A Case Report of Wound Infection after Transumbilical Augmentation Mammoplasty

J Korean Wound Management Soc > Volume 2(1); 2006 > Article

Original

Journal of the Korean Wound Management Society 2006;2(1): 44-46.

배꼽 절개법을 통한 유방확대술 후 창상감염 증례보고

이상준·임소영·문구현·현원석·방사익·오갑성

성균관대학교 의과대학 삼성서울병원 성형외과학교실

A Case Report of Wound Infection after Transumbilical Augmentation Mammoplasty

Sang Joon Lee, So Young Lim, Goo Hyun Mun, Won Seok Hyun, Sa Ik Bang, Kap Sung Oh

Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Published online: 31 May 2005.

ABSTRACT

Since its introduction, augmentation mammoplasty has gained widespread popularity. Still, complication such as implant ruptures, seromas, hematomas, decreased sensation, capsular contractures and so on can occur after surgery. Compare to other complications, wound infection after augmentation mammoplasty is rare but still devastating. S. aureus is most common organism of infection, which can be developed into staphylococcal toxic shock syndrome. Management options such as broad spectrum antibiotics followed by surgical interventions, for example implant removal, massive irrigation and proper debridement, are essential. Early detection of the infection sign is important but use of prophylactic antibiotics could make it hard to identify the organism. In refractory case we should consider some rare causes of wound infection such as tuberculosis, fungal infection and so on. We recently experienced a case of serious wound infection following implant insertion which failed to be controlled in early stage and developed into sepsis, and report this case to share our experience. (J Korean Wound Care Soc 2006;2:44-46)

Key Words: Augmentation mammoplasty, Wound infection, VAC, Implant, Transumbilical