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Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines

Last updated: May 16, 2019
Project Number: RC1120-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for pocket irrigation in breast implant surgery?
  2. What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for implant soaking in breast implant surgery?
  3. What are the evidence-based guidelines regarding the use of povidone-iodine solutions for biofilm mitigation and to prevent infection during and after breast implant surgery?

Key Message

Low quality evidence, suggests that povidone-iodine breast pocket irrigation is effective in reducing capsular contracture in patients undergoing breast augmentation surgery with implants.No relevant studies on clinical effectiveness of soaking implants with povidone-iodine were identified. No relevant evidence-based guidelines were identified regarding the use of povidone-iodine for breast implant surgery.