Uvećanje dojki silikonskim implantima bez drenaže – retrospektivna analiza 726 pacijentkinja

  • Nenad Stepić Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Jovana D Končar Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
  • Milica Rajović Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
  • Marijan Novaković Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP151115171S
Ključne reči: mammoplasty||, ||mamoplastika, breast implants||, ||dojka, implantati, drainage||, ||postoperativne komplikacije, postoperative complications||, ||,

Sažetak


Uvod/Cilj. Uvećanje dojki jedna je od najčešće izvođenih operacija u estetskoj hirurgiji. Rane komplikacije kao što su infekcija, serom, hematom i kontraktura kapsule, kao i neke kasne komplikacije mogu biti posledice drenaže rane. Cilj ove studije bio je da ispita učestalost komplikacija nakon operacije uvećanja dojki izvedene bez drenaže rane. Metode. Učinjena je retrospektivna analiza svih bolesnica podvrgnutih uvećanju dojki u periodu 2003–2013. Iz medicinske dokumentacije bolesnica dobijeni su podaci o demografskim karakteristikama, hirurškoj tehnici i broju komplikacija. Drenaža rane nije rađena u ovoj grupi bolesnica koje su praćene na otpustu, nakon 7 dana, tri meseca i godinu dana posle operacije. Praćena je učestalost seroma rane, hematoma, infekcije i kapsularne kontrakture. Rezultati. Među 726 bolesnica prosečne starosti 28,5 (22–48) godina, uvećanje dojki je učinjeno silikonskim implantima kroz inframamarni pristup koristeći submuskularnu i subglandularnu tehniku. Srednja vrednost implanta iznosila je 339 (200–520) cc. Subglandularna tehnika je primenjena kod 545 (75%), dok je kod 181 (25%) bolesnice implant ugrađen u submuskularni sloj: kompletno ispod mišića kod 95/726 (13%) odnosno „dual plane“ tehnikom kod 86/726 (12%) bolesnica. U ranom postoeperativnom periodu nije bilo infekcije, zabeleženo je pet (0,7%) seroma i 8 (1,1%) hematoma, od kojih je 5 zahtevalo hiruršku reviziju. Nije bilo statistički značajne razlike u učestalosti komplikacija između navedenih tehnika. Tokom perioda praćenja zabeležene su tri (0,4%) kapsularne kontrakture. Zaključak. Učestalost komplikacija u ovoj grupi bolesnica nakon operacija uvećanja dojki bez korišćenja drenaže je mala. Buduće randomizirane studije su potrebne da potvrde uticaj drenaže rane na učestalost ranih i kasnih komplikacija.

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Objavljeno
2017/06/02
Broj časopisa
Vol. 74 Br. 2 (2017)
Rubrika
Kratko saopštenje