Epidemiology and Prevention of Breast Prosthesis Capsular Contracture Recurrence.

Tytuł:: Epidemiology and Prevention of Breast Prosthesis Capsular Contracture Recurrence.
Autorzy:: Ganon S; Service de Chirurgie Plastique, Reconstructrice Et Esthétique. Centre des Brûlés, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France. .
Morinet S; Public Health, Saint-Louis Hospital, Paris, France.
Serror K; Service de Chirurgie Plastique, Reconstructrice Et Esthétique. Centre des Brûlés, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France.
Mimoun M; Service de Chirurgie Plastique, Reconstructrice Et Esthétique. Centre des Brûlés, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France.
Chaouat M; Service de Chirurgie Plastique, Reconstructrice Et Esthétique. Centre des Brûlés, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France.
Boccara D; Service de Chirurgie Plastique, Reconstructrice Et Esthétique. Centre des Brûlés, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France.
Źródło:: Aesthetic plastic surgery [Aesthetic Plast Surg] 2021 Feb; Vol. 45 (1), pp. 15-23. Date of Electronic Publication: 2020 Jul 21.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: New York, Springer-Verlag.
MeSH Terms:: Breast Implantation*/adverse effects
Breast Implants*/adverse effects
Breast Neoplasms*
Contracture*/epidemiology
Contracture*/etiology
Contracture*/prevention & control
Mammaplasty*/adverse effects
Follow-Up Studies ; Humans ; Implant Capsular Contracture/epidemiology ; Implant Capsular Contracture/etiology ; Implant Capsular Contracture/prevention & control ; Retrospective Studies
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Entry Date(s):: Date Created: 20200723 Date Completed: 20210225 Latest Revision: 20210417
Update Code:: 20240104
DOI:: 10.1007/s00266-020-01876-y
PMID:: 32696162
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Introduction: Baker grade III and IV breast prosthesis capsular contractures represent a major problem for patients undergoing mammoplasties. The risk factors involved in recurrence are debated, and the best surgical approach for their prevention is not established. The objective was to identify these.
Materials and Methods: We carried out a retrospective study of patients operated on for capsular contracture at the Saint-Louis Hospital in Paris from 2012 to 2014. The characteristics at inclusion were compared so as to determine the risk factors of recurrence. The surgical approaches were compared between the patients with recurrence and those without at 5 years.
Results: Of the 100 patients included, 24 had a recurrence. The minimal follow-up was 5 years. No risk factors of recurrence of capsular contracture were identified. The surgical approach associated with the lowest rate of recurrence was anterior capsulectomy [OR total capsulectomy = 2.36 (0.73; 8.037) OR capsulotomy = 4.33 (1.37; 14.81)] (p < 0.040) with alteration of the volume of the implant, whether greater or less than initially [OR greater volume = 0.30 (0.096; 0.83); OR smaller volume = 0.14 (0.008; 0.85)] (p < 0.018).
Conclusion: The occurrence of capsular contracture is a major problem with prosthetic breast surgery. The main risk factors identified to date are essentially in regard to the occurrence of a first episode. No significant risk factors for recurrence were identified. The best prevention appears to be an anterior capsulectomy with reducing the volume of the implant.
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 . IV.

Comment in: Aesthetic Plast Surg. 2021 Feb;45(1):24-26. (PMID: 32901317)
Comment in: Aesthetic Plast Surg. 2021 Apr;45(2):819-821. (PMID: 33206212)

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