Villafane O, Garcia-Tutor E, Taggart I
Aesthetic Plast Surg. 2000 May-Jun;24(3):212-5. doi: 10.1007/s002660010035.
We present our experience with endoscopic transaxillary subglandular breast augmentation using textured silicon gel implants. Fourteen implants were placed in seven patients through a 4 cm axillary incision, in a subglandular pocket, with the help of a 10 mm, 30 degrees endoscope with a subcutaneous retractor and endoscopic diathermy. The implant was inserted with the help of a plastic bag. No drains were left in place. The duration of the procedure was 1 h 30 min in the most recent cases. Bleeding during surgery was kept to a minimum, and there were no complications such as capsular contracture, hematoma, or hypertrophic scar. Infection occurred in one implant and it was necessary to extract it. This technique is an excellent tool for patients requiring subglandular implants who prefer a distant incision. It provides good control over dissection and allows the use of silicone gel implants, thus avoiding the risk of deflation. In addition, recovery is faster and there is less bruising and pain.
我们介绍了使用带纹理硅胶植入物经腋窝内镜下腺下隆乳术的经验。在7例患者中，通过4厘米腋窝切口，借助10毫米、30度带有皮下牵开器和内镜透热法的内窥镜，将14枚植入物放置于腺下腔隙。植入物借助塑料袋插入。未留置引流管。在最近的病例中，手术持续时间为1小时30分钟。手术期间出血保持在最低限度，未出现包膜挛缩、血肿或增生性瘢痕等并发症。一枚植入物发生感染，有必要将其取出。对于需要腺下植入物且更喜欢远离切口的患者而言，该技术是一种极佳的手段。它能很好地控制解剖过程，并允许使用硅胶植入物，从而避免了瘪陷风险。此外，恢复更快，瘀伤和疼痛更少。
