Does the Use of Intraoperative Breast Sizers Increase Complication Rates in Primary Breast Augmentation A Retrospective Analysis of 416 Consecutive Cases in a Single InstitutionReportar como inadecuado




Does the Use of Intraoperative Breast Sizers Increase Complication Rates in Primary Breast Augmentation A Retrospective Analysis of 416 Consecutive Cases in a Single Institution - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Plastic Surgery International - Volume 2016 2016, Article ID 6584810, 8 pages -

Research ArticleInstituto Ivo Pitanguy, Rua Dona Mariana 65, 22280-020 Botafogo, RJ, Brazil

Received 19 September 2015; Accepted 1 March 2016

Academic Editor: Selahattin Özmen

Copyright © 2016 Lee Seng Khoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Is the use of intraoperative breast sizers beneficial for plastic surgeons or do they result in higher complication rates? Methods. This is a retrospective study of 416 consecutive cases of primary breast augmentation with silicone implants at the Plastic Surgery Service of Professor Ivo Pitanguy at the 38th Infirmary Santa Casa Misericórdia Hospital, Rio De Janeiro, from January 2011 to March 2014. 212 cases 51% were carried out with use of intraoperative breast sizers with 204 cases 49% without the use of implant sizers. This study compares the outcome of cases that employed the use of intraoperative implant sizers versus those that did not in terms of infection, hematoma-seroma formation, and capsular contracture. Results. Of 416 primary breast augmentation cases, there were 5 cases of infection 1.2%, 4 cases of seroma 1%, 3 cases of hematoma 0.7%, and 7 cases of capsular contracture Baker’s Grade III-IV1.7%. Total complication rate limited to infection, seroma, hematoma, and capsular contracture was 1.15% 95% CI 0.96–1.93%. There was a significant difference in the scores for breast sizers M = 4.3, SD = 1.4 and no breast sizers M = 2.3, SD = 0.87 conditions, 8 = 2.79, . The use of implant sizers was correlated with a higher complication rate. Conclusion. Good results could be obtained without the use of breast sizers in primary breast augmentation with use of a biodimensional tissue based planning system while eliminating risks of infection and reducing intraoperative time. Notwithstanding, in a residency program breast sizers can be an excellent training tool to shorten the learning curve in the novice surgeon.





Autor: Lee Seng Khoo, Henrique N. Radwanski, Vasco Senna-Fernandes, Nsingi Nsosolo Antônio, Leonardo Luiz Fernandes Fellet, and Ivo

Fuente: https://www.hindawi.com/



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