective, random, double-blind, and concurrently controlled clinical study of 124 patients having augmentation mammaplasty, using multiple independent subjective judges as well as objective compressibility measurements, the use of a variety of local antibacterials in or around inflatable retromammary prosthetic implants reduced the early postoperative onset of class III to IV capsular contracture by sevenfold (85 percent) and the final incidence by more than half (50 percent) (p less than 0.01). We believe this study provides the most unequivocal evidence to date that the cause of capsular contracture in retromammary augmentation is periprosthetic bacterial contamination. Irrigation with a 5 percent povidone-iodine (50 percent Betadine) solution was as effective as other techniques and is currently our procedure of choice.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
합병증 capsular contracture 피막구축 dict 3
시술 mammaplasty 유방성형술 dict 1
해부 retromammary scispacy 1
약물 povidone-iodine C0032857
povidone-iodine
scispacy 1
질환 contracture C0009917
Contracture
scispacy 1
기타 Capsular scispacy 1
기타 patients scispacy 1
기타 class III to IV capsular scispacy 1

MeSH Terms

Administration, Topical; Anti-Bacterial Agents; Breast; Cephalothin; Clinical Trials as Topic; Double-Blind Method; Equipment Contamination; Equipment Failure; Female; Humans; Postoperative Complications; Povidone-Iodine; Prostheses and Implants; Prosthesis Failure; Random Allocation; Surgery, Plastic; Therapeutic Irrigation

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