scholarly journals The Complications of Polyacrylamide Hydrogel Augmentation Mammoplasty

2017 ◽  
Vol 3 ◽  
pp. 2513826X1769382 ◽  
Author(s):  
Jessica Winter ◽  
Sarah Shiga ◽  
Avinash Islur
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Medical Tourism ◽  
Augmentation Mammoplasty ◽  
Polyacrylamide Hydrogel ◽  
Flap Reconstruction ◽  
Review Of The Literature ◽  
Free Flap Reconstruction ◽  
Injectable Filler ◽  
Complex Surgery

The use of polyacrylamide hydrogel (PAAG) as an injectable filler for breast augmentation has fallen out of popularity since its first use in the 1980s but has produced an increasing patient population presenting with complications related to PAAG injections. Polyacrylamide hydrogel use was popularized most notably in China, Russia, and Iran. However, given immigration trends and medical tourism, PAAG-related complications have become increasingly more common in North America. These complications can be difficult to treat, often necessitating complex surgery that includes gel removal, debridement procedures, and often breast reconstruction. Approaches to surgical treatment and subsequent breast reconstruction are not universally defined primarily because of the limited knowledge about this group of patients. This article presents the option of autologous free flap reconstruction for a patient with extensive muscular involvement and aims to summarize complications and risks associated with PAAG through case report and a review of the literature.

Free Flap Reconstruction for Infection of Ankle Fracture Hardware: Case Report and Review of the Literature

2006 ◽  
Vol 7 (3) ◽  
pp. 315-322 ◽  
Author(s):  
Jay W. Calvert ◽  
Som Kohanzadeh ◽  
Martin Tynan ◽  
Gregory R.D. Evans
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Ankle Fracture ◽  
Flap Reconstruction ◽  
Review Of The Literature ◽  
Free Flap Reconstruction

scholarly journals Breast reconstruction in pregnancy: a case report of multidisciplinary team approach in immediate autologous flap reconstruction for pregnancy-associated breast cancer

2017 ◽  
Vol 5 (9) ◽  
pp. 1450-1453 ◽  
Author(s):  
Prakasit Chirappapha ◽  
Panya Thaweepworadej ◽  
Nuttapong Ngamphaiboon ◽  
Matchuporn Sukprasert ◽  
Thongchai Sukarayothin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Breast Reconstruction ◽  
Multidisciplinary Team ◽  
Team Approach ◽  
Flap Reconstruction ◽  
Multidisciplinary Team Approach ◽  
In Pregnancy

Assessing the Influence of Failed Implant Reconstruction on Patient Satisfaction and Decision Regret after Salvage Free-Flap Breast Reconstruction

2021 ◽  
Author(s):  
Ronnie L. Shammas ◽  
Amanda R. Sergesketter ◽  
Mahsa Taskindoust ◽  
Sonali Biswas ◽  
Scott T. Hollenbeck ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Well Being ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Decision Regret ◽  
History Of ◽  
Implant Reconstruction

Abstract Background Free-flap breast reconstruction after failed implant reconstruction is associated with improved patient outcomes. How the level of satisfaction achieved compares between patients with and without previously failed implant reconstruction remains unknown. The aim of this study was to assess the influence of prior failed implant-based reconstruction on long-term patient-reported outcomes after free-flap breast reconstruction. Methods All patients undergoing free-flap breast reconstruction between 2015 and 2019 were identified. Patient satisfaction using the BREAST-Q and decisional regret using the Decision Regret Scale were compared between patients with and without a history of implant breast reconstruction. Results Overall, 207 patients were contacted and 131 completed the BREAST-Q and Decision Regret Scale. A total of 23 patients had a history of failed implant-based reconstruction requiring free-flap-flap salvage, most commonly due to infection (39.1%), chronic pain (34.8%), capsular contracture (26%), and implant malposition (26.1%). Following definitive free-flap reconstruction, patients with prior failed implant reconstruction had significantly lower BREAST-Q scores for satisfaction with breast (61.2 ± 16.7 vs. 70.4 ± 18.7; p = 0.04) and sexual well-being (38.5 ± 18.2 vs. 52.8 ± 24.7; p = 0.01) and reported higher decision regret (19.1 ± 18.6 vs. 9.6 ± 15.6, respectively). There were no significant differences for psychosocial well-being (p = 0.67), physical well-being (chest; p = 0.27), and physical well-being (abdomen; p = 0.91). Conclusion A history of failed implant-based reconstruction is associated with reduced satisfaction and increased decision regret with the final reconstructive outcome. This data underscores the importance of appropriate patient selection at the initial consultation, and informed preoperative counseling regarding long-term outcomes in patients presenting for free-flap reconstruction after a failed implant-based reconstruction.

scholarly journals Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dmitry Batiukov ◽  
V. Podgaiski ◽  
D. Mikulich ◽  
S. Kalinin
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Breast Augmentation ◽  
Surgical Procedure ◽  
Fat Grafting ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Case Presentation ◽  
Tissue Ingrowth ◽  
First Case

Abstract Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

Alexis Retractor: Institutional Experience of Its Applications in Head and Neck Surgery and Review of the Literature

2020 ◽  
Vol 57 (5) ◽  
pp. 656-659
Author(s):  
Jasmine Lee ◽  
Jason W. Yu ◽  
Z-Hye Lee ◽  
Jamie P. Levine ◽  
Adam S. Jacobson
Keyword(s):  
Head And Neck ◽  
Surgical Procedures ◽  
Neck Surgery ◽  
Flap Reconstruction ◽  
Review Of The Literature ◽  
Operative Techniques ◽  
Free Flap Reconstruction ◽  
Wound Protection ◽  
Institutional Experience ◽  
Protective Membrane

Background: The Alexis retractor is a device that provides simultaneous radial retraction and wound protection during surgical procedures. Although typically used in abdominal and pelvic surgeries, there has been increased development of novel operative techniques utilizing the Alexis retractors in head and neck surgeries. Methods: We describe 2 cases of utilizing the Alexis retractor to attain transoral exposure in the setting of free flap reconstruction of intraoral defects. Results: In both cases, the Alexis retractor provided improved retraction, decreasing the number of instruments required for adequate exposure. Additionally, the polyurethane sheath component acted as a protective membrane over the lips and mucosa. Conclusions: The Alexis retractor can be a powerful retraction tool for certain surgical procedures involving the head and neck regions.

Sign in / Sign up

Export Citation Format

Share Document