Tumanov V P, Vishnevskii A A, Olenin V P, Romashov Iu V, Kaem R I
Arkh Patol. 1984;46(6):40-7.
Silicone implants used in mammaplasty are often associated with constrictive capsule fibrosis, leading to induration and deformation of the prosthetic organs. In connection with this, there has been developed and is currently successfully applied in the clinical practice of the A. V. Vishnevsky Institute of Surgery an original method of mammary gland endoprosthesis with oily implants. The objective of this work was to make a comparative study of the late results of mammaplasty based upon the morphologic study of capsules formed around silicone and oily implants, removed during secondary surgical interventions. The dynamics of capsule formation around temporary organic glass endoprostheses has also been studied. The results showed that implantation of silicone prostheses results in a formation of a rough thick capsule, an active inflammatory reaction in the surrounding tissues and the development of constrictive fibrosis. Implantation of a temporary organic glass endoprosthesis that is filled with oil at the second stage of the operation, is followed by a thin capsule formation without signs of inflammation. The stability of the capsule structure up to 3 years has been noted. On the whole, this prosthesis provides a good cosmetic effect during long time after mammaplasty.
用于乳房整形术的硅胶植入物常常与缩窄性包膜纤维化相关，导致假体器官硬结和变形。与此相关的是，A.V.维什涅夫斯基外科研究所已研发出一种含油性植入物的乳腺内假体的原创方法，目前该方法已成功应用于临床实践。这项工作的目的是通过对二次手术中取出的硅胶和油性植入物周围形成的包膜进行形态学研究，对乳房整形术的晚期结果进行比较研究。还研究了临时有机玻璃内假体周围包膜形成的动态过程。结果表明，植入硅胶假体可导致形成粗糙的厚包膜、周围组织出现活跃的炎症反应以及缩窄性纤维化的发展。在手术第二阶段植入填充油的临时有机玻璃内假体后，会形成薄包膜且无炎症迹象。已观察到包膜结构在长达3年的时间内保持稳定。总体而言，这种假体在乳房整形术后很长一段时间内都能提供良好的美容效果。
