Navigation Links
Implants Double Infection Risk After Breast Reconstruction
Date:1/22/2008

More must be done to help women avoid painful, costly complications, researchers say

TUESDAY, Jan. 22 (HealthDay News) -- Breast cancer patients who undergo reconstruction surgeries after a mastectomy are twice as likely to suffer an infection at the surgery site if they receive an implant instead of their own tissue, a new study finds.

Researchers at the Washington University School of Medicine in St. Louis analyzed 949 hospital admissions for mastectomy or breast reconstruction surgery at a university-affiliated hospital between 1999 and 2002.

Reporting in the January issue of the Archives of Surgery, they found that surgical site infections occurred in 50 women (5.3 percent) within one year of surgery. These infections arose in a little more than 12 percent of mastectomies where breast reconstruction involved an implant, compared to just over 6 percent of mastectomies where the reconstruction involved the patient's own abdominal tissue.

"The bottom line is that implants are associated with an increased risk of infection in breast cancer patients," study author Margaret Olsen, a research assistant professor of medicine at the university, told The New York Times. "The question is what factors contribute to this increased risk and what can be done to prevent it?"

The average time between surgery and infection diagnosis was about 47 days, the researchers noted.

Patients with surgical site infections had significantly higher hospital cost -- an average of about $4,100 per patient -- and they had a significantly longer total length of hospital stay, the study authors wrote.

Speaking to the Times, another expert said there are many reasons why implants could boost infection risks. Dr. Stephen R. Colen, chairman of plastic and reconstructive surgery at Hackensack University Medical Center in New Jersey, said that any time a foreign body is introduced during surgery it provides a surface on which bacteria can grow. And implantation involves a number of procedures that create opportunities for infections to occur, he said.

But Colen also stressed that reconstruction using abdominal tissue has its own risks. He told the Times that these procedures take several hours longer than implant reconstructions, boosting patients' odds for blood clots and lung embolisms. And in 2 percent of cases, the transplanted tissue dies, necessitating more surgeries.

Effective prevention measures would reduce both infections and related costs, Olsen's team wrote. Those measures include, "strategies to optimize the timing and dosage of prophylactic antibiotics administered before the surgical incision, glucose control in diabetic patients, promotion of meticulous hand hygiene and strategies to promote timely removal of drains, among others," they said.

More information

Breastcancer.org has more about breast surgery.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, Jan. 21, 2008, Jan. 22, 2008, The New York Times


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Combined radiation seed, chemotherapy wafer implants show promise in treating cancerous brain tumors
2. Freeze-dried tendon implants prove effective in early studies
3. ASPS Studies Re-Evaluate Psychological Benefits and Health Concerns of Silicone Breast Implants
4. Neural Insights Could Bring Better Cochlear Implants
5. Advertisements for Medical Devices, Implants Should Carry Warnings of Dangerous Side Effects, Infections
6. BioHorizons Introduces Its New Tapered Internal Implants Featuring Laser-Lok(R) Microgrooves
7. Little Evidence Silicone Breast Implants Harm Health
8. TyRx Pharma, Inc. Announces Presentation of Results to Benefit Women with Breast Implants (In-Vivo Efficacy Study Regarding AIGISRx DEB) at the Plastic Surgery 2007 Meeting on October, 28 2007 in Baltimore, MD
9. Bone-growing nanomaterial could improve orthopaedic implants
10. Nanowire coating for bone implants, stents
11. Depression and anxiety can double chances of heart ailments
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Implants Double Infection Risk After Breast Reconstruction
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and ... explains one of the most popular and least understood books in the Holy Scriptures, ... puzzling descriptions that have baffled scholars for centuries. Many have tossed it off as ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance ... management, will showcase a range of technology and learning solutions at the 68th ... and Expo to be held October 14–18, 2017 at the Mandalay Bay Resort ...
(Date:10/12/2017)... ... ... The American College of Medical Informatics (ACMI) will present the 2017 Morris ... of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium is taking ... in the field of medical informatics, this prestigious award is presented to an individual ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at Children’s ... the 49th Congress of the International Society of Paediatric Oncology (SIOP) Oct. ... Center for Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra Chief ... advancements to physician colleagues, skilled nursing facility medical directors and other clinicians at ... of Wound Care." , "At many of these conferences we get to educate ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2017 Diplomat Pharmacy, Inc. (NYSE: ... Consulting, LLC , and named its founder as Diplomat,s ... Tennessee , will operate under Diplomat ... service offerings for health care partners to include IT ... "In an interoperable world, technology delivers comprehensive ...
(Date:9/28/2017)... CHICAGO , Sept. 28, 2017 Hill-Rom ... quarter 2017 earnings conference call and webcast on Friday, ... 8:00 a.m. (EDT) and ending at approximately 8:30 a.m. ... to discussing the company,s 2017 financial performance and guidance ... growth opportunities, initiatives to enhance operational performance, and long-range ...
(Date:9/25/2017)... R.I. , Sept. 25, 2017  EpiVax, ... assessment, vaccine design, and immune-engineering today announced the ... on the development of personalized therapeutic cancer vaccines. ... has provided exclusive access to enabling technologies to ... Eng., MBA will lead EpiVax Oncology as Chief ...
Breaking Medicine Technology: