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Aesthetic Plast Surg. 2021 Feb;45(1):1-10. doi: 10.1007/s00266-020-01965-y. Epub 2020 Sep 29.
Wounds are generally classified as clean, clean contaminated, contaminated and dirty. Aesthetic surgery, including breast augmentation, is classified as clean or clean contaminated. The presence of bacteria on the skin, in nipple secretions, in superficial and deep parenchymal samples and also the presence of bacteria in capsules and on implants justifies the use of antibiotics. However, there is a paucity of information about whether added bacterial flora on the capsule of the implant pockets, and the handling of these capsules as capsulotomy or capsulectomy makes secondary augmentation mammoplasty more prone to wound healing issues or periprosthetic infection. The current study is the analysis carried out between primary and secondary augmentation mammoplasties to look at the incidence of periprosthetic infection between the two groups.
A retrospective data analysis for periprosthetic infection and wound healing issues following primary and secondary augmentation mammoplasties performed between April 1999 and April 2019 was carried out.
A total of 2521 (5042 breasts) primary and 386 (772 breasts) secondary augmentation mammoplasty data were available for analysis. Periprosthetic infection was seen in 0.7% and 0.5% of the primary and secondary augmentations, respectively, with no significant difference. Wound healing issues were significantly higher in primary augmentation mammoplasty.
There was a marginally higher incidence of periprosthetic infection in primary augmentation mammoplasty as compared to secondary augmentation mammoplasty; however, the difference was not significant. On the contrary, the wound healing and superficial skin issues were higher in primary as compared to secondary augmentation mammoplasty, and the difference was statistically significant.
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伤口通常分为清洁、清洁污染、污染和脏污。包括隆胸在内的美容手术被归类为清洁或清洁污染。皮肤、乳头分泌物、浅表和深部实质样本中的细菌存在，以及胶囊和植入物上的细菌存在，都证明了使用抗生素的合理性。然而，关于植入物囊袋上添加的细菌菌群以及对这些胶囊进行囊切开术或囊切除术是否会使二次隆胸更容易出现伤口愈合问题或假体周围感染，信息仍然匮乏。目前的研究是对原发性和继发性隆胸术进行分析，以观察两组之间假体周围感染的发生率。
对 1999 年 4 月至 2019 年 4 月期间进行的原发性和继发性隆胸术的假体周围感染和伤口愈合问题进行了回顾性数据分析。
共分析了 2521 例（5042 个乳房）原发性和 386 例（772 个乳房）继发性隆胸术的数据。原发性和继发性隆胸术的假体周围感染发生率分别为 0.7%和 0.5%，无显著差异。原发性隆胸术的伤口愈合问题明显更高。
与继发性隆胸术相比，原发性隆胸术的假体周围感染发生率略高，但差异无统计学意义。相反，原发性隆胸术的伤口愈合和浅层皮肤问题高于继发性隆胸术，差异具有统计学意义。
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