Open AccessAspecte morfopatologice si strategii de preventie a contracturii capsulare după augmentarea mamara cu implante
Author(s) -
Nadia Aladari,
Mihaela Perţea,
Camelia Tamaş,
Iulia Dabija Olaru,
Mădălina Palaghia,
Ana-Maria Trofin,
Valentin Bejan,
Teodor Stamate
Publication year - 2021
Publication title -
jurnal de chirurgie
Language(s) - English
Resource type - Journals
ISSN - 1584-9341
DOI - 10.7438/jsurg.2021.02.02
Subject(s) - capsular contracture , breast augmentation , medicine , inframammary fold , implant , surgery , silicone , breast implant , dissection (medical) , dentistry , breast cancer , cancer , materials science , breast reconstruction , composite material
Breast augmentation with silicone implants is one of the most common procedures performed by plasticsurgeons around the world. Capsular contracture is one of the complication in breast augmentation that requiresinvasive reparation surgery. The inflammatory response to the breast implants appears to be directly associated withcapsular contracture.In addition to the type of material (saline vs. silicone) used and it’s texture (smooth vs. textured), a numberof factors were detected related to their position and the existence of a history of radiotherapy after cancer treatmentfor breast cancer. It tries to identify ideal methods to prevent and minimize the risk of developing capsularcontracture.Among the methods currently used were described: placement of the implant in the retropectoral plane,dissection of a larger pocket, performing a rigorous hemostasis, use of implants with textured surface, minimizingthe exposure time, contact and handling of the implant, irrigation of the pocket with antiseptic solutions (5%betadine) or broad-spectrum antibiotic solution to prevent the infectious process, the use of talc-free gloves, the useof corticosteroids, immuno-modulators and anti-inflammatory drugs.