scholarly journals Clinic Evaluation of the Use of Tissue Expanders: Report of Ten Pediatric Cases

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Hugo Juárez Olguín ◽  
Gerardo Fernández Sobrino ◽  
Lulú Sánchez Reyes ◽  
Francisca Trujillo Jiménez ◽  
Francisco González Zamora
Keyword(s):  
Tissue Expanders

scholarly journals 890. Incidence and Microbiology of Surgical Site Infection (SSI) after Breast Surgery

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S479-S479
Author(s):  
Farah Tanveer ◽  
Dima Youssef ◽  
Mamta Youssef ◽  
Susanna Szpunar ◽  
Michelle Flood
Keyword(s):  
Surgical Site Infection ◽  
Breast Surgery ◽  
Tissue Expander ◽  
Empiric Therapy ◽  
Site Infection ◽  
Gram Positive ◽  
Historical Cohort ◽  
Gram Negative ◽  
Tissue Expanders ◽  
Student’S T

Abstract Background Surgical site infection (SSI) after breast surgery is much more common than expected after a clean surgical procedure. Although breast SSIs are primarily Gram-positive; recent literature shows an increase in Gram-negative infections. We assessed the risk factors and microbiology of SSI following breast surgery at our institution. Methods We conducted a historical cohort study of all (³ 18 y) females who had surgery from 1/1/2014-3/31/2019 and subsequent SSI within 90 days of the procedure. Two controls, matched for surgery type, were selected per case. Data were collected on demographic and clinical characteristics, surgery type, microbiology and antibiotics. Data were analyzed using the χ 2 test, Student’s t-test and multivariable logistic regression with a forward likelihood ratio algorithm. Results After excluding patients with limited data, we reviewed 284 charts: 95 of 132 cases and 189 controls. The 90-day incidence of SSI was 3.5 % (132/3755). Cases were younger than controls: 53.9 ± 12.4 years vs. 58.3± 13.7 years, respectively, p=0.02. Controls had more comorbidities: 1.8 ± 1.3 vs. 1.4 ± 0.7,respectively, p=0.001. Tissue expanders were placed in 65 (70%) cases versus 11 (5.8%) controls (p < 0.0001). After controlling for age, BMI, comorbidities and post-operative antibiotics, only tissue expanders were associated with infection (OR=35.1, p< 0.0001, 95% CI: 16.6, 74.0). Microbiological data were available for 84 cases. Gram-positive organisms accounted for 45 (53.6%) infections and Gram-negative organisms accounted for 39 (46.4%) infections. Over 72% of African Americans (p= 0.014), 76.5% of patients with diabetes (p=0.005) and 57.1 % with tissue expanders (p= 0.02) had Gram-negative infections. The table shows the multivariable predictors of Gram-negative infection. Tissue expander removal was required in 61.5% of patients with Gram-negative infections compared to 39% with Gram-positive infections. Predictors of Gram-negative SSI after breast surgery Conclusion Patients with tissue expanders had a higher incidence of SSI after breast surgery; removal was often required in Gram-negative infections. Diabetes and post-operative antibiotics were significant predictors of Gram-negative infection. Knowledge of local epidemiology is a key factor in deciding empiric therapy for SSI. Disclosures All Authors: No reported disclosures

Activity of Antimicrobial-Impregnated Silicone Tissue Expanders

2002 ◽  
Vol 49 (6) ◽  
pp. 567-571 ◽  
Author(s):  
Rabih O. Darouiche ◽  
David T. Netscher ◽  
Mohammad D. Mansouri ◽  
Ricardo Meade
Keyword(s):  
Tissue Expanders

Kinetic study of release of silicon compounds from polysiloxane tissue expanders

1995 ◽  
Vol 29 (1) ◽  
pp. 59-63 ◽  
Author(s):  
M. L. Raimondi ◽  
C. Sassara ◽  
Ignazio Renato Bellobono ◽  
L. Matturri
Keyword(s):  
Kinetic Study ◽  
Silicon Compounds ◽  
Tissue Expanders

The Suspension Technique to Avoid the Use of Tissue Expanders in Breast Reconstruction

2005 ◽  
Vol 54 (5) ◽  
pp. 467-470 ◽  
Author(s):  
Mario Rietjens ◽  
Francesca De Lorenzi ◽  
Marco Venturino ◽  
Jean Yves Petit
Keyword(s):  
Breast Reconstruction ◽  
Tissue Expanders

scholarly journals Right Breast Mastectomy and Reconstruction with Tissue Expander under Thoracic Paravertebral Blocks in a 12-Week Parturient

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher Allen-John Webb ◽  
Paul David Weyker ◽  
Shara Cohn ◽  
Amanda Wheeler ◽  
Jennifer Lee
Keyword(s):  
Breast Cancer ◽  
Postoperative Pain ◽  
General Anesthesia ◽  
Pain Control ◽  
Breast Surgery ◽  
Anesthetic Management ◽  
Healthy Woman ◽  
Tissue Expander ◽  
Postoperative Pain Control ◽  
Tissue Expanders

Paravertebral blocks are becoming increasingly utilized for breast surgery with studies showing improved postoperative pain control, decreased need for opioids, and less nausea and vomiting. We describe the anesthetic management of an otherwise healthy woman who was 12 weeks pregnant presenting for treatment of her breast cancer. For patients undergoing breast mastectomy and reconstruction with tissue expanders, paravertebral blocks offer an anesthetic alternative when general anesthesia is not desired.

Use of videoscopy as an aid in the placement of tissue expanders

1994 ◽  
Vol 94 (2) ◽  
pp. 415
Author(s):  
J. Anger ◽  
T. Szego ◽  
José M. Mélega
Keyword(s):  
Tissue Expanders

scholarly journals Periodontal Soft Tissue Expanders - A Review

2014 ◽  
Vol 13 (1) ◽  
pp. 31-35 ◽  
Author(s):  
G. Harini ◽  
◽  
DR.G Kaarthikeyan
Keyword(s):  
Soft Tissue ◽  
Tissue Expanders
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