Document Detail

Capsular contracture after breast reconstruction with tissue expansion.
MedLine Citation:
PMID:  2804529     Owner:  NLM     Status:  MEDLINE    
Tissue expansion before placement of an implant for breast reconstruction is said to lessen the chance of capsular contracture. Forty-nine patients who had undergone post-mastectomy breast reconstruction using tissue expansion were reviewed. Capsular contracture was assessed using the Baker scale and compared with the speed of expansion, the degree of over-expansion and the interval between full expansion and placement of the definitive prosthesis. The overall incidence of capsular contracture (Baker III or worse) was 29%. Only one patient, however, has required capsulotomy for capsular contracture alone. Neither the speed of expansion nor the degree of over-expansion influenced the onset of contracture. Those patients with breasts assessed in Baker group I had a significantly longer interval between full expansion and reconstruction than those in Baker group III (p = 0.05). A modification of Baker's scale is suggested for the assessment of reconstructed breasts. Prospective studies are required to define the optimum timing for tissue expansion procedures.
J D Holmes
Related Documents :
19479129 - Assessment of cryotherapy for the treatment of verrucous epidermal naevi.
24016669 - Regeneration of chronic tympanic membrane perforation using 3d collagen with topical um...
24762049 - Incomplete cure of tachycardia-induced cardiomyopathy secondary to rapid atrial fibrill...
14993029 - Breast cancer with chest wall progression: treatment with photodynamic therapy.
23972739 - Arterial hyperoxia during cardiopulmonary bypass and postoperative cognitive dysfunction.
22038209 - The effect of early enteral nutrition on hyperthermic intraoperative intraperitoneal ch...
6418189 - Recovery after fentanyl and alfentanil in anaesthesia for minor surgery.
17202009 - Recovery of older patients undergoing ambulatory anaesthesia with isoflurane or sevoflu...
2869469 - Therapeutical experiments in ulcerative colitis and crohn's disease.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of plastic surgery     Volume:  42     ISSN:  0007-1226     ISO Abbreviation:  Br J Plast Surg     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-12-05     Completed Date:  1989-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984714R     Medline TA:  Br J Plast Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  591-4     Citation Subset:  IM    
Plastic Surgery and Burns Research Unit, University of Bradford.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Breast / surgery*
Contracture / etiology*
Middle Aged
Postoperative Complications / etiology*
Prostheses and Implants*
Surgery, Plastic
Tissue Expansion*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Abdominal reduction following jejunoileal bypass for morbid obesity.
Next Document:  Reflex bradycardia in facial surgery.