Lee Won, Choi Bong-Kyoon, Bang Sa-Ik, Yang Eun-Jung
From the *Yonsei E1 Plastic Surgery Clinic, Anyang; †Korea International Esthetic Surgery Union (KIES·U) Plastic Surgery Clinic; and ‡Department of Plastic and Reconstructive Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, South Korea.
Ann Plast Surg. 2014 Sep;73(3):268-74. doi: 10.1097/SAP.0b013e31827a3820.
Endoscopic placement of breast implants has been described through an umbilical incision. Limitations include the fact that only inflatable implant can be used through umbilical approach. The purpose of this study is to describe the authors' evolutionary transumbilical technique with cohesive silicone gel implant insertion and to retrospectively analyze preliminary results. The authors' technique is the placement of a cohesive silicone gel implant using a transumbilical approach in a subpectoral plane. Patients who were selected had mammary hypoplasia without ptosis and who requests breast augmentation with a scarless and natural feel breast were considered candidates. The technique and indications are presented thoroughly. From June of 2011 to January of 2012, 42 women aged 23 to 46 years (average, 31.6 years) underwent the endoscopic transumbilical breast augmentation. All patients had round silicone implants placed in the retropectoral pocket location. The results of this study indicate that transumbilical technique is highly successful. Complication included transient periumbilical bulging (5 patients, 11.9%), hypertrophic scar needing revision (1 patient, 2.3%), and conversion to other breast incision due to capsular contracture (3 of 84 breasts, 3.5%). Transumbilical breast augmentation with prefilled implant is a safe and attractive technique for breast implant placement in selected patients. With this inventory modification, the result can permit surgeons expanded spectrum of implant selection for transumbilical approach.
内镜下经脐切口植入乳房假体的方法已被报道。其局限性在于经脐入路仅能使用可充气式假体。本研究的目的是描述作者采用的经脐植入粘性硅胶假体的改良技术，并对初步结果进行回顾性分析。作者的技术是经脐入路在胸大肌下平面植入粘性硅胶假体。入选患者为乳腺发育不全且无乳房下垂，要求进行无痕且手感自然的隆乳手术者。本文将对该技术及适应证进行详细介绍。2011年6月至2012年1月，42例年龄在23至46岁（平均31.6岁）的女性接受了内镜下经脐隆乳术。所有患者均在胸大肌后间隙植入圆形硅胶假体。本研究结果表明经脐技术非常成功。并发症包括短暂性脐周隆起（5例，11.9%）、需要修复的增生性瘢痕（1例，2.3%）以及因包膜挛缩而改行其他乳房切口（84个乳房中的3个，3.5%）。预装式假体经脐隆乳术对于特定患者而言是一种安全且有吸引力的乳房假体植入技术。通过这种器械改良，结果可使外科医生在经脐入路时扩大假体选择范围。
