Experience of preservation of breast implants in patients with severe burns
https://doi.org/10.52581/1814-1471/90/07
Abstract
Purpose of a study: to evaluate the possibility of preserving breast implants in patients with severe burns.
Material and methods. A patient G., 52 years old, was hospitalized in the Department of Thermal Injuries of the I.I. Dzhanelidze St. Petersburg Research Institute for Emergency Medicine due to burn disease, flame burns 37% (32%)/I–II–III degree of the neck, torso, upper and lower extremities. On the 2nd day after the injury, a patient with severe burns underwent excision on pre-augmented mammary glands to the level of adipose tissue with simultaneous skin grafting.
Results. On the 4th day after treatment, at least 80% of the area of skin grafts transplanted to the mammary glands was found to be engrafted, and further skin grafting was not required on them. In our case, early surgical treatment made it possible to avoid reactive capsulitis, the need to remove implants and achieve acceptable aesthetic and functional results.
Conclusion. Presented observation demonstrates the potential for the preservation of implants in the case of localization of burns on the augmented mammary glands.
About the Authors
E. V. Zinoviev
I.I. Dzanelidze St. Petersburg Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Evgeny V. Zinoviev, Dr. Med. sci., Professor, head of the Department of Thermal Injury
3, Budapestskaya st., St. Petersburg, 192242
D. O. Vagner
I.I. Dzanelidze St. Petersburg Research Institute for Emergency Medicine;
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Denis O. Vagner , Cand. Med. sci., surgeon, the Department of Thermal Injury, I.I. Dzhanelidze St. Petersburg Research Institute for Emergency Medicine; Associate Professor, the Department of General Surgery, North-Western State Medical University named after I.I. Mechnikov
3, Budapestskaya st., St. Petersburg, 192242,
41, Kirochnaya st., St. Petersburg, 191015
M. S. Safonov
I.I. Dzanelidze St. Petersburg Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Maxim S. Safonov, surgeon, the Department of Thermal Injury
3, Budapestskaya st., St. Petersburg, 192242
V. V. Soloshenko
I.I. Dzanelidze St. Petersburg Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Vitaliy V. Soloshenko, Dr. Med. sci., surgeon, the Department of Thermal Injury
3, Budapestskaya st., St. Petersburg, 192242
References
1. Caplin D.A., Calobrace M.B., Wixtrom R.N., et al. MemoryGel breast implants: final safety and efficacy results after 10 years of follow-up. Plast Reconstr Surg. 2021;147(3):556-566. doi: 10.1097/PRS.0000000000007635
2. Janszen G., Arnoldi M., Vinci V., et al. On the safety of implanted breast prosthesis in accidental impacts. Materials (Basel). 2023;16(13):4807. doi: 10.3390/ma16134807
3. Necchi S., Molina D., Turri S., et al. Failure of silicone gel breast implants: is the mechanical weakening due to shell swelling a significant cause of prosthesis rapture. J Mech Behav Biomed Mater. 2011;4(8):2002-2008. doi: 10.1016/j.jmbbm.2011.06.019
4. Khakimova Sh.G., Zikiryaxozhdaeva A.D., Rasskazova E.A., Khakimova G.G. Klinicheskiy sluchay narusheniya celostnosti implanta molochnoy zhelezy` [Clinical case of disorder of integrity of breast implant]. Klinicheskaya i e`ksperimental`naya onkologiya. 2021;1:67-72 (In Russ.).
5. Shimabukuro M., Ishii N., Ko T., et al. False positive diagnosed of damaged breast implants on imaging: a report of two cases. Gland Surg. 2023;12(10):1434-1440. doi: 10.21037/gs-23-255
6. Kim J.H., Kim Y.G., Song K.Y., et al. Exploration of point-of-care ultrasonography for silicone breast implant rupture detection and classification. Medicina (Kaunas). 2024;60(2):306. doi: 10.3390/medicina60020306
7. Ozhogi termicheskie i himicheskiye. Ozhogi solnechnyye. Ozhogi dyhatel'nyh putey. Obshcherossiyskaya obshchestvennaya organizatsiya “Ob"yedinenie kombustiologov “Mir bez ozhogov”” [Surgery burn patients. Clinical Guidelines. Russian public organization "Association of combustiologists" World without burns"]. Moscow, 2021, 179 p. (In Russ.)
Review
For citations:
Zinoviev E.V., Vagner D.O., Safonov M.S., Soloshenko V.V. Experience of preservation of breast implants in patients with severe burns. Issues of Reconstructive and Plastic Surgery. 2024;27(3):86-92. (In Russ.) https://doi.org/10.52581/1814-1471/90/07
Views:
84
Email this article 