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反向肌肉吊带减少了乳房上提-隆乳修复术中的并发症。

Reverse-Muscle Sling Reduces Complications in Revisional Mastopexy-Augmentation.

作者信息

Valente Denis Souto

机构信息

Graduate Program in Medicine and Health Sciences School of Medicine PUCRS, Antônio Carlos Berta 475 - 7th Floor, Porto Alegre, RS, 91340-020, Brazil.

出版信息

Aesthetic Plast Surg. 2018 Oct;42(5):1202-1212. doi: 10.1007/s00266-018-1178-y. Epub 2018 Jun 20.

DOI:10.1007/s00266-018-1178-y
PMID:29926124
Abstract

BACKGROUND

Simultaneous augmentation-mastopexy is a particularly tricky operation with a considerable reoperation rate. The pectoralis muscle sling has proven to be a suitable alternative technique for long-term results in breast parenchyma suspension without silicone implants. This study aims to propose a promising approach to simultaneous augmentation-mastopexy revisional surgery using an inverted dual-plane technique acting as a muscular sling.

METHODS

A 10-year historic cohort was conducted to obtain the following variables from our preexisting database: age, preoperative measurements, operative technicalities, implant details, time from procedure to revision, complications, and outcomes.

RESULTS

Twenty-six patients assessed after the initial postoperative year were analyzed. Review of this series of patients revealed a revision rate of 3.8% and overall rate of morbidity of 11.5%.

CONCLUSION

Simultaneous augmentation-mastopexy using an inverted dual-plane technique acting as a muscular sling is a reliable and safe procedure. Review of this series of patients revealed low rates of morbidity and reoperation need.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

同期隆乳-乳房固定术是一项特别棘手的手术,再次手术率相当高。胸大肌吊带已被证明是一种合适的替代技术,可在不使用硅胶植入物的情况下长期实现乳腺实质悬吊。本研究旨在提出一种有前景的方法,用于采用作为肌肉吊带的倒转双平面技术进行同期隆乳-乳房固定术的翻修手术。

方法

进行了一项为期10年的历史性队列研究,以从我们现有的数据库中获取以下变量:年龄、术前测量数据、手术技术、植入物详细信息、手术至翻修的时间、并发症和结果。

结果

对术后第一年评估的26例患者进行了分析。对这组患者的回顾显示,翻修率为3.8%,总体发病率为11.5%。

结论

采用作为肌肉吊带的倒转双平面技术进行同期隆乳-乳房固定术是一种可靠且安全的手术。对这组患者的回顾显示,发病率和再次手术需求率较低。

证据水平IV:本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。

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