Laveaux C, Pauchot J, Loury J, Leroy J, Tropet Y
IFR 133 Inserm, CHU Jean-Minjoz, université de Franche-Comté, boulevard Fleming, 25030 Besançon cedex, France.
Ann Chir Plast Esthet. 2009 Aug;54(4):358-64. doi: 10.1016/j.anplas.2009.02.006. Epub 2009 Mar 31.
The authors report three cases of contaminated implant "salvage" after aesthetic breast augmentation. Patients' care included a lavage of the pocket, a change of the implant and an adapted bi-antibiotherapy of 6 weeks, including 8 days intravenous. In one case, this protocol has been started after failure of antibiotherapy alone. Patients, reviewed at 13 months or more, were not showing any signs of infection. One of them was showing a Baker's grade 3 capsule contracture on the infected side. Through a literature review, we discuss the modalities of an effective conservative treatment and its justification.