PDF(Pubmed)
Abstract：
UNASSIGNED: Breast reconstruction in the obese patient is often fraught with poor patient satisfaction due to inadequate volume restoration. The off-label hyperinflation of saline implants is a direct yet controversial solution to this problem, with limited studies in the literature. This study sought to determine the safety and efficacy of this technique for breast reconstruction.
UNASSIGNED: A retrospective chart review was performed to identify all patients with a body mass index (BMI) greater than or equal to 30 kg/m2 who underwent breast reconstruction between the years 2013 to 2020 with saline implants filled beyond the manufacturer\'s maximum recommended volume.
UNASSIGNED: The 21 patients identified had an average age of 49 years. The mean BMI was 39.5 kg/m2. A total of 42 implants were placed; 34 were 800 mL, 4 were 750 mL, and 4 were 700 mL. The average overfill volume was 302 mL (138%). Mean follow-up was 65.0 months. Of these, 1 (4.8%) patient with a history of chest wall radiotherapy underwent reoperation for unilateral implant exposure 27 days after the index procedure, no patient sustained spontaneous leak or rupture, and 1 patient had unilateral deflation following emergent central line and pacemaker placement 2 years after the implant was placed for an unrelated cardiovascular event.
UNASSIGNED: Hyperinflation of saline implants beyond the maximum recommended volume may be considered for volume replacement in obese patients undergoing implant-based breast reconstruction. This practice is well tolerated, has a complication rate comparable to using implants filled to the recommended volume, and has the potential to restore lost breast volume in the obese patient post mastectomy.
UNASSIGNED: A retrospective chart review was performed to identify all patients with a body mass index (BMI) greater than or equal to 30 kg/m2 who underwent breast reconstruction between the years 2013 to 2020 with saline implants filled beyond the manufacturer\'s maximum recommended volume.
UNASSIGNED: The 21 patients identified had an average age of 49 years. The mean BMI was 39.5 kg/m2. A total of 42 implants were placed; 34 were 800 mL, 4 were 750 mL, and 4 were 700 mL. The average overfill volume was 302 mL (138%). Mean follow-up was 65.0 months. Of these, 1 (4.8%) patient with a history of chest wall radiotherapy underwent reoperation for unilateral implant exposure 27 days after the index procedure, no patient sustained spontaneous leak or rupture, and 1 patient had unilateral deflation following emergent central line and pacemaker placement 2 years after the implant was placed for an unrelated cardiovascular event.
UNASSIGNED: Hyperinflation of saline implants beyond the maximum recommended volume may be considered for volume replacement in obese patients undergoing implant-based breast reconstruction. This practice is well tolerated, has a complication rate comparable to using implants filled to the recommended volume, and has the potential to restore lost breast volume in the obese patient post mastectomy.
摘要：
未经评估：肥胖患者的乳房重建通常由于体积恢复不足而导致患者满意度较差。盐水植入物的标签外过度膨胀是这个问题的直接但有争议的解决方案，文献研究有限。这项研究旨在确定该技术用于乳房重建的安全性和有效性。
UNASSIGNED：进行回顾性图表审查，以确定所有体重指数（BMI）大于或等于30kg/m2的患者，在2013年至2020年之间进行了乳房重建，并填充了超过制造商最大推荐体积的盐水植入物。
未经证实：确定的21名患者平均年龄为49岁。平均BMI为39.5kg/m2。总共放置了42个植入物；34个是800毫升，4是750mL，和4个为700mL。平均溢出体积为302mL(138%)。平均随访65.0个月。其中,1例（4.8％）有胸壁放疗史的患者在索引程序后27天接受了单侧植入物暴露的再次手术，没有患者持续自发性渗漏或破裂，1例患者在置入植入物2年后紧急放置中心线和起搏器后出现单侧放气，原因是无关的心血管事件。
UNASSIGNED：在接受基于植入物的乳房重建的肥胖患者中，可以考虑对超过最大推荐体积的盐水植入物进行过度充气，以进行体积置换。这种做法是可以容忍的，并发症发生率与使用填充到推荐体积的植入物相当，并有可能恢复乳房切除术后肥胖患者失去的乳房体积。
UNASSIGNED：进行回顾性图表审查，以确定所有体重指数（BMI）大于或等于30kg/m2的患者，在2013年至2020年之间进行了乳房重建，并填充了超过制造商最大推荐体积的盐水植入物。
未经证实：确定的21名患者平均年龄为49岁。平均BMI为39.5kg/m2。总共放置了42个植入物；34个是800毫升，4是750mL，和4个为700mL。平均溢出体积为302mL(138%)。平均随访65.0个月。其中,1例（4.8％）有胸壁放疗史的患者在索引程序后27天接受了单侧植入物暴露的再次手术，没有患者持续自发性渗漏或破裂，1例患者在置入植入物2年后紧急放置中心线和起搏器后出现单侧放气，原因是无关的心血管事件。
UNASSIGNED：在接受基于植入物的乳房重建的肥胖患者中，可以考虑对超过最大推荐体积的盐水植入物进行过度充气，以进行体积置换。这种做法是可以容忍的，并发症发生率与使用填充到推荐体积的植入物相当，并有可能恢复乳房切除术后肥胖患者失去的乳房体积。
