Evidence-Based Steps to Mitigate Bacterial Contamination.

Clinics in plastic surgery 2026 Vol.53(2) p. 203-209

Alameddine KO, Adams WP

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Abstract

Capsular contracture, the most common complication in breast implant surgery, is primarily driven by bacterial biofilm formation. Risk is influenced by surgical factors such as incision choice, implant placement, and sterility. Textured implants do not reduce contracture and may increase complications, including breast implant-associated anaplastic large cell lymphoma. Evidence-based strategies-most notably the 14 point plan, betadine-based antimicrobial irrigations, meticulous surgical technique, and structured postoperative care-have reduced contracture rates from up to 50% historically to under 1% in modern practice. Comprehensive management with capsulectomy, site change, and adjuncts further optimizes long-term outcomes and patient satisfaction.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 breast 유방 dict 2
합병증 capsular contracture 피막구축 dict 1
합병증 anaplastic large cell lymphoma 보형물연관 역형성대세포림프종 dict 1
질환 contracture C0009917
Contracture
scispacy 1
질환 breast implant-associated anaplastic large cell lymphoma C4528210
Breast implant-associated anaplastic large-cell lymphoma
scispacy 1
질환 breast implant scispacy 1
기타 patient scispacy 1

MeSH Terms

Humans; Breast Implants; Breast Implantation; Female; Implant Capsular Contracture; Surgical Wound Infection; Evidence-Based Medicine; Biofilms; Prosthesis-Related Infections

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