Skip to main content
Erschienen in: European Journal of Plastic Surgery 1/2006

01.06.2006 | Original Paper

Breast augmentation with silicone implants: the role of surgical drainage—report on 502 consecutive patients

verfasst von: G. Gherardini, R. Zaccheddu, S. M. Milner, M. El-Shazlyl, I. Liapakis

Erschienen in: European Journal of Plastic Surgery | Ausgabe 1/2006

Einloggen, um Zugang zu erhalten

Abstract

Breast augmentation is one of the most frequently performed cosmetic surgery procedures worldwide. We report on a series of 502 consecutive cosmetic breast augmentations by a single surgeon, using both the submuscular and submammary approaches. A vacuum drain was placed in the surgical pocket at the end of the procedure. The drain fluid collection was recorded immediately after the surgery and the following day before removal. A tenfold increase in the amount of fluid collection was noted in the drain’s reservoir. Thirteen patients presented with minor wound healing problems at the second postoperative follow-up, which were treated conservatively; two of them had the implant removed and replaced after 2 months. There were only two capsular contractions at 1-year follow-up. We focus our discussion on the drainage in the early postoperative period and conclude that the routine use of a surgical drainage reduces the risk for complications. Based on our findings, we advocate that short-term routine use of a surgical drain is advisable.
Literatur
1.
Zurück zum Zitat Barnard JJ, Todd EL, Wilson WG, Mielcarek R, Rohrich RJ (1997) Distribution of organosilicon polymers in augmentation mammoplasties at autopsy. Plast Reconstr Surg 100:197PubMedCrossRef Barnard JJ, Todd EL, Wilson WG, Mielcarek R, Rohrich RJ (1997) Distribution of organosilicon polymers in augmentation mammoplasties at autopsy. Plast Reconstr Surg 100:197PubMedCrossRef
2.
Zurück zum Zitat Biggs T, Yarish RS (1990) Augmentation mammaplasty: a comparative analysis. Plast Reconstr Surg 85(3):368PubMedCrossRef Biggs T, Yarish RS (1990) Augmentation mammaplasty: a comparative analysis. Plast Reconstr Surg 85(3):368PubMedCrossRef
3.
Zurück zum Zitat Brickman M, Parsa NN, Parsa FD (2004) Late hematoma after breast implantation. Aesthetic Plast Surg 28:80PubMedCrossRef Brickman M, Parsa NN, Parsa FD (2004) Late hematoma after breast implantation. Aesthetic Plast Surg 28:80PubMedCrossRef
4.
Zurück zum Zitat Brown SL, Parmentier CM, Woo EK, Vishnuvajjala RL, Headrick ML (1998) Silicone gel breast implant adverse events reports to the Food and Drug Administration, 1984–1995. Public Health Rep 113:535PubMed Brown SL, Parmentier CM, Woo EK, Vishnuvajjala RL, Headrick ML (1998) Silicone gel breast implant adverse events reports to the Food and Drug Administration, 1984–1995. Public Health Rep 113:535PubMed
5.
Zurück zum Zitat Burkhardt BR, Dempsey PD, Schnur PL, Tofield JJ (1986) Capsular Contracture: a prospective study of the effect of local antibacterial agents. Plast Reconstr Surg 77(6):919PubMed Burkhardt BR, Dempsey PD, Schnur PL, Tofield JJ (1986) Capsular Contracture: a prospective study of the effect of local antibacterial agents. Plast Reconstr Surg 77(6):919PubMed
6.
Zurück zum Zitat Cohen SB, Rohrich RJ (1994) Evaluation of the patient with silicone gel breast implants and rheumatic complaints. Plast Reconstr Surg 94:120PubMedCrossRef Cohen SB, Rohrich RJ (1994) Evaluation of the patient with silicone gel breast implants and rheumatic complaints. Plast Reconstr Surg 94:120PubMedCrossRef
7.
Zurück zum Zitat Fanous N, Salem I, Tawilé C, Bassas AE (2004) Absence of capsular contracture in 319 consecutive augmentation mammaplasties: dependent drains as a possible factor. Can J Plast Surg 12(4):193 Fanous N, Salem I, Tawilé C, Bassas AE (2004) Absence of capsular contracture in 319 consecutive augmentation mammaplasties: dependent drains as a possible factor. Can J Plast Surg 12(4):193
8.
Zurück zum Zitat Fiala TGS, Lee WPA, May JW (1993) Augmentation mammoplasty: results of a patient survey. Ann Plast Surg 30(6):503PubMed Fiala TGS, Lee WPA, May JW (1993) Augmentation mammoplasty: results of a patient survey. Ann Plast Surg 30(6):503PubMed
9.
Zurück zum Zitat Gutowski KA, Mesna GT, Cunningham BL (1997) Saline-filled breast implants: a plastic surgery educational foundation multicenter outcomes study. Plast Reconstr Surg 100(4):1019PubMed Gutowski KA, Mesna GT, Cunningham BL (1997) Saline-filled breast implants: a plastic surgery educational foundation multicenter outcomes study. Plast Reconstr Surg 100(4):1019PubMed
10.
Zurück zum Zitat Gylbert L, Asplund O, Jurell J (1990) Capsular contracture after breast reconstruction with silicone gel and saline filled implants. A 6-year follow-up. Plast Reconstr Surg 85:373PubMedCrossRef Gylbert L, Asplund O, Jurell J (1990) Capsular contracture after breast reconstruction with silicone gel and saline filled implants. A 6-year follow-up. Plast Reconstr Surg 85:373PubMedCrossRef
11.
Zurück zum Zitat Handel N, Jensen JA, Black Q, Waisman JR, Silverstain MJ (1995) The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg 96(7):1521PubMedCrossRef Handel N, Jensen JA, Black Q, Waisman JR, Silverstain MJ (1995) The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg 96(7):1521PubMedCrossRef
12.
Zurück zum Zitat Hedén P, Jernbeck J, Hober M (2001) Breast augmentation with anatomical cohesive gel implants. The world’s largest current experience. Clin Plast Surg 28(3):531PubMed Hedén P, Jernbeck J, Hober M (2001) Breast augmentation with anatomical cohesive gel implants. The world’s largest current experience. Clin Plast Surg 28(3):531PubMed
13.
Zurück zum Zitat Hipps CJ, Raju DR, Straith RE (1978) Influence of some operative and postoperative factors on capsular contracture around breast prostheses. Plast Reconstr Surg 61(3):384PubMedCrossRef Hipps CJ, Raju DR, Straith RE (1978) Influence of some operative and postoperative factors on capsular contracture around breast prostheses. Plast Reconstr Surg 61(3):384PubMedCrossRef
14.
Zurück zum Zitat Matarasso A, Hutchinson O (2000) Augmentation mammaplasty: subpectoral augmentation using the periareolar or inframammary approach. In: Spear S (ed) Operative techniques in plastic and reconstructive surgery. Saunders, Philadelphia, PA 7(3):93 Matarasso A, Hutchinson O (2000) Augmentation mammaplasty: subpectoral augmentation using the periareolar or inframammary approach. In: Spear S (ed) Operative techniques in plastic and reconstructive surgery. Saunders, Philadelphia, PA 7(3):93
15.
Zurück zum Zitat Netscher DT, Weizer G, Wigoda P, Walker LE, Thomby J, Bowen D (1995) Clinical relevance of positive breast periprosthetic cultures without overt infection. Plast Reconstr Surg 96:1125PubMedCrossRef Netscher DT, Weizer G, Wigoda P, Walker LE, Thomby J, Bowen D (1995) Clinical relevance of positive breast periprosthetic cultures without overt infection. Plast Reconstr Surg 96:1125PubMedCrossRef
16.
Zurück zum Zitat Nyren O, Yin L, Josefsson S, McLaughlin JK, Blot WJ, Engqvist M, Hakelius L, Boice JD Jr, Adami HO (1998) Risk of connective tissue disease and related disorders among women with breast implants: a nationwide retrospective cohort study in Sweden. Br Med J 316:417 Nyren O, Yin L, Josefsson S, McLaughlin JK, Blot WJ, Engqvist M, Hakelius L, Boice JD Jr, Adami HO (1998) Risk of connective tissue disease and related disorders among women with breast implants: a nationwide retrospective cohort study in Sweden. Br Med J 316:417
17.
Zurück zum Zitat Puckett CL, Croll GH, Reichel CA, Concannon MJ (1987) A critical look at capsule contracture in subglandular versus subpectoral mammary augmentation. Aesthetic Plast Surg 11:23PubMedCrossRef Puckett CL, Croll GH, Reichel CA, Concannon MJ (1987) A critical look at capsule contracture in subglandular versus subpectoral mammary augmentation. Aesthetic Plast Surg 11:23PubMedCrossRef
18.
Zurück zum Zitat Rohrich RJ, Clark CP III (1993) Controversy over the silicone gel breast implant: current status and clinical implications. Tex Med 89:52PubMed Rohrich RJ, Clark CP III (1993) Controversy over the silicone gel breast implant: current status and clinical implications. Tex Med 89:52PubMed
19.
Zurück zum Zitat Rohrich RJ, Kenkel JM, Adams WP (1999) Preventing capsular contracture in breast augmentation: in search of the Holy Grail. Plast Reconstr Surg 103:1759PubMedCrossRef Rohrich RJ, Kenkel JM, Adams WP (1999) Preventing capsular contracture in breast augmentation: in search of the Holy Grail. Plast Reconstr Surg 103:1759PubMedCrossRef
20.
Zurück zum Zitat Rohrich R, Kenkel JM, Adams WP, Beran S, Conner WCH (2000) A prospective analysis of patients undergoing silicone breast implant explantation. Plast Reconstr Surg 105(7):2529PubMedCrossRef Rohrich R, Kenkel JM, Adams WP, Beran S, Conner WCH (2000) A prospective analysis of patients undergoing silicone breast implant explantation. Plast Reconstr Surg 105(7):2529PubMedCrossRef
21.
Zurück zum Zitat Tebbetts JB (2002) Achieving a predictable 24-hour recovery following breast augmentation: Part I. Refining practices using motion and time study principles. Plast Reconstr Surg 109(1):273PubMedCrossRef Tebbetts JB (2002) Achieving a predictable 24-hour recovery following breast augmentation: Part I. Refining practices using motion and time study principles. Plast Reconstr Surg 109(1):273PubMedCrossRef
22.
Zurück zum Zitat Tebbetts JB (2002) Achieving a predictable 24-hour return to normal activities after breast augmentation: Part II. Patient preparation, refined surgical techniques, and instrumentation. Plast Reconstr Surg 109(1):293PubMedCrossRef Tebbetts JB (2002) Achieving a predictable 24-hour return to normal activities after breast augmentation: Part II. Patient preparation, refined surgical techniques, and instrumentation. Plast Reconstr Surg 109(1):293PubMedCrossRef
23.
Zurück zum Zitat Vasquez B, Given KS, Houston C (1987) Breast augmentation: a review of subglandular and submuscular implantation. Aesthetic Plast Surg 11:101CrossRef Vasquez B, Given KS, Houston C (1987) Breast augmentation: a review of subglandular and submuscular implantation. Aesthetic Plast Surg 11:101CrossRef
24.
Zurück zum Zitat Williams C, Aston S, Rees TD (1975) The effect of hematoma on the thickness of pseudosheets around silicone implants. Plast Reconstr Surg 56:194PubMedCrossRef Williams C, Aston S, Rees TD (1975) The effect of hematoma on the thickness of pseudosheets around silicone implants. Plast Reconstr Surg 56:194PubMedCrossRef
Metadaten
Titel
Breast augmentation with silicone implants: the role of surgical drainage—report on 502 consecutive patients
verfasst von
G. Gherardini
R. Zaccheddu
S. M. Milner
M. El-Shazlyl
I. Liapakis
Publikationsdatum
01.06.2006
Verlag
Springer-Verlag
Erschienen in
European Journal of Plastic Surgery / Ausgabe 1/2006
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-006-0064-z

Weitere Artikel der Ausgabe 1/2006

European Journal of Plastic Surgery 1/2006 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.