Zheng Yan, Hu Yan-Yan, Zhao Wan-Yi, Wang Xiao-Feng, Fang Qing-Qing, Lv Xiong, Xiang Chun, Yao Jian-Min, Tan Wei-Qiang
Department of Plastic Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.
Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Front Surg. 2022 Sep 9;9:984732. doi: 10.3389/fsurg.2022.984732. eCollection 2022.
Capsular contracture is one of the most common complications of breast implants, which often leads to secondary surgery. Patients with unconspicuous breast contracture do not need treatment, while for those with severe symptoms, a capsule revision surgery is of great necessity, including a total periprosthetic capsulectomy and replacement with a new implant. However, if the capsular contracture happens in the submuscular space, it will be very difficult to release it completely, and it may lead to more complications such as damage to surrounding tissue. The new method of pouch can create a new subpectoral plane for the insertion of a new implant instead of a total capsulectomy, but this method is unsuitable for patients who have little breast tissue or thin skin. To solve this thorny clinical problem, we invented a double-headed separating instrument and came up with a novel operation method to release the capsular contracture, which opened from the nipple by the punctiform-incision approach and caused only a mild and undetectable trauma. This operation went off without a hitch, and the postoperative breast shape was good, and the breast felt and moved naturally. In addition, there were no significant complications throughout the one-year follow-up period. This case was an excellent demonstration of the novel breast capsular contracture release surgery using our optimized double-headed capsule contracture separator.
包膜挛缩是乳房植入最常见的并发症之一，常导致二次手术。乳房挛缩不明显的患者无需治疗，而症状严重者则非常有必要进行包膜修复手术，包括假体周围全囊切除术并更换新的植入物。然而，如果包膜挛缩发生在肌肉下间隙，将很难完全松解，且可能导致更多并发症，如周围组织损伤。新的囊袋法可为植入新的假体创造一个新的胸大肌下平面，而无需进行全囊切除术，但该方法不适用于乳房组织少或皮肤薄的患者。为解决这一棘手的临床问题，我们发明了一种双头分离器械，并提出了一种新颖的手术方法来松解包膜挛缩，该方法通过点状切口从乳头处入路，仅造成轻微且难以察觉的创伤。该手术顺利完成，术后乳房外形良好，乳房感觉和活动自然。此外，在为期一年的随访期内未出现明显并发症。该病例是使用我们优化的双头包膜挛缩分离器进行新型乳房包膜挛缩松解手术的出色示范。
