SURGICAL TREATMENT OF BREAST IMPLANTS ROTATION
| Autor: | V. V. Khrapach, L.Yu. Markulan, V. G. Mishalov, О.І. Zakhartseva |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Rib cage
medicine.medical_specialty business.industry medicine.medical_treatment lcsh:R lcsh:Medicine Prosthesis Surgery law.invention Prothesis law Augmentation Mammoplasty Breast implant medicine augmentation mammoplasty rotation of breast prostheses treatment long-term results Implant business Breast augmentation Fixation (histology) |
| Zdroj: | Медична наука України, Vol 13, Iss 3-4, Pp 10-14 (2018) |
| ISSN: | 2664-4738 2664-472X |
| DOI: | 10.32345/2664-4738.3-4.2017.02 |
| Popis: | Relevance. Using anatomical breast implants with high and ultrahigh profile in augmentation mammoplasty provides nearly natural shape of breasts. Using the drop-like shape implants instead of round ones can cause complication called breast implant rotation (BIR), that have negative influence on patients life quality. There is not enough data about the effective methods of surgical treatment of clinically significant rotation. Objective of our study was to determine the effectiveness of «neo pocket» upper pole inhancement with mesh for the treatment of BIR after primary submuscular breast augmentation in a postoperative period. Materials and methods. The study included 42 women with an average age of 29.4 ± 0.7 years (20 to 39 years) who underwent surgery for a clinically significant (more than 90o) BIR that occurred after the classical primary breast augmentation. Treatment of BIR was performed by enhancement of upper pole of neo-pocket redublication of implant capsule with prolene mesh between the capsule layers and fixation to ribs periosteum and pectoral muscules. The endpoint of the study was the frequency and degree of the prosthesis rotation one year after BIR treatment. Data analysis was performed using the IBM SPSS Statistics 22. Results. 13 (31,0%) of patients admitted to hospital for prothesis enlargment and BIR – 29 (69,0%). From 84 number of implants 66 (78,6%) were rotated. Two women (4,7%) had same degree of implants rotation. In all other cases BIR had different angle. Clinically significant rotation of implants was diagnosed in 4 patient: 90 ° / 90 ° two patients; 90° / 150° – one patient ; 90° / 180° – one patient. 38 (90,5%) patients had clinically significant implants rotation. In one year after primary surgery significant BIR (90%) was diagnosed in one patient, who didn’t need breast augmentation, she also had a small rotation of breast on 60о before surgery. From number of breasts, when developed procedure was performed (56), in one case significant BIR was diagnosed, in a patient with preoperative BIR 1800. Significant BIR was diagnosed in 6 (11,5 %) patients, and one patient BIR 60о (1,8 %) and five 300 (8,9%). Conclusion: The developed method of «neo pocket» upper pole enhancement by redublication of prothesis capsule with prolene mesh between the capsule layers and fixation to ribs periosteum and pectoral muscules helps to avoid BIR in 98,2% in one year follow up period. |
| Databáze: | OpenAIRE |
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