Research Article

Bacitracin for Injection Recall: Impact on Immediate Breast Implant Surgical Outcomes

Table 8

Outcomes by patient and surgical factors.

Complication
YesNo value

Any complication (n = 25)
 Age54.64 ± 13.3551.56 ± 12.100.234
 BMI27.96 ± 5.9225.99 ± 4.780.059
 CCI1.60 ± 0.871.48 ± 1.010.555
 Smoking history
  Never smoker16 (64.00)169 (74.45)<0.001
  Former smoker6 (24.00)57 (25.11)
  Current smoker3 (12.00)1 (0.44)
 History of breast radiation therapy8 (32.00)33 (14.54)0.025
 History of capsular contracture5 (20.00)25 (11.01)0.188
 Prior prosthetic device
  Tissue expander6 (24.00)62 (27.31)0.053
  Implant9 (36.00)121 (53.30)
  None10 (40.00)44 (19.38)
 Surgery type
  Augmentation0 (0.00)17 (7.49)0.157
  Reconstruction25 (100.00)210 (92.51)
 Total surgical time186.96 ± 97.68124.25 ± 58.96<0.001
 Implant volume498.20 ± 140.76441.78 ± 142.940.062
 Implant surgical plane
  Pre-Pectoral24 (96.00)205 (90.31)0.348
  Retro-pectoral1 (4.00)22 (9.69)
 Use of acellular dermal matrix17 (68.00)124 (54.63)0.201
 Number of antibiotics2.44 ± 0.652.57 ± 0.570.294
 Povidone-iodine 10%20 (80.00)194 (95.46)0.469
Infection (n = 18)
 Age54.58 ± 14.9351.62 ± 11.980.322
 BMI28.48 ± 6.0425.96 ± 4.810.037
 CCI1.56 ± 0.861.47 ± 1.010.728
 Smoking history
  Never smoker10 (55.56)177 (75.00)<0.001
  Former smoker5 (27.78)58 (24.58)
  Current smoker3 (16.67)1 (0.42)
 History of breast radiation therapy5 (27.78)36 (15.25)0.164
 History of capsular contracture2 (1.11)30 (12.71)0.844
 Prior prosthetic device
  Tissue expander4 (22.22)64 (27.12)0.007
  Implant5 (27.78)127 (53.81)
  None9 (50.00)45 (19.07)
 Surgery type
  Augmentation0 (0.00)17 (7.20)0.238
  Reconstruction18 (100.00)219 (92.80)
 Total surgical time174.72 ± 87.97126.70 ± 63.180.003
 Implant volume510.56 ± 120.26443.43 ± 143.870.055
 Implant surgical plane
  Pre-pectoral17 (94.44)214 (90.68)0.591
  Retro-pectoral1 (5.56)22 (9.32)
 Use of acellular dermal matrix12 (66.67)129 (54.66)0.323
 Number of antibiotics2.33 ± 0.692.57 ± 0.570.098
 Povidone-iodine 10%14 (37.84)202 (93.09)0.370
Cellulitis (n = 9)
 Age52.94 ± 13.3551.79 ± 12.180.781
 BMI23.85 ± 2.6426.22 ± 4.990.157
 CCI1.33 ± 1.001.48 ± 1.000.663
 Smoking history
  Never smoker6 (66.67)181 (73.88)0.786
  Former smoker3 (33.33)60 (24.49)
  Current smoker0 (0.00)4 (1.63)
 History of breast radiation therapy3 (33.33)38 (15.51)0.153
 History of capsular contracture2 (22.22)30 (12.24)0.376
 Prior prosthetic device
  Tissue expander1 (1.11)67 (27.35)0.191
  Implant4 (4.44)128 (52.24)
  None4 (4.44)50 (20.41)
 Surgery type
  Augmentation0 (0.00)17 (6.94)0.413
  Reconstruction9 (100.00)228 (93.06)
 Total surgical time173.67 ± 85.31128.51 ± 65.050.044
 Implant volume477.78 ± 155.85447.10 ± 142.910.529
 Implant surgical plane
  Pre-pectoral9 (100.00)222 (90.61)0.335
  Retro-pectoral0 (0.00)23 (9.39)
 Use of acellular dermal matrix5 (55.56)136 (55.51)0.998
 Number of antibiotics2.56 ± 0.532.55 ± 0.580.982
 Povidone-iodine 10%8 (88.89)208 (84.90)0.742

BMI: body mass index, CCI: Charlson comorbidity index. Bold values indicate statistical significance.