plasurВопросы реконструктивной и пластической хирургииIssues of Reconstructive and Plastic Surgery1814-1471АНО "НИИ микрохирургии"10.52581/1814-1471/91/04plasur-307Research ArticleПЛАСТИЧЕСКАЯ ХИРУРГИЯPLASTIC SURGERYСравнительная характеристика осложнений после проведения мастопексии в сочетании с аугментационной маммопластикой и без таковой (обзор литературы)Comparative characteristics of complications after mastopexy in combination with or without augmentation mammoplasty (literature review)https://orcid.org/0000-0003-3043-2739МаланичевМ. Ю.MalanichevM. Yu.

Маланичев Михаил Юрьевич – канд. мед. наук, доцент кафедры пластической хирургии Медицинского института непрерывного образования; пластический хирург

125080, г. Москва, Волоколамское шоссе, д. 11; 111033, г. Москва, ул. Самокатная, д. 1, стр. 12

Mikhail Yu. Malanichev, Cand. Med. sci., Associate Professor, the Department of Plastic Surgery; plastic surgeon

11, Volokolamskoe highway, Moscow, 125080; bld. 12, 1, Samokatnaya st., Moscow, 111033

malani4ev@icloud.comhttps://orcid.org/0009-0004-2476-1944ГариповР. Р.GaripovR. R.

Гарипов Ренат Русланович – пластический хирург

111033, г. Москва, ул. Самокатная, д. 1, стр. 12

Renat R. Garipov, plastic surgeon

bld. 12, 1, Samokatnaya st., Moscow, 111033

dr.garipovrenat@gmail.comhttps://orcid.org/0009-0004-7597-7227ГабеевА. И.GabeevA. I.

Габеев Алан Ирбекович – пластический хирург

111033, г. Москва, ул. Самокатная, д. 1, стр. 12

Alan I. Gabeev, plastic surgeon

bld. 12, 1, Samokatnaya st., Moscow, 111033

dr.alan@gabeti.ruhttps://orcid.org/0009-0008-6989-2373ЗакировЭ. З.ZakirovE. Z.

Закиров Эльдар Закирович – пластический хирург

111033, г. Москва, ул. Самокатная, д. 1, стр. 12

Eldar Z. Zakirov, plastic surgeon

bld. 12, 1, Samokatnaya st., Moscow, 111033

eldarzakirov1@yandex.ruhttps://orcid.org/0000-0002-3681-4685ПахомоваР. А.PakhomovR. А.

Пахомова Регина Александровна – д-р мед. наук, доцент, зав. кафедрой пластической хирургии Медицинского института непрерывного образования

125080, г. Москва, Волоколамское шоссе, д. 11

Regina A. Pakhomova, Dr. Med. sci., Associate Professor, head of Department of Plastic Surgery

11, Volokolamskoe highway , Moscow, 125080

pra5555@mail.ruhttps://orcid.org/0000-0001-8447-2600ДемяшкинГ. А.DemyashkinG. A.

Демяшкин Григорий Александрович – д-р мед. наук, зав. лабораторией гистологии и иммуногистохимии Института трансляционной медицины и биотехнологии

119991, г. Москва, ул. Трубецкая, д. 8, стр. 2

Grigory A. Demyashkin, Dr. Med. sci., head of the Laboratory of Histology and Immunohistochemistry, the Institute of Translational Medicine and Biotechnology

bld. 2, 8, Trubetskaya st., Moscow, 119991

dr.dga@mail.ruhttps://orcid.org/0000-0002-6235-1020ВадюхинМ. А.VadyukhinM. A.

Вадюхин Матвей Анатольевич – аспирант Института трансляционной медицины и биотехнологии

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Matvey A. Vadyukhin, post-graduate student, the Institute of Translational Medicine and Biotechnology

bld. 2, 8, Trubetskaya st., Moscow, 119991

vma20@mail.ruРоссийский биотехнологический университет (РОСБИОТЕХ); ООО «Омега» (Клиника пластической хирургии «Форма»)РоссияRussian Biotechnological University (ROSBIOTECH University); Omega LLC (Plastic Surgery Clinic “Forma”)Russian FederationООО «Омега» (Клиника пластической хирургии «Форма»)РоссияOmega LLC (Plastic Surgery Clinic “Forma”)Russian FederationРоссийский биотехнологический университет (РОСБИОТЕХ)РоссияRussian Biotechnological University (ROSBIOTECH University)Russian FederationПервый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation2024070220252743141Copyright © Маланичев М.Ю., Гарипов Р.Р., Габеев А.И., Закиров Э.З., Пахомова Р.А., Демяшкин Г.А., Вадюхин М.А., 20252025Маланичев М.Ю., Гарипов Р.Р., Габеев А.И., Закиров Э.З., Пахомова Р.А., Демяшкин Г.А., Вадюхин М.А.Malanichev M.Y., Garipov R.R., Gabeev A.I., Zakirov E.Z., Pakhomov R.А., Demyashkin G.A., Vadyukhin M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://plasur.elpub.ru/jour/article/view/307Цель исследования

Цель исследования: на основании литературных данных провести сравнительную характеристику рисков развития осложнений мастопексии по сравнению с комбинированной операцией мастопексия / аугментационная маммопластика.

Проанализированы научные статьи в базах PubMed, eLibrary, Scopus и Medscape. В поисковых запросах использовали следующие термины: «mastopexy», «breast augmentation», «mastopexy complications», «breast augmentation outcomes», «mastopexy-augmentation», «mastopexy-augmentation complications», «wound healing after mastopexy», «hemorrhagic complications after breast surgery», «double bubble deformity after mastopexy», «implant malposition after mastopexy», «breast lift with and without implant». По заданной теме были отобраны 73 иностранные статьи.

Проведенный анализ показал, что частота осложнений после пластических операций на молочной железе при коррекции птоза в современной научной литературе варьирует. Наиболее крупные исследования свидетельствуют о развитии осложнений в 1,15% случаев после мастопексии, 1,40% – после аугментации и 1,86% случаев – после мастопексии/аугментационной маммопластики. По данным базы eLibrary, в отечественной литературе отсутствуют крупные обзорные исследования, посвященные сравнительному анализу рисков развития послеоперационных осложнений мастопексии в комбинации с аугментационной маммопластикой и без таковой.

Заключение

Заключение. Выбор объема оперативного вмешательства не регламентирован в современной научной литературе. Проведение комбинированных операций мастопексия/аугментационная маммопластика увеличивает объем хирургического вмешательства и суммирует возможные риски развития осложнений в послеоперационном периоде.

Purpose of the study

Purpose of the study: to conduct a comparative characterization of the risks of developing complications of mastopexy compared with combined mastopexy/augmentation surgery: based on the literature data.

Scientific articles in PubMed, eLibrary, Scopus, Medscape databases are analyzed. The following terms were used in search queries: “mastopexy”, “breast augmentation”, “mastopexy complications”, “breast augmentation outcomes”, “mastopexy-augmentation”, “mastopexy-augmentation complications”, “wound healing after mastopexy”, “hemorrhagic complications after breast surgery”, “double bubble deformity after mastopexy”, “implant malposition after mastopexy”, “breast lift with and without implant”. The data of 73 foreign articles on a given topic were selected. According to the eLibrary database, there are no major review studies in the Russian literature devoted to a comparative analysis of the risks of postoperative complications of mastopexy in combination with and without augmentation mammoplasty.

The analysis showed that the frequency of complications after breast plastic surgery for ptosis correction varies in modern scientific literature. The largest studies indicate the development of complications in 1.15% after mastopexy, 1.40% after augmentation and 1.86% after augmentation/mastopexy.

Conclusion

Conclusion. The choice of the volume of surgical intervention is not regulated in the modern scientific literature. Simultaneous combined mastopexy/augmentation surgery increases the volume of surgery and summarizes the possible risks of complications in the postoperative period.

мастопексияувеличение грудиосложнения мастопексиирезультаты увеличения грудиосложнения аугментационной маммопластикиmastopexybreast augmentationmastopexy complicationsbreast augmentation outcomesmastopexy-augmentation complicationsникто из авторов не имеет финансовой заинтересованности в представленных материалах или методах.no author has a financial or property interest in any material or method metioned.ReferencesSwanson E.A. Comparison of 28 Published Augmentation/Mastopexy Techniques Using Photographic Measurements. Plast Reconstr Surg Glob Open. 2020; 8(9): e3092. DOI: 10.1097/GOX.0000000000003092Swanson E.A. Comparison of 28 Published Augmentation/Mastopexy Techniques Using Photographic Measurements. Plast Reconstr Surg Glob Open. 2020; 8(9): e3092. DOI: 10.1097/GOX.0000000000003092Ikander P., Sørensen J.A., Thomsen J.B. Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial. Aesthet Plast Surg. 2021; 45: 127-134. 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The authors declare that there are no conflicts of interest present.