Management tactics at high risk of ischaemic complications of the nipple-areolar complex during secondary mammoplasty
Abstract
Plastic surgery in Kyrgyzstan has undergone significant growth in recent decades. In conditions of insufficient postoperative follow-up, the country’s medical institutions are facing an increase in complaints about complications related to the prolonged stay of outdated implants in the body. As the service life of the implants expired (on average 10-15 years), cases of ageing, capsular contracture, deformation, rippling, and intracapsular and extracapsular ruptures began to be recorded more often. The increase in the number of secondary mammoplasty caused by ageing of implants and complications increases the risk of ischaemia of the nipple-areolar complex. Existing risk assessment scales do not fully consider the specific factors of secondary interventions. In this regard, the purpose of this study was to demonstrate the effectiveness of the modified preoperative scale for assessing the risk of ischaemia of the nipple-areolar complex in secondary breast surgery using the example of a clinical case of a high-risk patient and to evaluate the effectiveness of multifactorial therapeutic tactics. This tactic can help minimise the severity of ischaemic complications in high-risk patients after further validation of the scale in an expanded sample
Keywords:
secondary mammoplasty; ischaemia of the nipple-areolar complex; nipple necrosis; breast implants; implant rupture; microcirculation; risk assessment scaleReferences
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