文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

平滑凝胶乳房植入物放置中的污染:在尸体模型中测试漏斗与数字插入技术。

Contamination in smooth gel breast implant placement: testing a funnel versus digital insertion technique in a cadaver model.

机构信息

Division of Plastic and Reconstructive Surgery, Emory University, 1364 Clifton Road NE, Atlanta, GA 30322, USA.

出版信息

Aesthet Surg J. 2012 Feb;32(2):194-9. doi: 10.1177/1090820X11434505. Epub 2012 Jan 18.


DOI:10.1177/1090820X11434505
PMID:22261323
Abstract

BACKGROUND: Overt infection and biofilm formation resulting from breast augmentation are rare but serious problems that can lead to contracture and a need for revision surgery. The Keller Funnel is a medical device composed of a rip-stop nylon sleeve with a hydrophilic inner coating. One claim of the funnel is that it facilitates a "no touch" technique, thereby limiting contamination. To date, there are no data to support this claim. OBJECTIVES: The authors evaluate skin and breast parenchyma contamination with standard implantation techniques and the Keller funnel. METHODS: Insertion techniques were tested in two fresh cadavers. Smooth, round, moderate-plus silicone gel implants were placed for each experiment. To quantify the amount of skin contamination, a 2% w/v fluorescein paste was painted onto the cadaver thorax. After implantation, the implants were soaked in 250 mL of sterile water, and the fluorescence emission of the resulting solution was measured with an ultraviolet-visible spectrophotometer. To qualify the potential contamination from breast parenchyma, the cadaver breast tissue was swabbed with methicillin-sensitive Staphylococcus aureus, and the implant surfaces were cultured postimplantation. RESULTS: The funnel resulted in a 27-fold decrease in skin contact for all smooth gel implants (P = .00059). The amount of skin contact and potential contamination increased incrementally with increasing implant volume when either the funnel or digital implantation techniques were used. Bacterial contamination from breast parenchyma was two times more likely with the standard digital insertion technique (P = .06). CONCLUSIONS: The Keller funnel appears to significantly reduce the amount of skin contact and potential parenchyma contamination.

摘要

背景:乳房增大术后的显性感染和生物膜形成虽少见,但却是严重的问题,可导致挛缩和需要进行翻修手术。凯勒漏斗(Keller Funnel)是一种由带有亲水性内层的防撕裂尼龙套组成的医疗器械。该漏斗的一个特点是它可以实现“无接触”技术,从而限制污染。迄今为止,尚无数据支持这一说法。

目的:作者评估了标准植入技术和凯勒漏斗对皮肤和乳房实质的污染情况。

方法:在两个新鲜的尸体上测试了插入技术。每个实验都放置了光滑、圆形、中度加硅胶凝胶植入物。为了量化皮肤污染的程度,将 2% w/v 的荧光素糊涂在尸体的胸部。植入后,将植入物浸泡在 250 毫升无菌水中,并用紫外可见分光光度计测量所得溶液的荧光发射。为了确定来自乳房实质的潜在污染,用对甲氧西林敏感的金黄色葡萄球菌擦拭尸体乳房组织,并在植入后对植入物表面进行培养。

结果:对于所有光滑凝胶植入物,漏斗使皮肤接触减少了 27 倍(P =.00059)。当使用漏斗或数字植入技术时,皮肤接触量和潜在污染量随着植入物体积的增加而逐渐增加。标准数字插入技术使乳房实质的细菌污染的可能性增加了两倍(P =.06)。

结论:凯勒漏斗似乎显著减少了皮肤接触和潜在实质污染的量。

相似文献

[1]
Contamination in smooth gel breast implant placement: testing a funnel versus digital insertion technique in a cadaver model.

Aesthet Surg J. 2012-1-18

[2]
Does Implant Insertion with a Funnel Decrease Capsular Contracture? A Preliminary Report.

Aesthet Surg J. 2016-5

[3]
Risk of breast implant bacterial contamination from endogenous breast flora, prevention with nipple shields, and implications for biofilm formation.

Aesthet Surg J. 2012-9-10

[4]
Implant Insertion Time and Incision Length in Breast Augmentation Surgery with the Keller Funnel: Results from a Comparative Study.

Aesthetic Plast Surg. 2019-8

[5]
Primary breast augmentation clinical trial outcomes stratified by surgical incision, anatomical placement and implant device type.

J Plast Reconstr Aesthet Surg. 2013-5-9

[6]
Microbial Evaluation in Capsular Contracture of Breast Implants.

Plast Reconstr Surg. 2018-1

[7]
Understanding the Etiology and Prevention of Capsular Contracture: Translating Science into Practice.

Clin Plast Surg. 2015-10

[8]
The Efficacy of Breast Implant Irrigant Solutions: A Comparative Analysis Using an In Vitro Model.

Plast Reconstr Surg. 2020-8

[9]
Preventing Bacterial Contamination of Breast Implants Using Infection Mitigation Techniques: An In Vitro Study.

Aesthet Surg J. 2024-5-15

[10]
Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice.

Ann Plast Surg. 2017-2

引用本文的文献

[1]
Have We Really Shifted to an Evidence-Based Practice? A Qualitative Analysis of Primary Breast Augmentation.

Eplasty. 2024-9-18

[2]
Clinical Evaluation of Microbial Communities and Associated Biofilms with Breast Augmentation Failure.

Microorganisms. 2024-9-4

[3]
Publication Trends in Aesthetic Breast Surgery: A Bibliometric Analysis.

Aesthet Surg J Open Forum. 2024-6-10

[4]
Twelve Years and over 2400 Implants Later: Augmentation Mammoplasty Risk Factors Based on a Single Plastic Surgeon's Experience.

Plast Reconstr Surg Glob Open. 2024-4-5

[5]
Breast Augmentation: A Cross-Sectional Survey of UK and Irish Aesthetic Surgeons.

Aesthet Surg J Open Forum. 2023-7-21

[6]
Perineal Surgery: A Novel Use for the Keller Funnel.

Eplasty. 2022-10-12

[7]
Keller Funnel Efficacy in "No Touch" Breast Augmentation and Reconstruction: A Systematic Review.

Plast Reconstr Surg Glob Open. 2022-11-23

[8]
Preventing Infection in Implant-based Breast Reconstruction: Evaluating the Evidence for Common Practices and Standardized Protocols.

Plast Reconstr Surg Glob Open. 2022-3-22

[9]
Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels.

Plast Reconstr Surg Glob Open. 2021-11-2

[10]
Double Loading of Breast Implants in Aesthetic and Reconstructive Plastic Surgery With the iNPLANT Funnel.

Aesthet Surg J Open Forum. 2021-3-12

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索