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Khirurgii

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Year 2016 Vol. 24 No 4

CASE REPORTS

K.V. LIPATOV, Y.V. STRUCHKOV, E.A. KOMAROVA, B.S. NASIBOV

POST-IMPLANTATION POLYACRYLAMIDE MAMMARY SYNDROME: A TOPICAL PROBLEM OF GENERAL SURGICAL HOSPITALS

SPEE HPE "I.M. Sechenov First Moscow Sate Medical University",
Moscow
The Russian Federation

Objectives. To investigate various forms of late purulent complications of injection contour mammoplasty from the point of view of therapeutic and diagnostic tactics elaboration in regard of this patient category.
Methods. Regarding to therapy results of patients (n=8) who had previously undergone breast augmentation by polyacrylamide hydrogel injections complicated by the infection of implants, the causes, clinical presentation, optimal diagnostic and therapeutic measures referring to different forms of late postoperative purulent complications had been studied.
Results. The risk of post-implantation infection remains for many years after the augmentation mammoplasty. The features of surgical treatment of these complications include the necessity of radical removal of all tissues infiltrated by hydrogel that leads to a severe cosmetic defect. With a view to eliminate the cosmetic defect, the endoprosthetics of mammary glands using silicone breast implants could be performed (6 - 12 months after the inflammatory process). In this case another aesthetic surgery would be accompanied by an increased risk of postoperative purulent complications.
Conclusion. Augmentation mammoplasty by polyacrylamide hydrogel injections appears to be inaccurate and dangerous technique of breast augmentation and should be officially prohibited. Surgical treatment of late purulent complications of augmentation mammoplasty by polyacrylamide hydrogel injections has a range of significant characteristics. To improve the long-term results the principal diagnostic and therapeutic conception of treatment the postoperative purulent complications after augmentation mammoplasty has been formulated in this study.

Keywords: augmentation mammoplasty, cosmetic defect, silicone breast implants, polyacrylamide hydrogel, purulent complications, post-implantation polyacrylamide mammary syndrome, long-term results
p. 401-406 of the original issue
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Address for correspondence:
119991, Russian Federation, Moskow,
ul. Bolshaya Pirogovskaya, d. 2, str. 4,
GBOU VPO
"Pervyiy Moskovskiy meditsinskiy
universitet im. I.M. Sechenova",
kafedra obschey khirurgii,
tel. mob. 89166358988,
e-mail: k_lipatov@mail.ru,
Lipatov Konstantin Vladimirovich
Information about the authors:
Lipatov K.V. MD, professor of the general surgery chair of SBEE HPE "I.M.Sechenov First Moscow State Medical University".
Struchkov Y.V. MD, professor of the general surgery chair of SBEE HPE "I.M.Sechenov First Moscow State Medical University".
Komarova E.A. PhD, an assistant of the general surgery chair of SBEE HPE "I.M.Sechenov First Moscow State Medical University".
Nasibov B.Sh., applicant of the general surgery chair of SBEE HPE "I.M.Sechenov First Moscow State Medical University".
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