Application of Endoscopic Surgery Combined with Intraoperative Color Doppler Ultrasound in Removal of Injected Breast Augmentation Agents (Report of 16 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LUO Jing ,  HOU Kang , CHEN Liping , YANG Feng , YAO Xinmin.

Department of General Surgery, The Third People’s Hospital of Chengdu, Chengdu 610031, China;

Corresponding author：

HOU Kang, Email: houk213@126.com

Keywords：

Polyacrylamide hydrogel; Injectable breast augmentation; Endoscopic; Minimally invasive surgery; Ultrasonography

Video：

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Objective To evaluate the effect of endoscopic surgery combined with intraoperative color Doppler ultrasound on removing the injected breast augmentation agents and share our experiences. Methods Sixteen female who accepted the bilateral removal of injected breast augmentation agents through endoscopic surgery combined with intraoperative color Doppler ultrasound between 2008 and 2010 were enrolled in this study. The results, techniques, and advantages of management were analyzed retrospectively. Results One incision was made in 18 breasts, 2 in 4 breasts, 3 in 10 breasts. The length of incision was 0.5 to 1 cm. The mean operative time was 128.70 min per person. The average amount of bleeding was 52.67 ml per person. Complications such as postoperative bleeding, infection, poor drainage, or breast augmentation agents remain did not happened in all cases. No case was turned into normal operation. Female who accepted this operation were all satisfied with the appearance of incisions. During 1-3 months follow up, neither clinically palpable mass nor sensory disturbance in nipple or areola of breast was observed. Color Doppler ultrasound or magnetic resonance showed 16 cases had been cleared free of breast augmentation agents. Conclusion With the advantages of beauty, safe, minimal invasion, and partial resection of lesions at the same time, endoscopic surgery combined with intraoperative color Doppler ultrasound was an effective approach in the removal of injected breast augmentation agents.

Citation： LUO Jing,HOU Kang,CHEN Liping,YANG Feng,YAO Xinmin.. Application of Endoscopic Surgery Combined with Intraoperative Color Doppler Ultrasound in Removal of Injected Breast Augmentation Agents (Report of 16 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1286-1289. doi: Copy

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1. 高翔, 蒋文杰. 医用聚丙烯酰胺水凝胶注射隆乳术后并发症及其临床研究进展 [J]. 包头医学院学报, 2009; 25(2): 234-237.
2. 蒋斌, 曾健, 杨锋, 等. 聚丙烯酰胺水凝胶注射隆乳术后并发症及其处理 [J]. 社区医学杂志, 2008; 6(9): 7-9.
3. 郑泉洲, 杨立新, 赵鸿儒. 聚丙烯酰胺水凝胶注射后并发症的发生与治疗 [J]. 中国组织工程研究与临床康复, 2007; 11(26): 5160-5163.
4. 国家食品药品监督管理局. 国家食品药品监督管理局关于停止生产、销售和使用聚丙烯酰胺水凝胶（注射用）的通告 [S]. 2006.
5. 陈莉，姜军，范林军, 等. 注射式隆乳术后哺乳期内发生乳腺炎2例报告 [J]. 中国普外基础与临床杂志， 2005; 12（6）: 547.
6. 杨长青, 赵俊捷, 罗力生. 聚丙烯酰胺水凝胶注射充填术后并发症的分析及处理 [J]. 实用医学杂志, 2006; 22（8）: 929-930.
7. 岳颍, 栾杰, 乔群, 等. 聚丙烯酰胺水凝胶注射隆乳并发症90例 [J]. 中华整形外科杂志, 2007; 23(3): 221-223.
8. 邵文辉，蒲兴旺，林靖, 等. 聚丙烯酰胺水凝胶注射隆乳并发症分析 [J]. 中华医学美学美容杂志， 2002; 8(3): 151.
9. 霍孟华，黄金井，戚可名. 聚丙烯酰胺水凝胶毒副作用的实验研究 [J]. 中华整形外科杂志, 2002; 18(2): 79-80.
10. 许学文, 刘勇, 岑瑛. 隆乳术现状 [J]. 华西医学， 2004; 19（4）: 678-680.
11. 杨贤金，戴传昌. 隆乳材料取出原因分析 [J]. 中国美容医学， 2004; 13（5）: 575.
12. 曹孟君, 高景恒, 鲁开化．医用聚丙烯酰胺水凝胶基础研究与临床应用 [M]. 北京: 人民卫生出版社， 2000: 19-71.
13. 王先成, 乔群, 孙家明, 等. 经乳晕切口处理聚丙烯酰胺水凝胶注射隆乳术后并发症 [J]. 中华整形外科杂志, 2005; 21(5): 332-334.
14. 唐庆，苏爱云，古健，等. 内窥镜辅助清除聚丙烯酰胺水凝胶注射隆乳术后异物并一期假体置入 [J]. 中华整形外科杂志， 2006; 22（3）: 183-185.
15. 范林军，姜军，杨新华, 等. 腔镜技术在隆乳剂取出术中的应用: 附45例报道 [J/CD]. 中华乳腺病杂志（电子版）， 2009; 3（6）: 600-609.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Endoscopic Surgery Combined with Intraoperative Color Doppler Ultrasound in Removal of Injected Breast Augmentation Agents (Report of 16 Cases)

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