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(PDF) Postoperative Complications in Immediate Breast Reconstruction

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"https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F97188868%2FInfluence_of_postoperative_complications_on_the_failure_of_immediate_breast_reconstruction_with_silicone_implants%3Fshow_translation%3Dtrue"; window.loswp.previewableAttachments = [{"id":98879505,"identifier":"Attachment_98879505","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":97188868,"created_at":"2023-02-19T19:12:26.284-08:00","from_world_paper_id":227991398,"updated_at":"2024-11-27T19:00:06.536-08:00","_data":{"publisher":"GN1 Genesis Network","ai_title_tag":"Postoperative Complications in Immediate Breast Reconstruction","grobid_abstract":"Introduction: Immediate breast reconstruction with silicone implants following mastectomy is a simple method, but can develop complications culminating in implant removal. The aim of this study was to analyze postoperative complications and evaluate their correlation with implant removal. Method: In a period of 4 years, 323 cases of immediate breast reconstruction with silicone implants following total mastectomy were retrospectively studied in the Institut Gustave-Roussy, France. Results: The most frequent complication was lymphocele (34.9%), followed by cutaneous necrosis (22.9%), infection (19.3%), and hematoma (13.3%). Implant removal was more frequent when a surgical complication occurred, and even more frequent when there was more than one type of complication. The most frequent complication leading to implant removal was infection (75.0%). The expander was the implant that had the highest correlation with implant removal. The use of implants with a volume greater than 300 ml was associated with a significantly higher risk of implant removal. Conclusions: 1) The presence of postoperative complications was a risk factor for implant removal. 2) The risk of removal was higher when more than one complication was present. 3) Infection was the main type of complication associated with implant removal. 4) The expander presented a higher risk of complications and implant removal. 5) The use of implants with a volume greater than 300 ml had a greater risk of need for removal.","publication_date":"2015,,","publication_name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","grobid_abstract_attachment_id":"98879505"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Influence of postoperative complications on the failure of immediate breast reconstruction with silicone implants","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [98888080]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;swp-splash-paper-cover&quot;,&quot;attachmentId&quot;:98879505,&quot;attachmentType&quot;:&quot;pdf&quot;}"><img alt="First page of “Influence of postoperative complications on the failure of immediate breast reconstruction with silicone implants”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/98879505/mini_magick20230220-1-1ok9azk.png?1676863018" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Influence of postoperative complications on the failure of immediate breast reconstruction with silicone implants</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="98888080" href="https://unifesp.academia.edu/DrAdrianoBrasolin"><img alt="Profile image of Dr. Adriano Brasolin" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Dr. Adriano Brasolin</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2015, Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">8 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 97188868; 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The purpose of this study was to evaluate the incidence and some factors influencing early local complications in patients undergoing NSM with immediate implant reconstruction. prospective study was performed on a consecutive series of 214 breast reconstructions in 205 patients. All complications during the six weeks after surgery were recorded. 42 prostheses were implanted after neoadjuvant chemotherapy, 27 patients previously had radiotherapy due to breast conserving surgery and in all other cases surgery was the pri-mary treatment for cancer. the overall six-week complication rate was 16% (35) and included: major skin flap necrosis (4%, 9 procedures), minor skin necrosis (3%, 7), major infection (2%, 5), minor infection (3%, 7), prolonged seroma formation (3%, 6), haematoma (1%, 2) and epidermolysis (1%,...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Early complications after nipple-sparing mastectomy and immediate breast reconstruction with silicone prosthesis: Results of 214 procedures&quot;,&quot;attachmentId&quot;:42508871,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/16371177/Early_complications_after_nipple_sparing_mastectomy_and_immediate_breast_reconstruction_with_silicone_prosthesis_Results_of_214_procedures&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/16371177/Early_complications_after_nipple_sparing_mastectomy_and_immediate_breast_reconstruction_with_silicone_prosthesis_Results_of_214_procedures"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="68364657" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/68364657/Early_postoperative_complications_and_local_relapses_after_nipple_sparing_mastectomy_and_immediate_breast_reconstruction_using_silicone_implants">Early postoperative complications and local relapses after nipple sparing mastectomy and immediate breast reconstruction using silicone implants</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="184723697" href="https://independent.academia.edu/DejanLukic10">Dejan Lukic</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Archive of Oncology</p><p class="ds-related-work--abstract ds2-5-body-sm">Purpose: Purpose of this study was to evaluate early complications and risk factors associated with nipple sparing mastectomy and immediate breast reconstruction. Methods: This retrospective study was made using data from 246 breast cancer patients treated at the Oncology Institute of Vojvodina in the period from January 2010 to December 2015. In all patients nipple sparing mastectomy was performed along with primary breast reconstruction. Results: The mean indication for nipple sparing mastectomy was multicentricity of the tumor (114 patients; 46.3%). The majority of surgically treated patients were in stage II of the disease. The total percentage of local relapses after the nipple sparing mastectomy was 1.6% (4 patients). Total percentage of early complications was 15% (37 patients). Median follow-up after nipple sparing mastectomy was 260 weeks (ranging from 417 to 104 weeks). Conclusion: Primary reconstruction of the breasts using heterologous implants is standard surgical proce...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Early postoperative complications and local relapses after nipple sparing mastectomy and immediate breast reconstruction using silicone implants&quot;,&quot;attachmentId&quot;:78865135,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/68364657/Early_postoperative_complications_and_local_relapses_after_nipple_sparing_mastectomy_and_immediate_breast_reconstruction_using_silicone_implants&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/68364657/Early_postoperative_complications_and_local_relapses_after_nipple_sparing_mastectomy_and_immediate_breast_reconstruction_using_silicone_implants"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="115980126" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115980126/Immediate_Breast_Reconstruction_Using_Silicone_Implants_in_Previously_Augmented_Patients">Immediate Breast Reconstruction Using Silicone Implants in Previously Augmented Patients</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="283292320" href="https://independent.academia.edu/JungDugYang">Jung Dug Yang</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Archives of Aesthetic Plastic Surgery, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Immediate Breast Reconstruction Using Silicone Implants in Previously Augmented Patients&quot;,&quot;attachmentId&quot;:112236955,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/115980126/Immediate_Breast_Reconstruction_Using_Silicone_Implants_in_Previously_Augmented_Patients&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/115980126/Immediate_Breast_Reconstruction_Using_Silicone_Implants_in_Previously_Augmented_Patients"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="15387177" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/15387177/Breast_augmentation_with_silicone_implants_the_role_of_surgical_drainage_report_on_502_consecutive_patients">Breast augmentation with silicone implants: the role of surgical drainage—report on 502 consecutive patients</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="34535674" href="https://independent.academia.edu/StephenMilner1">Stephen Milner</a></div><p class="ds-related-work--metadata ds2-5-body-xs">European Journal of Plastic Surgery, 2006</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Breast augmentation with silicone implants: the role of surgical drainage—report on 502 consecutive patients&quot;,&quot;attachmentId&quot;:43239517,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/15387177/Breast_augmentation_with_silicone_implants_the_role_of_surgical_drainage_report_on_502_consecutive_patients&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/15387177/Breast_augmentation_with_silicone_implants_the_role_of_surgical_drainage_report_on_502_consecutive_patients"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="122259337" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/122259337/Surgical_Management_of_Silicone_Mastitis_Case_Series_and_Review_of_the_Literature">Surgical Management of Silicone Mastitis: Case Series and Review of the Literature</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="316436589" href="https://independent.academia.edu/NikhilAgrawal210">Nikhil Agrawal</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Aesthetic Plastic Surgery, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Surgical Management of Silicone Mastitis: Case Series and Review of the Literature&quot;,&quot;attachmentId&quot;:116963330,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/122259337/Surgical_Management_of_Silicone_Mastitis_Case_Series_and_Review_of_the_Literature&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/122259337/Surgical_Management_of_Silicone_Mastitis_Case_Series_and_Review_of_the_Literature"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="124472759" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/124472759/Comparison_of_the_Explantation_Rate_of_Poly_Implant_Proth%C3%A8se_Allergan_and_P%C3%A9rouse_Silicone_Breast_Implants_within_the_First_Four_Years_after_Reconstructive_Surgery_before_the_Poly_Implant_Proth%C3%A8se_Alert_by_the_French_Regulatory_Authority">Comparison of the Explantation Rate of Poly Implant Prothèse, Allergan, and Pérouse Silicone Breast Implants within the First Four Years after Reconstructive Surgery before the Poly Implant Prothèse Alert by the French Regulatory Authority</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="38421689" href="https://independent.academia.edu/Fran%C3%A7oiseRimareix">Françoise Rimareix</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Breast Cancer, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">Background. In March 2010, ANSM (Agence Nationale de Sécurité du Medicament), the French Medical Regulatory Authority, withdrew Poly Implant Prothèse (PIP) breast implants from the market due to the use of non-medical-grade silicone gel. The aim of this study was to compare the removal rate (and reasons thereof) of breast implants produced by different manufacturers before the ANSM alert.Materials and Methods. From October 2006 to January 2010, 652 women received 944 implants after breast cancer surgery at the Gustave Roussy Comprehensive Cancer Center, Paris (France). The complications and removal rates of the different implant brands used (PIP, Allergan, and Pérouse) were evaluated and compared.Results. PIP implants represented 50.6% of the used implants, Allergan 33.4%, and Pérouse 16%. The main reasons for implant removal were patient dissatisfaction due to aesthetic problems (43.2%), infection (22.2%), and capsular contracture (13.6%). Two years after implantation, 82% of Pérou...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Comparison of the Explantation Rate of Poly Implant Prothèse, Allergan, and Pérouse Silicone Breast Implants within the First Four Years after Reconstructive Surgery before the Poly Implant Prothèse Alert by the French Regulatory Authority&quot;,&quot;attachmentId&quot;:118691118,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/124472759/Comparison_of_the_Explantation_Rate_of_Poly_Implant_Proth%C3%A8se_Allergan_and_P%C3%A9rouse_Silicone_Breast_Implants_within_the_First_Four_Years_after_Reconstructive_Surgery_before_the_Poly_Implant_Proth%C3%A8se_Alert_by_the_French_Regulatory_Authority&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/124472759/Comparison_of_the_Explantation_Rate_of_Poly_Implant_Proth%C3%A8se_Allergan_and_P%C3%A9rouse_Silicone_Breast_Implants_within_the_First_Four_Years_after_Reconstructive_Surgery_before_the_Poly_Implant_Proth%C3%A8se_Alert_by_the_French_Regulatory_Authority"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="51358745" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/51358745/Eight_Year_Safety_Data_for_Round_and_Anatomical_Silicone_Gel_Breast_Implants">Eight-Year Safety Data for Round and Anatomical Silicone Gel Breast Implants</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="38597340" href="https://independent.academia.edu/FranckDuteille">Franck Duteille</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Aesthetic Surgery Journal</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Eight-Year Safety Data for Round and Anatomical Silicone Gel Breast Implants&quot;,&quot;attachmentId&quot;:69116065,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/51358745/Eight_Year_Safety_Data_for_Round_and_Anatomical_Silicone_Gel_Breast_Implants&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/51358745/Eight_Year_Safety_Data_for_Round_and_Anatomical_Silicone_Gel_Breast_Implants"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="94119692" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/94119692/Five_Year_Safety_Data_for_More_than_55_000_Subjects_following_Breast_Implantation_Comparison_of_Rare_Adverse_Event_Rates_with_Silicone_Implants_versus_National_Norms_and_Saline_Implants">Five-Year Safety Data for More than 55,000 Subjects following Breast Implantation: Comparison of Rare Adverse Event Rates with Silicone Implants versus National Norms and Saline Implants</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="52613304" href="https://independent.academia.edu/BHardas">Bhushan Hardas</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Plastic and reconstructive surgery, 2017</p><p class="ds-related-work--abstract ds2-5-body-sm">The U.S. Food and Drug Administration has required postapproval studies of silicone breast implants to evaluate the incidence of rare adverse events over 10 years after implantation. The Breast Implant Follow-Up Study is a large 10-year study (&amp;gt;1000 U.S. sites) evaluating long-term safety following primary augmentation, revision-augmentation, primary reconstruction, or revision-reconstruction with Natrelle round silicone breast implants compared with national norms and outcomes with saline implants. Targeted adverse events in subjects followed for 5 to 8 years included connective tissue diseases, neurologic diseases, cancer, and suicide. The safety population comprised 55,279 women (primary augmentation, n = 42,873; revision-augmentation, n = 6837; primary reconstruction, n = 4828; and revision-reconstruction, n = 741). No targeted adverse events occurred at significantly greater rates in silicone implant groups versus national norms across all indications. The standardized incid...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Five-Year Safety Data for More than 55,000 Subjects following Breast Implantation: Comparison of Rare Adverse Event Rates with Silicone Implants versus National Norms and Saline Implants&quot;,&quot;attachmentId&quot;:96666279,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/94119692/Five_Year_Safety_Data_for_More_than_55_000_Subjects_following_Breast_Implantation_Comparison_of_Rare_Adverse_Event_Rates_with_Silicone_Implants_versus_National_Norms_and_Saline_Implants&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/94119692/Five_Year_Safety_Data_for_More_than_55_000_Subjects_following_Breast_Implantation_Comparison_of_Rare_Adverse_Event_Rates_with_Silicone_Implants_versus_National_Norms_and_Saline_Implants"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="113985748" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/113985748/A_15_Year_Experience_with_Primary_Breast_Augmentation">A 15-Year Experience with Primary Breast Augmentation</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="58788201" href="https://independent.academia.edu/AmyMahoney2">Amy Mahoney</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Plastic and Reconstructive Surgery, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A 15-Year Experience with Primary Breast Augmentation&quot;,&quot;attachmentId&quot;:110804135,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/113985748/A_15_Year_Experience_with_Primary_Breast_Augmentation&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/113985748/A_15_Year_Experience_with_Primary_Breast_Augmentation"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="81986226" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/81986226/Expander_Implant_Removal_After_Breast_Reconstruction_Analysis_of_Risk_Factors_and_Timeline">Expander/Implant Removal After Breast Reconstruction: Analysis of Risk Factors and Timeline</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="37458697" href="https://independent.academia.edu/MaryPlatek">Mary Platek</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Aesthetic plastic surgery, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Removal of tissue expanders (TE) or implants is a dire consequence of breast reconstruction, and has the potential to halt the reconstructive efforts. Our goals were to characterize a cohort of patients with TE/implant removal, to perform a time-based analysis, and to review the bacteriology associated with explanted devices. Review of a prospectively maintained database was performed to identify patients who underwent TE/implant removal. Patient characteristics, surgical technique, adjuvant therapies, indications, complications, culture results were obtained. Data were analyzed according to timing of explantation. A total of 55 TE and implants were removed in 43 patients. Reasons for explantation were infection (58%), patient request (22%), and wound-related complications (20%). The majority of explantations occurred after 30 days (62%), and after Stage I (81%). Median days to explantation was 62. Patients of older age (p = 0.01) and higher BMI (p = 0.02) were more likely to underg...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Expander/Implant Removal After Breast Reconstruction: Analysis of Risk Factors and Timeline&quot;,&quot;attachmentId&quot;:87838592,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/81986226/Expander_Implant_Removal_After_Breast_Reconstruction_Analysis_of_Risk_Factors_and_Timeline&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/81986226/Expander_Implant_Removal_After_Breast_Reconstruction_Analysis_of_Risk_Factors_and_Timeline"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:98879505,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:98879505,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_98879505" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="85298859" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/85298859/Five_Year_Retrospective_Analysis_of_Eurosilicones_Silicone_Gel_Filled_Breast_Implants">Five-Year Retrospective Analysis of Eurosilicone&#39;s Silicone Gel-Filled Breast Implants</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="24837192" href="https://independent.academia.edu/SharonDStewart">Sharon D Stewart</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Aesthetic Surgery Journal 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class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="2" data-entity-id="101430225" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/101430225/Complications_After_Total_Skin_Sparing_Mastectomy_and_Expander_Implant_Reconstruction_Effects_of_Radiation_Therapy_on_the_Stages_of_Reconstruction">Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction: Effects of Radiation Therapy on the Stages of Reconstruction</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="268783498" href="https://independent.academia.edu/MichaelAlvarado52">Michael Alvarado</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Annals of plastic surgery, 2017</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction: Effects of Radiation Therapy on the Stages of Reconstruction&quot;,&quot;attachmentId&quot;:101974070,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/101430225/Complications_After_Total_Skin_Sparing_Mastectomy_and_Expander_Implant_Reconstruction_Effects_of_Radiation_Therapy_on_the_Stages_of_Reconstruction&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/101430225/Complications_After_Total_Skin_Sparing_Mastectomy_and_Expander_Implant_Reconstruction_Effects_of_Radiation_Therapy_on_the_Stages_of_Reconstruction"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="3" data-entity-id="108229403" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/108229403/Complications_After_Total_Skin_Sparing_Mastectomy_and_Expander_Implant_Reconstruction">Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="188709481" href="https://independent.academia.edu/MichaelAlvarado37">Michael Alvarado</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Annals of Plastic Surgery, 2018</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction&quot;,&quot;attachmentId&quot;:106667151,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/108229403/Complications_After_Total_Skin_Sparing_Mastectomy_and_Expander_Implant_Reconstruction&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline 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