Gonzalez Raul
Clinica Raul Gonzalez, Amadeu Amaral, 661-Ribeirao Preto/SP, Brazil 14020-050.
Aesthetic Plast Surg. 2006 Sep-Oct;30(5):599-604; discussion 605. doi: 10.1007/s00266-005-0162-5.
Late intracapsular seroma and hematoma have been described frequently as a complication of breast augmentation surgery. However, there are few reports of late intracapsular seroma in buttock augmentation. Textured and polyurethane implants have been used for subfascial enlargement of the buttocks. In this article, the authors report a large late intracapsular bilateral seroma caused by a retrofascial polyurethane-covered implant used for buttock augmentation: 1,200 ml on one side and 300 ml on the other. This patient's intracapsular seroma was of sudden onset 2 years and 6 months after surgery, and apparently had no relation to any trauma, use of medication, or physical exercise. Local tissues, including the gluteal fascia, were distended such that the implant was replaced inside the muscle and there was no relapse of the seroma. Late intracapsular hematomas or seromas from implants for buttock and breast augmentation may have the same etiology, and textured implants seem to be involved. All the reports on the matter are associated with textured implants. Any late seroma or hematoma caused by a smooth implant is related to an additional factor that may be considered as the etiologic agent. Further studies aimed at a large-scale assessment of the cause and actual incidence of late seromas and hematomas from textured implants are required.
晚期囊内血清肿和血肿常被描述为隆胸手术的并发症。然而，关于臀部增大术中晚期囊内血清肿的报道却很少。有纹理的和聚氨酯植入物已被用于臀部筋膜下增大术。在本文中，作者报告了一例由用于臀部增大术的后筋膜聚氨酯覆盖植入物引起的大型双侧晚期囊内血清肿：一侧为1200毫升，另一侧为300毫升。该患者的囊内血清肿在术后2年6个月突然出现，显然与任何外伤、药物使用或体育锻炼无关。包括臀筋膜在内的局部组织肿胀，使得植入物被置换到肌肉内，血清肿未复发。用于臀部和隆胸的植入物引起的晚期囊内血肿或血清肿可能具有相同的病因，且有纹理的植入物似乎与之有关。关于此事的所有报道都与有纹理的植入物有关。由光滑植入物引起的任何晚期血清肿或血肿都与一个可被视为病因的额外因素有关。需要进行进一步的研究，以大规模评估有纹理植入物引起的晚期血清肿和血肿的原因及实际发生率。
