SANDY & ALL..infected seromas and infected breast implants

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ck these out......

http://www.google.com/search?q=seroma+in+breast+with++infection & sourceid=navclient-ff & ie=UTF-8 & rlz=1B3GGGL_enUS282US283

http://www.google.com/search?q=infected+seroma+in+breast & sourceid=navclient-ff & ie=UTF-8 & rlz=1B3GGGL_enUS282US283

http://216.239.59.104/search?q=cache:ghOlauXGF7UJ:69.20.19.211/ohrms/dockets/ac/05/transcripts/2005-4101t1.DOC+infected+seroma+in+breast+following+explant & hl=en & ct=clnk & cd=92 & gl=us

http://community-2.webtv.net/Silly-Cones/BreastImplantsthe/

http://www.google.com/search?hl=en & rlz=1B3GGGL_enUS282US283 & sa=X & oi=spell & resnum=1 & ct=result & cd=1 & q=aspergillus+inside+breast+implants & spell=1

http://cat.inist.fr/?aModele=afficheN & cpsidt=18173549

Fungal infection of breast implants is a rare complication. Growth of fungi within the lumen of saline-filled implants has previously beendemonstrated in laboratory studies, however, clinical infections arerare. We report a case of Aspergillus flavus growth within and around asaline-filled breast implant that was inserted 18 months previously.This was successfully treated with implant removal and woundirrigation. Possible routes of microbial contamination as well assurvival mechanisms of organisms within saline-filled implants arediscussed. This case reiterates that the silicone envelope of asaline-filled implant is selectively permeable and we believe this isinstrumental in facilitating intraluminal microbial growth. This alsoemphasises the importance of stringent asepsis when dealing withsaline-filled breast implants including avoiding contamination of the saline filling fluid.

http://www.springerlink.com/content/tk1ww05pw9c35t1b/

Abstract. A case is reported of late infection in a breast implant, in a35-year-old female who underwent breast augmentation with adouble-lumen silicone prosthesis combined with abdominoplasty. After 8uneventful postoperative months, untoward and poorly defined symptomsoccurred and further exploratory surgery became necessary. Due to asubacute inflammatory process in the entire pocket of the left breast,the implants were removed. Culture demonstrated Klebsiella pneumoniae. After complete healing, a pair of texturized moderate profile implants was placed above the muscle through an areolar access.The clinical history and management of this unusual case are described.

Key words: Breast implant infection—Klebsiella pneumoniae

http://www.plasreconsurg.com/pt/re/prs/abstract.00006534-200410000-00022.htm;jsessionid=L0ZfMXWlZfmPpL4GhrKtttBrXJXJCFXxkhxGlTfqvkQP2Vx8xPjn!-188470720!181195629!8091!-1

Fungal Growth inside Saline-Filled Implants and the Role of Injection Ports in Fungal Translocation: In Vitro Study.

EXPERIMENTAL

Plastic & Reconstructive Surgery. 114(5):1170-1178, October 2004.

Saray, Aydin M.D.; Kilic, Dilek M.D.; Kaygusuz, Sedat M.D.; Boyunaga, Hakan M.D.; Ozluk, Ozlem M.D.

Abstract:

Infection is a serious complication of breast augmentation and tissueexpansion with inflatable devices. Several reports have shown thatfungi may be able to survive, colonize, and even cause infection insaline-filled devices. The mechanism of how they penetrate, spread, andcolonize inside the inflatable implants is not exactly understood. Theauthors assessed both the expander membrane and the port in terms ofleakage and penetration of Candida albicans and Aspergillus niger in anin vitro model. Thirty saline-filled expanders connected to theinjection port were placed in sterile containers filled with trypticsoy broth culture medium to simulate the clinical situation in phases Iand II. Intact and multipunctured ports were used in the first andsecond phases of the study, respectively. Either the container or theimplant was inoculated with one of these fungi, and six implants incontainers without fungal inoculation served as controls. As a thirdphase, intraluminal survival of fungi was investigated in saline-filledcontainers (n = 12) in 21 days. The silicone membrane, with its intactconnecting tube and port, was impermeable to these fungi, whereas bothfungi were able to diffuse inside-out or outside-in through thepunctured ports. C. albicans did not survive beyond 18 days in saline,whereas A. niger continued to multiply at day 21. Chemical analyses ofthe implant fluids revealed that the contents of the culture mediumdiffused into the implants in phases I and II. The data show that anintact silicone membrane is impermeable to fungi, and punctured portsallow translocation of fungi into the implants. Fungi can grow andreproduce in a saline-only environment, and their survival periodsdiffer among the species. Furthermore, their survival may be enhancedby the influx of substances through the implant shell.

©2004American Society of Plastic Surgeons

http://www.ncbi.nlm.nih.gov/pubmed/15457030

Fungal growth inside saline-filled implants and the role of injection ports in fungal translocation: in vitro study.

Saray A, Kilic D, Kaygusuz S, Boyunaga H, Ozlük O.

Department of Plastic and Reconstructive Surgery,Kirikkale University Medical School, Kirikkale, Turkey. aydinsaray@... a serious complication of breast augmentation and tissue expansionwith inflatable devices. Several reports have shown that fungi may beable to survive, colonize, and even cause infection in saline-filleddevices. The mechanism of how they penetrate, spread, and colonizeinside the inflatable implants is not exactly understood. The authorsassessed both the expander membrane and the port in terms of leakageand penetration of Candida albicans and Aspergillus niger in an invitro model. Thirty saline-filled expanders connected to the injectionport were placed in sterile containers filled with tryptic soy brothculture medium to simulate the clinical situation in phases I and II.Intact and multipunctured ports were used in the first and secondphases of the study, respectively. Either the container or the implantwas inoculated with one of these fungi, and six implants in containerswithout fungal inoculation served as controls. As a third phase,intraluminal survival of fungi was investigated in saline-filledcontainers (n = 12) in 21 days. The silicone membrane, with its intactconnecting tube and port, was impermeable to these fungi, whereas bothfungi were able to diffuse inside-out or outside-in through thepunctured ports. C. albicans did not survive beyond 18 days in saline,whereas A. niger continued to multiply at day 21. Chemical analyses ofthe implant fluids revealed that the contents of the culture mediumdiffused into the implants in phases I and II. The data show that anintact silicone membrane is impermeable to fungi, and punctured portsallow translocation of fungi into the implants. Fungi can grow andreproduce in a saline-only environment, and their survival periodsdiffer among the species. Furthermore, their survival may be enhancedby the influx of substances through the implant shell.PMID: 15457030 [PubMed - indexed for MEDLINE]

http://journals.elsevierhealth.com/periodicals/ymai/medline/record/MDLN.339248

Tissue reactions to breast implants coated with polyurethane.

Smahel J

Plast Reconstr Surg 1978; 61:80-5.

Abstract

Thehistological features noted in the capsules from 7 polyurethane coatedsilicone breast prostheses are described. The polyurethane provoked adefinite foreign body reaction and was slowly degraded, with someparticles ejected from the capsule into the surrounding tissues.Separation of the polyurethane coating from the silicone prosthesis andthe degradation of the polyurethane took about two years. Another muchmore resistant foreign material was found to occur in conjunction withthe polyurethane in the capsules. It may be an adhesive or flakes offthe silicone shell. Vacuolated spaces were noted in the inner layers of3 capsules; it was assumed that they contained liquid silicone.

So many medical articles of infections and all with implants, why do they deny problems with implants? it is all in their

medical information........

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