Rio de Janeiro, Brazil From the Plastic Surgery Service, University of the State of Rio de Janeiro.
Plast Reconstr Surg. 2012 Oct;130(4):933-935. doi: 10.1097/PRS.0b013e31825dc3da.
Silicone implants have been used for gluteal augmentation for the past 40 years. Several techniques have been described for cosmetic purposes, but many plastic surgeons do not feel that performing the operation is safe. In this article, a technique is described to reduce the complication rate, improve the final results, and develop an easy way of understanding and learning this procedure. Based on surgical simulation involving 10 fresh cadavers, the authors have determined the goals for making the operation simpler and safer. One hundred three patients have undergone the operation performed by the staff or by the plastic surgery resident under supervision. There was seroma in 3.88 percent, dehiscence of the sutures in 5.8 percent, infection and removal of the implant in one case (0.97 percent), and no hematoma. The patient satisfaction rate was high. Anatomical dissections allowed the authors to gain experience and confidence regarding the plane of undermining, avoiding damage to the sciatic nerve, and the placement of the prosthesis, keeping it in place. The technique is easy to understand and learn.
硅酮植入物已被用于臀部隆臀术已有 40 年。已经描述了几种美容目的的技术，但许多整形外科医生认为进行该手术并不安全。在本文中，描述了一种技术，以降低并发症发生率，改善最终结果，并开发一种易于理解和学习该程序的方法。基于涉及 10 个新鲜尸体的手术模拟，作者确定了使手术更简单和更安全的目标。103 名患者接受了工作人员或在监督下的整形外科住院医师进行的手术。有 3.88％的患者发生血清肿，5.8％的患者缝线裂开，1 例（0.97％）感染并取出植入物，无血肿。患者满意度很高。解剖学解剖使作者在进行解剖时获得了经验和信心，避免了对坐骨神经的损伤，并对假体进行了定位，使其保持原位。该技术易于理解和学习。
