Incidence, treatments and surgical resolve for fistula in breast implants
Portada revista Boliviana de cirugía plástica volumen 2 numero 8 de 2021
PDF (Español (España))

Keywords

breast implants
complications
fistula

How to Cite

1.
Moretti E, Falzone Selene M, Cifuentes X, Ospina M, Pelaez JM, Cortadi P, Lelli F, Marquez L. Incidence, treatments and surgical resolve for fistula in breast implants . RBCP [Internet]. 2021 Sep. 21 [cited 2024 Nov. 23];2(8):12-23. Available from: https://revistabolivianacirplastica.org/index.php/ojs/article/view/3

Abstract

Fistula or dehiscence of wounds associated with breast implants represent a relatively rare complication in daily practice. It is associated with local factors and represents a risk in terms of the possibility of extrusion and removal of the implant. The treatment of this complication is carried out by sterilizing and causing a chemical capsulitis with TCA 90% in the area of the implant and making a Double Flag Flap for cutaneous closure. In this way, it has made to resolve this complication, at the same time that it reinforces the wound by offering support to the decubitus area generated.

From the anatomical point of view, cadaveric dissections show details of the closure technique.

https://doi.org/10.54818/rbcp.vol2.n8.2021.3
PDF (Español (España))

References

Spear SL, Parikh PM, Goldstein JA. History of breast implants and the Food and Drug Administration. Clin Plast Surg. 2009;36:15-21.

Hvilsom G, Holmich L, Henriksen T, et al. Local complications after cosmetic breast augmentation: results from the Danish Registry for Plastic Surgery of the Breast. Plast Surg Nurs. 2010;30:172-9.

Handel N, Jensen JA, Black Q, et al. The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg. 1995;96:1521-33.

Washer L, Gutowski K. Breast implants infections. Infect Dis Clin N Am. 2012;26:111-25.

Brenner J. Evaluation of breast silicone implants. Magn Reson Imaging Clin N Am. 2013;21:547-60.

Bertolin SM, Gonzalez R, Amorrortu J: Leakage of silicone gel through a cutaneous fistula. Plast Reconstr Surg 1994;93:1531–2.

Erdmann MW, Asplund O, Bahnasy N: Trans- cutaneous extravasation of silicone following breast augmentation Br J Plast Surg 1992;45:479– 80.

Dickson MG, Sharpe DT: The complications of tissue expansion in breast reconstruction: a review of 75 cases. Br J Plast Surg 1987;40:629–35.

Lahiri A, Waters R: Locoregional silicone spread after high cohesive gel silicone implant rupture. J Plast Reconstr Aesthet Surg 2006;59:885–6.

Gormley DE. A brief analysis of the Burow´s wedge/triangle principle. Dermatol Surg Oncol. 1985;11(2):121-123.

Thorne CH, Beasley RW, Aston SJ, Bartlett SP, Gurtner GC, Spear SL. Grabb and Smith's Plastic Surgery. Philadelphia, PA: Wolters Kluwer Health. Specific regional defects; pp. 301–4., 2007.

Laguinge R, Nagahama MA. Reconstruction of periorificial regions of the face with double pennant flap. 13th International Congress of the International Confederation for the Plastic, Reconstructive and Aesthetic Surg, TRANSACTION, Sydney, Australia, 2003.

Nagahama MA, Laguinge R. The Choice of a technique of auricular lesions. 13th International Congress of the International Confederation for the Plastic, Reconstructive and Aesthetic Surg, TRANSACTION, Sydney, Australia, 2003.

Laguinge R, Nagahama MA. Reconstrucción de las regiones periorificiales de la cara con el colgajo en doble banderín. Revista Argentina de Cirugía Plástica; suplemento I. 2004.

Buquet P, Buquet JA, Fonfach C. Reconstrucción de párpado inferior con injerto de cartílago auricular de espesor parcial y colgajo de Laguinge en doble banderín. Revista Argentina de Cirugía Plástica 2014; 20:1.

Michelakis E, Webster,L, Mackey, J. Dichloroacetate (DCA) as a potential metabolic-targeting therapy for cancer. British Journal of Cancer 2008 (99): 989-994.

Brodland DG, Roenigk RK, Cullimore KC, Gibson LE. Depths of chemexfoliation induced by various concentrations and application techniques of trichloroacetic acid in a porcine model. J Dermatol Surg Oncol 1989;15:967–71.

Blugerman G, Schavelzon F, Rodrigo Cáceres R, Schavelzon V, Mussi M, Blugerman G. Capsulectomía química y cierre de la cápsula mamaria con colgajos de anclaje. Rev Arg de Cirugía Plástica 2018; 24 (2):67-72.

Ventura O, Marino H, Marcello G, Mitideri V: Un zócalo como soporte del implante mamario. Cir. Plast. Iberolatinoam. 2007, vol.33 (1):31-36.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Downloads

Download data is not yet available.