Awaida Cyril J, Paek Laurence, Danino Michel Alain
Division of Plastic Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Plast Reconstr Surg Glob Open. 2022 Jul 25;10(7):e4437. doi: 10.1097/GOX.0000000000004437. eCollection 2022 Jul.
Implant malposition remains one of the main complications of aesthetic breast augmentation and alloplastic breast reconstruction with expanders and implants. Many capsulorrhaphy techniques have been described to adjust the breast pocket and correct the malposition. In this study, we tested the efficacy of the argon beam coagulator (ABC) for lateral capsulorrhaphy on breast reconstruction patients at the time of expander replacement with a permanent implant. We also experimentally compared the effects of the ABC and the standard electrocautery on fragments of healthy breast capsule. We noted a 69.5% capsule shrinkage with the ABC versus 46.8% with the standard electrocautery. We concluded that breast capsulorrhaphy using the ABC is a safe and efficient technique for the correction of breast implant malposition in both reconstructive and aesthetic breast surgery.
植入物位置不当仍然是美容性隆乳术以及使用扩张器和植入物进行假体乳房重建的主要并发症之一。已经描述了许多包膜缝合技术来调整乳房腔隙并纠正位置不当。在本研究中，我们测试了氩束凝固器（ABC）在永久性植入物替换扩张器时对乳房重建患者进行外侧包膜缝合的疗效。我们还通过实验比较了ABC和标准电灼对健康乳房包膜碎片的影响。我们注意到使用ABC时包膜收缩率为69.5%，而使用标准电灼时为46.8%。我们得出结论，在重建性和美容性乳房手术中，使用ABC进行乳房包膜缝合是一种安全有效的纠正乳房植入物位置不当的技术。
