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Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh

PURPOSE: Breast conserving surgery using mesh can effectively fill the defective space, but there is the risk of infection. METHODS: From June 2007 to August 2010, 243 patients who underwent breast conserving surgery with polyglactin 910 mesh insert for breast cancer at our institution were retrospe...

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Autores principales: Cho, Jin Seong, Shin, Sun Hyoung, Park, Ji Young, Song, Young Ju, Yi, Jeong Min, Park, Min Ho, Yoon, Jung Han, Jegal, Young Jong, Yi, Ji Sin, An, Seong Ja, Lim, Hwo Soon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Breast Cancer Society 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268931/
https://www.ncbi.nlm.nih.gov/pubmed/22323921
http://dx.doi.org/10.4048/jbc.2011.14.4.328
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author Cho, Jin Seong
Shin, Sun Hyoung
Park, Ji Young
Song, Young Ju
Yi, Jeong Min
Park, Min Ho
Yoon, Jung Han
Jegal, Young Jong
Yi, Ji Sin
An, Seong Ja
Lim, Hwo Soon
author_facet Cho, Jin Seong
Shin, Sun Hyoung
Park, Ji Young
Song, Young Ju
Yi, Jeong Min
Park, Min Ho
Yoon, Jung Han
Jegal, Young Jong
Yi, Ji Sin
An, Seong Ja
Lim, Hwo Soon
author_sort Cho, Jin Seong
collection PubMed
description PURPOSE: Breast conserving surgery using mesh can effectively fill the defective space, but there is the risk of infection. METHODS: From June 2007 to August 2010, 243 patients who underwent breast conserving surgery with polyglactin 910 mesh insert for breast cancer at our institution were retrospectively studied. RESULTS: Infection occurred in 25 (10.3%) of 243 patients. When comparing the infection and non-infection groups in multivariate analysis, there was no significant difference in age, underlying disease, preoperative biopsy methods, mass location, axillary lymph node dissection, operative methods, neoadjuvant or adjuvant chemotherapy use, mass size and removed breast volume. The infection appeared more common only in patients with body mass index (BMI) greater than 25. Infection symptoms occurred, on average, 119.5 days after surgery, and the average duration of the required treatment was 34.4 days. Out of 25 patients with postoperative infection complications, 16 (64%) patients underwent incision and drainage with mesh removal, whereas the remaining 9 (36%) only required conservative treatment. CONCLUSION: During breast conserving surgery, the risk of infection is increased in patients with high BMI, and should be taken into account when considering insertion of a polyglactin 910 mesh. Patient's age, underlying disease and perioperative treatment methods were not significant risk factors for developing mesh infection. Given that most infections seem to develop symptoms one month after surgery, a long enough observation period should be initiated. Early detection and appropriate conservative treatments may effectively address infections, thus reducing the need for more invasive therapies.
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spelling pubmed-32689312012-02-09 Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh Cho, Jin Seong Shin, Sun Hyoung Park, Ji Young Song, Young Ju Yi, Jeong Min Park, Min Ho Yoon, Jung Han Jegal, Young Jong Yi, Ji Sin An, Seong Ja Lim, Hwo Soon J Breast Cancer Original Article PURPOSE: Breast conserving surgery using mesh can effectively fill the defective space, but there is the risk of infection. METHODS: From June 2007 to August 2010, 243 patients who underwent breast conserving surgery with polyglactin 910 mesh insert for breast cancer at our institution were retrospectively studied. RESULTS: Infection occurred in 25 (10.3%) of 243 patients. When comparing the infection and non-infection groups in multivariate analysis, there was no significant difference in age, underlying disease, preoperative biopsy methods, mass location, axillary lymph node dissection, operative methods, neoadjuvant or adjuvant chemotherapy use, mass size and removed breast volume. The infection appeared more common only in patients with body mass index (BMI) greater than 25. Infection symptoms occurred, on average, 119.5 days after surgery, and the average duration of the required treatment was 34.4 days. Out of 25 patients with postoperative infection complications, 16 (64%) patients underwent incision and drainage with mesh removal, whereas the remaining 9 (36%) only required conservative treatment. CONCLUSION: During breast conserving surgery, the risk of infection is increased in patients with high BMI, and should be taken into account when considering insertion of a polyglactin 910 mesh. Patient's age, underlying disease and perioperative treatment methods were not significant risk factors for developing mesh infection. Given that most infections seem to develop symptoms one month after surgery, a long enough observation period should be initiated. Early detection and appropriate conservative treatments may effectively address infections, thus reducing the need for more invasive therapies. Korean Breast Cancer Society 2011-12 2011-12-27 /pmc/articles/PMC3268931/ /pubmed/22323921 http://dx.doi.org/10.4048/jbc.2011.14.4.328 Text en © 2011 Korean Breast Cancer Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Jin Seong
Shin, Sun Hyoung
Park, Ji Young
Song, Young Ju
Yi, Jeong Min
Park, Min Ho
Yoon, Jung Han
Jegal, Young Jong
Yi, Ji Sin
An, Seong Ja
Lim, Hwo Soon
Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title_full Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title_fullStr Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title_full_unstemmed Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title_short Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh
title_sort analysis of infections occurring in breast cancer patients after breast conserving surgery using mesh
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268931/
https://www.ncbi.nlm.nih.gov/pubmed/22323921
http://dx.doi.org/10.4048/jbc.2011.14.4.328
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