The Clinical Research Of Medical Pathway Of Diagnosis And Treatment After Breastaugmentation With Injected Polyacrylamide Hydrophilic Gel

【Objective】 Explore polyacrylamide hydrogel (polyacrylamidehydrogel, PAHG) injection breast augmentation surgery recovery function and morphology of the best treatment options, develop their initialdiagnosis of clinical pathways.【Methods】 Retrospective analysis from January2007to October2012period, the Wuhan Tongji Hospital, cosmetic surgery of101casesadmitted to breast augmentation by injecting polyacrylamide clinicaldiagnosis and treatment information, and divided into three groups, groupA is only PAHG fetch group, B group was a prosthesis group, C group forthe two prosthesis group, combined with postoperative breast selfsatisfaction and satisfaction with surgery, comprehensive assessment ofimpact on patient outcomes of the main factors..【Results】All101patients have reached a better PAHG clearance.16patientsaccording to the preoperative and intraoperative requirements of Phase Iin mammary space ie injectables residual cavity placed silicone gelimplants; I placed prosthesis of patients after five patients in thepectoralis major implant prosthesis the same time with a fixed biofilmunder the pectoralis major lateral inframammary fold up, one caseoccurred after removing biofilm residual effusion cured;1case associatedwith breast cancer underwent modified radical mastectomy;6patientswith stage II place Circle disk-shaped silicone gel implants. Patients withunilateral drainage of residual cavity first day of50-100ml, next to20-40ml, the third day is0-15ml. Less than30ml per day when unilateral drainage suction drainage tube removal. Injectables envelope pathologicalexamination: Breast lot of fat and fibrous tissue stained purplish nostructure, part of the region visible chronic inflammatory cell infiltrationand multinucleated giant cell reaction.Patients were followed up for6months to36months, all patientspreoperative symptoms disappeared, implants had no hernia infection,wound dehiscence and bilateral breast asymmetry and othercomplications, A, B, C three groups, the satisfaction level of the breastshape: C> B>A; surgery satisfaction level:A≈C> B..【Conclusion】 Adoption of the second half of the areola incisionlaparoscopic OK PAHG out and complete surgical removal of capsule canget satisfactory results can be applied to silicone gel breast implantsremoved after breast deformity repair, if necessary, apply a fixedprosthesis remodeling biofilm inframammary fold. For all patients withstage I do not recommend placing the prosthesis.Preoperative MRI evaluation, surgical program development,endoscopic surgery and postoperative care clinics using a clear programof polyacrylamide hydrogel injection for the treatment of breastaugmentation surgery has a very good guide can better improve thetherapeutic effect and patient satisfaction.