Fayman M S
Rosebank Clinic, P.O. Box 1708, Parklands, 2121, Johannesburg, South Africa.
Aesthetic Plast Surg. 2007 Jan-Feb;31(1):19-22. doi: 10.1007/s00266-006-0112-x.
Pneumothorax is one of the most poorly understood and least frequently reported complications associated with breast augmentation, yet this complication presents as a dramatic and often extremely distressing event to both the patient and the surgeon. In addition, this complication is associated with an estimated 10% occurrence of medicolegal consequence. A recent survey of 363 Californian Plastic Surgeons concerning the occurrence and outcome of breast augmentation related Pneumothorax suggested that the incidence of this complication could be more prevalent than previously reported. The author previously suggested barotrauma as the underlying mechanism responsible for the development of pneumothorax associated with breast augmentation. This study aimed to analyze the role of air drainage in preventing pneumothorax during insertion of breast implants.
A control group of five patients who experienced pneumothorax was compared with a group of six consecutive patients whose surgical pocket was drained of air during insertion of the implant.
None of the study patients experienced pneumothorax.
Air drainage from the surgical cavity during insertion of the implant is extremely successful in preventing the development of breast augmentation-related pneumothorax. It is suggested that air drainage be introduced as a routine step in breast augmentation procedures, particularly in those that involve insertion of large implants through small incisions.
气胸是隆胸手术相关并发症中最难以理解且报道最少的并发症之一，但这种并发症对患者和外科医生而言都是一个严重且常常极其令人苦恼的事件。此外，据估计，这一并发症会引发约10%的医疗法律后果。最近一项针对363名加利福尼亚州整形外科医生关于隆胸相关气胸的发生率及后果的调查表明，该并发症的发生率可能比之前报道的更为普遍。作者之前提出气压伤是隆胸相关气胸发生的潜在机制。本研究旨在分析在植入乳房假体过程中进行排气预防气胸的作用。
将5例发生气胸的患者作为对照组，与一组在植入假体过程中手术腔隙进行排气的6例连续患者进行比较。
研究中的患者均未发生气胸。
在植入假体过程中从手术腔隙排气对于预防隆胸相关气胸非常成功。建议将排气作为隆胸手术的常规步骤，尤其是在那些通过小切口植入大型假体的手术中。
