Increasing Implant Size During Implant Exchange Surgery Decreases the Risk for Post-Operative Seroma: Our Experience With 689 Patients.
Abstract
[BACKGROUND] Augmentation mammaplasty is the second most common aesthetic procedure in the USA, with over 300,000 surgeries performed in 2023. Although the procedure is typically regarded as safe and effective, revision surgeries, frequently prompted by aesthetic considerations or complications, present distinctive risks, including seroma formation. There is a paucity of data concerning the factors that influence the development of seromas in implant exchange surgeries.
[AIM] Examine the relationship between implant size alterations and likelihood of seroma development in secondary breast augmentation.
[MATERIALS AND METHODS] A retrospective cohort study was conducted with a total of 689 patients who underwent implant exchange. Demographic, surgical, and post-operative information was collected. To ascertain the risk factors for seroma development, univariate and multivariate logistic regression models were employed.
[RESULTS] Patients who developed post-operative seromas were younger (p < 0.001), non-smokers (p = 0.015), and opted for a decrease in implant size (p = 0.007). Utilization of suction drains and prolonged antibiotic treatment were also associated with seroma development. Multivariate analysis demonstrated that an increase in implant size (OR 0.98, 95% CI 0.96-0.99) and older age (OR 0.93, 95% CI 0.83-0.99) were protective factors against the formation of seromas.
[CONCLUSION] Findings of this study indicate a correlation between implant size reduction and an elevated risk of seroma formation in implant exchange surgeries.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[AIM] Examine the relationship between implant size alterations and likelihood of seroma development in secondary breast augmentation.
[MATERIALS AND METHODS] A retrospective cohort study was conducted with a total of 689 patients who underwent implant exchange. Demographic, surgical, and post-operative information was collected. To ascertain the risk factors for seroma development, univariate and multivariate logistic regression models were employed.
[RESULTS] Patients who developed post-operative seromas were younger (p < 0.001), non-smokers (p = 0.015), and opted for a decrease in implant size (p = 0.007). Utilization of suction drains and prolonged antibiotic treatment were also associated with seroma development. Multivariate analysis demonstrated that an increase in implant size (OR 0.98, 95% CI 0.96-0.99) and older age (OR 0.93, 95% CI 0.83-0.99) were protective factors against the formation of seromas.
[CONCLUSION] Findings of this study indicate a correlation between implant size reduction and an elevated risk of seroma formation in implant exchange surgeries.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 합병증 | seroma
|
장액종 | dict | 6 | |
| 시술 | mammaplasty
|
유방성형술 | dict | 1 | |
| 시술 | breast augmentation
|
유방성형술 | dict | 1 | |
| 해부 | breast
|
유방 | dict | 1 | |
| 합병증 | seromas
|
scispacy | 1 | ||
| 약물 | [BACKGROUND]
|
scispacy | 1 | ||
| 질환 | seromas
|
C0262627
Seroma
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Humans; Seroma; Female; Retrospective Studies; Adult; Middle Aged; Breast Implantation; Breast Implants; Reoperation; Postoperative Complications; Risk Assessment; Cohort Studies; Risk Factors; Prosthesis Design; Treatment Outcome; Follow-Up Studies; Young Adult; Logistic Models
📑 인용 관계
이 논문이 참조한 문헌 16
- Evaluation of satisfaction and well being with Breast-Q© of aesthetic breast augmentations by implan…
- Surgical Correction of Breast Animation Deformity with Implant Pocket Conversion to a Prepectoral Pl…
- Poly Implants Prosthèse Breast Implants: A Case Series and Review of the Literature.
- Unraveling Factors Influencing Early Seroma Formation in Breast Augmentation Surgery.
- Treatment of breast animation deformity in implant-based reconstruction with pocket change to the su…
- Subglandular breast augmentation with textured, anatomic, cohesive silicone implants: a review of 44…
- Breast augmentation.
- Breast implant complication review: double capsules and late seromas.
- The anatomy of revisions after primary breast augmentation: one surgeon's perspective.
- Inamed silicone breast implant core study results at 6 years.
외부 PMID 6건 (DB 미수집)
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- The impact of three-dimensional simulation and virtual reality technologies on surgical decision-making and postoperative satisfaction in aesthetic surgery: a preliminary study.
- Cutaneous fistula of the breast: A complication of cosmetic autologous fat transfer.
- Epidermal inclusion cyst after breast reduction mammoplasty.
- Clinical outcomes of synthetic absorbable mesh use in breast surgery: First case series in reconstruction and aesthetic mastopexy.
- Implant-based versus autologous mastopexy after massive weight loss: Complications and patient satisfaction.