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2021, Number 1

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Rev Acta Médica 2021; 22 (1)

Surgical management of a capsular contracture after breast implant

Tamayo CAM, Guardo VCA, Manrique TAF

Language: Spanish
References: 25
Page:
PDF size: 209.83 Kb.


ABSTRACT

Introduction: Augmentation mammoplasty with implants is one of the most frequent and common procedures in plastic surgery, while capsular contracture is, in turn, the most frequent of its complications. In recent years, there has been an increase in the number of patients who attend consultation for breast dysmorphia with this complication. However, there is no performance protocol to solve it. For this reason, the motivation arises for the development of this study, with the aim of showing the outcomes of surgical management with the use of various procedures.
Objective: To describe the outcomes of surgical management of patients with capsular contracture at Hermanos Ameijeiras Hospital between August 1, 2012 and March 31, 2019.
Methods: Descriptive, longitudinal and ambispective study carried out with 32 patients from the plastic surgery and caumatology department.
Results: In the study, grade III capsular contracture prevailed in 62.5% of the sample. The most widely used technique was partial capsulectomy with implant change and plane change. There were no major complications and all patients were satisfied with the outcomes obtained.
Conclusions: It is concluded that the techniques for the surgical managment of capsular contracture at Hermanos Ameijeiras Hospital provide good outcomes, based on the low presence of complications and the high degree of satisfaction with the outcomes obtained.


REFERENCES

  1. Jewell M. Silicone gel breast implants at 50: the state of the science. Aesthet Surg J. 2012;32(8):1031-4. DOI: https://doi.org/1090820X12461649

  2. Bresnick SD. Prophylactic leukotriene inhibitor therapy for the reduction of capsular contracture in primary silicone breast augmentation: experience with over 1100 cases. Plastic Reconstr Surg. 2017;139(2):379-85. DOI: https://doi.org/10.1097/PRS.0000000000003006

  3. Piña Martínez V, Castro Sierra A. Factores etiológicos implicados en la contractura capsular en mamoplastia de aumento estética: estudio prospectivo observacional. Cir Plast Iberolatinoam. 2016[acceso:10/1/2020];42(1):13-20. Disponible en: http://scielo.isciii.es/pdf/cpil/v42n1/estetica2.pdf

  4. Mares Morales RC, Mares Dehesa P, Linares Rodríguez MF, Guevara Cervantes JF, Fuente A. Eficacia del recambio de implantes mamarios y el cambio de plano quirúrgico en el tratamiento de la contractura capsular tipo Baker. Cirugía Plástica. 2018;28(1):14-22. DOI: https://doi.org/10.35366/CP181C

  5. Medina FM, Abello Calle J, Garcia Ledesma OE, Echeverry JC. Implantes mamarios, eventos adversos y complicaciones poco frecuentes: Hallazgos por mamografía, ecografía y resonancia magnética. Rev. Colomb. Radiol. 2016[acceso:10/2/2020];27(2):4434-40. Disponible en: https://www.webcir.org/revistavirtual/articulos/2016/3_agosto/col/implantes_ esp.pdf

  6. Planas J. Tratamiento de la contractura capsular periprotésica. Fundación Jaime Planas. 2018. [acceso:10/1/2020]. Disponible en: https://www.clinicaplanas.com/files/0001/planas1212b127y128ytty775737219/w eb.system/assets/contents/articulos/articulo22/articulo22.htm

  7. Tamayo Carbón AM, Ramos Amezquita LM. Surgical treatment of postmastoplasty impound improvement deformities. International journal of transplantation and plastic surgery. 2019;3(2):1-8. DOI: https://doi.org/10.23880/ijtps-16000S2-008

  8. Hidalgo DA, Sinno S. Current trends and controversies in breast augmentation. Plast Reconstr Surg. 2016;137:1142-50. DOI: doi.org/10.1097/01.prs.0000481110.31939.e4

  9. Headon H, Kasem A, Mokbels K. Capsular contracture after breast augmentation: an update for clinical practice. Arch Plast Surg. 2015;42:532-43. DOI: https://doi.org/10.5999/aps.2015.42.5.532

  10. Brown T. Plane Change Vs Capsulotomy: A Comparison of Treatments for Capsular Contraction in Breast Augmentation Using the Subfascial Plane. Aesthetic Plast Surg. 2020. Online ahead of print. DOI: https://doi.org/10.1007/s00266-020- 02010-8

  11. Swanson E. Open capsulotomy: an effective but overlooked treatment for capsular contracture after breast augmentation. Plast Reconstr Surg Glob Open. 2016;4(10):e1096. DOI: https://doi.org/10.1097/GOX.0000000000001096

  12. Moufarrege R, Beauregard G, Bosse JP. Outcome of mammary capsulotomies. Ann Plast Surg. 1987;19(1):62–4. DOI: https://doi.org/10.1097/00000637- 198707000-00010

  13. Lam MC, Walgenbach Brünagel G, Pryalukhin A, Vorhold J, Pech T, Kalff JC. Management of capsular contracture in cases of silicone gel breast implant rupture with use of pulse lavage and open capsulotomy. Aesthetic Plast Surg. 2019;43(5):1173-85. DOI: https://doi.org/10.1007/s00266-019-01463-w

  14. Coombs DM, Grover R, Prassinos A, Gurunluoglu R. Breast augmentation surgery: clinical considerations. Cleve Clin J Med. 2019;86(2):111-22. DOI: https://doi.org/10.3949/ccjm.86a.18017

  15. Tbitblbaum S. Augmetation mammaplasty: principles, techniques, implant choices and complications. In: Thorne C. Grabb and smith´s plastic surgery. 7ma. ed. España: Wolters Kluwer. 2014:565-81.

  16. Brown MH. Mastoplastia de aumento secundaria. En: Neligan PC. Cirugía plástica. 3ra. ed. Venezuela: Amolca. 2017:39.

  17. Guridi R, Arriagadas J. Cirugía de aumento mamario. Rev Med Clin Condes. 2010;21(1):107-12. DOI: https://doi.org/10.1016/S0716-8640(10)70512-5

  18. Liu X, Zhou L, Pan F, Gao Y, Yuan X, Fan D. Comparison of the postoperative incidence rate of capsular contracture among different breast implants: a cumulative meta-analysis. PLoS One. 2015;10(2):e0116071. DOI: https://doi.org/10.1371/journal.pone.0116071

  19. Shauly O, Gould DJ, Patel KM. Microtexture and the cell/biomaterial interface: a systematic review and meta-analysis of capsular contracture and prosthetic breast implants. Aesthet Surg J. 2019;39(6):603-14. DOI: https://doi.org/10.1093/asj/sjy178

  20. Brown T. Surface areas of textured breast implants: implications for the biofilm theory of capsule formation. Plastic Reconstr Surg Global Open. 2018;6(3):e1700. DOI: https://doi.org/10.1097/GOX.0000000000001700

  21. Pardo R, Quintana R, Piñero A, Vázquez C, Cabañas J, Martínez Regueira F. Linfoma anaplásico de células grandes asociado a implantes mamarios. Documento de consenso (I): epidemiología, patogenia, clínica y diagnóstico. Rev Senol Patol Mamar. 2019;32(2):61-6. DOI: https://doi.org/10.1016/j.senol.2019.05.001

  22. Rastogi P, Riordan E, Moon D Deva AK. Theories of etiopathogenesis of breast implant–associated anaplastic large cell lymphoma. Plastic Reconstr Surg. 2019;143: 23s-9s. DOI: https://doi.org/10.1097/PRS.0000000000005566

  23. Shen Z, Chen X, Sun J, Chiu C, Yu Y, Lin X. A comparative assessment of three planes of implant placement in breast augmentation: a bayesian analysis. J Plast Reconstr Aesthet Surg. 2019;72(12):1986-95. DOI: https://doi.org/10.1016/j.bjps.2019.09.010

  24. Tevlin R, Borrelli MR, Irizarry D, NguyenD, Wan DC, Momeni A. Acellular dermal matrix reduces myofibroblastpresence in the breast capsule. Plastic Reconstr Surg Global Open. 2019;7(5):e2213. DOI: https://doi.org/10.1097/GOX.0000000000002213

  25. Moreno GI, Ribera PM. Mastopexia y prótesis: revisión a los 5 años. Cir Plas Iberolatinoam. 2006[acceso:10/1/2020];32(2):107-16. Disponible en: http://scielo.isciii.es/pdf/cpil/v32n2/05.pdf




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