Implant-Based Breast Reconstruction Outcomes Using
Oxychlorosene for Pocket Irrigation
by Dawson, Steven E.; Bamba, Ravinder; Tran, Phu C.; Mailey,
Brian; Lin, Jenny; Lester, Mary; Sinha, Mithun; Hassanein, Aladdin H.
Plastic and Reconstructive Surgery: September
2021 - Volume 148 - Issue 3 - p 518e-520e
Breast implants are placed in over 400,000 patients
annually, but up to 29 percent have postoperative infections.1 Pocket
irrigation with antiseptic solutions is used to reduce implant contamination.
The optimal irrigation solution and the efficacy of individual practices are
unclear. Oxychlorosene sodium has been used historically as an antiseptic, but
there are no data on its effectiveness in breast implant surgery. It is a
derivative of hypochlorous acid and is a powerful antimicrobial.2 A survey
of American Society of Plastic Surgeons members showed that 14 percent of
responders used oxychlorosene for breast implant irrigation.3 Our
institution has commonly used oxychlorosene irrigation. Following approval from
our institutional review board, patients who underwent implant-based
reconstruction after mastectomy with use of oxychlorosene breast pocket
irrigation between 2016 to 2018 were retrospectively reviewed…
