Сравнительная характеристика осложнений после проведения мастопексии в сочетании с аугментационной маммопластикой и без таковой (обзор литературы)

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. 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.

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