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

Jin Seong Cho; Sun Hyoung Shin; Ji Young Park; Young Ju Song; Jeong Min Yi; Min Ho Park; Jung Han Yoon; Young Jong Jegal; Ji Sin Yi; Seong Ja An; Hwo Soon Lim

추천

검색

자료유형: 학술저널

저자정보: Jin Seong Cho Sun Hyoung Shin Ji Young Park Young Ju Song Jeong Min Yi Min Ho Park Jung Han Yoon Young Jong Jegal Ji Sin Yi Seong Ja An Hwo Soon Lim

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.14 No.4

발행연도: 2011.1

수록면: 328 - 332 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

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.

#Breast neoplasms #Breast-conserving surgery #Infection #Polyglactin 910

참고문헌 (12)

참고문헌 신청

Vallejo da Silva A / 2007 / Oncoplastic surgery of the breast: rationale and experience of 30 cases / Breast 16:411~419

Wang HT / 2008 / Aesthetic outcomes in breast conservation therapy / Aesthet Surg J 28:165~170

Fujishiro S / 2000 / Cosmetic results and complications after breast conserving therapy for early breast cancer / Breast Cancer 7:57~63

김구상 / 2009 / ‘유방수술에 있어서 외과용 메시 사용현황’ 에대한 국내 설문조사 결과 / Journal of Breast Cancer 12(3):210~214

Spear SL / 2003 / Resource cost comparison of implantbased breast reconstruction versus TRAM flap breast reconstruction / Plast Reconstr Surg 112:101~105