Experience with 304 Cases of Normal Saline Filled Breast Implants

三百零四例生理食鹽水填充義乳之經驗

劉貴實(Kwei-Shi Liu) ； 呂旭彥(Shiuh-Yen Lu)

《中華民國重建整形外科醫學會雜誌》 8卷2期 (1999/06) Pp. 79-87

https://doi.org/10.7096/JPRSA.199906.0003

摘要

We observed 304 cases of augmentation mammoplasty with normal saline-filled breast implants from 1993 to 1998 in Cathay General Hospital (CGH), Taipei, Taiwan. There were 229 cases (75%) using smooth-surface implants and 75 cases (25%) using textured-surface implants. A portion of the Baker classification grade III and all grade IV cases received secondary operations. All of the leakage cases received secondary operations. Ten cases (3.3%) required secondary operation in our group due to capsular contracture or rupture of the previous implants. Five (1.7%) smooth-surface and 5 (6.7%) textured-surface implants were noted with these complications. There was a significantly higher number (p＜0.05) of complications which required secondary operations with textured-surface than with smooth-surface implants.
Six cases who had previous operations of augmentation mammoplasty in other hospitals were used to support the findings of our series, and we found that there was a greater chance of secondary operations with textured-surface than with smooth-surface breast implants. Therefore, we experienced more unfavorable results with textured breast implants.

並列摘要

We observed 304 cases of augmentation mammoplasty with normal saline-filled breast implants from 1993 to 1998 in Cathay General Hospital (CGH), Taipei, Taiwan. There were 229 cases (75%) using smooth-surface implants and 75 cases (25%) using textured-surface implants. A portion of the Baker classification grade III and all grade IV cases received secondary operations. All of the leakage cases received secondary operations. Ten cases (3.3%) required secondary operation in our group due to capsular contracture or rupture of the previous implants. Five (1.7%) smooth-surface and 5 (6.7%) textured-surface implants were noted with these complications. There was a significantly higher number (p＜0.05) of complications which required secondary operations with textured-surface than with smooth-surface implants.
Six cases who had previous operations of augmentation mammoplasty in other hospitals were used to support the findings of our series, and we found that there was a greater chance of secondary operations with textured-surface than with smooth-surface breast implants. Therefore, we experienced more unfavorable results with textured breast implants.

並列關鍵字

augmentation mammoplasty ； breast implant (prosthesis) ； textured or smooth surface ； capsular contracture ； leakage ； seroma