Yu L, Wang J, Zhang B, Zhu C
Department of Plastic and Reconstructive Surgery, Shanghai Jiao Tong University, School of Medicine, Shanghai 9th People's Hospital, Shanghai, China.
Aesthetic Plast Surg. 2008 Mar;32(2):329-32. doi: 10.1007/s00266-007-9104-8.
Traditionally, breast implant extraction and capsular contracture treatment are performed using the transareolar approach. However, this approach is not acceptable to Chinese patients because of the additional scar formation. The authors present their experience using capsular contracture treatment using transaxillary endoscopic assistance without the need for an additional incision.
The former transaxillary incisional scar for augmentation mammoplasty is used. Blunt dissection to the outer surface of the fibrous capsule is performed. A 30 degrees 10-mm endoscope is placed through the axillary incision for dissection of the capsule's outer surface. After completion of this procedure, the capsule is cauterized open, and extraction is completed. Transaxillary capsulectomy is performed under endoscopic control. The reimplantation is performed with the no-touch technique after an adequate pocket has been created.
From October 2005 to September 2006, 11 patients were treated with the described procedure. The results were favorable during a follow-up period of 4 to 6 months. No scar was left on the breast, and no additional scarring occurred.
Endoscopic transaxillary capsular contracture treatment through the axillary incision was possible, with successful removal of the fibrous capsule. The technique eliminated the incision on the breast and created one incision far from the breast area for completion of the procedure.
传统上，乳房植入物取出和包膜挛缩治疗采用经乳晕入路。然而，由于会额外形成瘢痕，这种方法对于中国患者来说难以接受。作者介绍了他们使用经腋窝内镜辅助进行包膜挛缩治疗的经验，无需额外切口。
利用之前隆胸手术的经腋窝切口瘢痕。钝性分离至纤维包膜外表面。通过腋窝切口置入30度10毫米的内镜，用于分离包膜外表面。完成该操作后，将包膜灼开并完成取出。在内镜控制下进行经腋窝包膜切除术。在创建足够的腔隙后，采用无接触技术进行再植入。
2005年10月至2006年9月，11例患者接受了所述手术。在4至6个月的随访期内结果良好。乳房上未留下瘢痕，也未出现额外瘢痕形成。
经腋窝切口通过内镜进行包膜挛缩治疗是可行的，能够成功去除纤维包膜。该技术避免了乳房上的切口，仅在远离乳房区域创建一个切口来完成手术。
