Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis

Summary:. Infectious complications represent one of the most prominent factors contributing to tissue expander (TE) loss in breast reconstruction procedures. Several patient characteristics that increase the risk for surgical-site infection or TE infection have been reported, but no study has focuse...

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Main Authors: Mifue Taminato, MD, Koichi Tomita, MD, PhD, Kenji Yano, MD, PhD, Ko Hosokawa, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2017-10-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001535
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author Mifue Taminato, MD
Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Ko Hosokawa, MD, PhD
author_facet Mifue Taminato, MD
Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Ko Hosokawa, MD, PhD
author_sort Mifue Taminato, MD
collection DOAJ
description Summary:. Infectious complications represent one of the most prominent factors contributing to tissue expander (TE) loss in breast reconstruction procedures. Several patient characteristics that increase the risk for surgical-site infection or TE infection have been reported, but no study has focused on the relationship between atopic dermatitis (AD) and TE infection or surgical-site infection. Recently, we investigated 203 cases of breast reconstruction surgeries performed using TEs and noted that all 3 patients who had AD developed infectious complications that ultimately led to TE removal. Considering its pathophysiology, it is likely that patients with AD relatively easily develop infectious complications due to barrier dysfunction, abnormalities in innate immune responses, or colony formation by Staphylococcus aureus. Particular caution should be exercised for breast reconstruction using man-made materials in cases complicated by AD.
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spelling doaj.art-5987956f63f847188d31c70853170f662022-12-22T01:55:45ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742017-10-01510e153510.1097/GOX.0000000000001535201710000-00028Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic DermatitisMifue Taminato, MD0Koichi Tomita, MD, PhD1Kenji Yano, MD, PhD2Ko Hosokawa, MD, PhD3From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.Summary:. Infectious complications represent one of the most prominent factors contributing to tissue expander (TE) loss in breast reconstruction procedures. Several patient characteristics that increase the risk for surgical-site infection or TE infection have been reported, but no study has focused on the relationship between atopic dermatitis (AD) and TE infection or surgical-site infection. Recently, we investigated 203 cases of breast reconstruction surgeries performed using TEs and noted that all 3 patients who had AD developed infectious complications that ultimately led to TE removal. Considering its pathophysiology, it is likely that patients with AD relatively easily develop infectious complications due to barrier dysfunction, abnormalities in innate immune responses, or colony formation by Staphylococcus aureus. Particular caution should be exercised for breast reconstruction using man-made materials in cases complicated by AD.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001535
spellingShingle Mifue Taminato, MD
Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Ko Hosokawa, MD, PhD
Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
Plastic and Reconstructive Surgery, Global Open
title Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
title_full Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
title_fullStr Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
title_full_unstemmed Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
title_short Infectious Complications following Breast Reconstruction Using Tissue Expanders in Patients with Atopic Dermatitis
title_sort infectious complications following breast reconstruction using tissue expanders in patients with atopic dermatitis
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001535
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