PDF(Pubmed)
Abstract：
UNASSIGNED: Persistent lactation, or galactorrhoea, is a common problem which is infrequently seen in the setting of aesthetic surgery. Increasing frequency of aesthetic breast surgery such as breast augmentation suggests a need for improved understanding of the effect of galactorrhoea on surgical outcomes.
UNASSIGNED: A 34-year-old patient underwent day-case bilateral breast reduction/mastopexy combined with sub-muscular implant augmentation, abdominoplasty and bilateral liposuction to the flanks. She reported to have stopped breastfeeding more than 6 months prior. Intraoperatively, the breast tissue was noted to be lactating. The procedure was completed as planned and a routine postoperative plan was followed including oral antibiotics, analgesia and compression garments. The patient was discharged, however reattended on postoperative day 10 with breast pain and fevers. She was treated for right breast surgical site infection and required washout and implant removal. She was referred to Endocrinology for treatment of galactorrhoea with Bromocriptine and Cabergoline. She subsequently underwent revision implant augmentation with good outcomes.
UNASSIGNED: This case highlights the increased likelihood of post-operative infection in galactorrhoea associated with breast implant augmentation. It is important to exclude lactation preoperatively and avoid a prosthesis in this situation, to minimise this risk and optimise surgical outcomes.
UNASSIGNED: Aesthetic breast surgeons must be aware of the incidence of galactorrhoea, and its possible effects on risks of postoperative complications and poor aesthetic outcomes. The authors suggest deferring implant augmentation until complete resolution of lactation where possible.
UNASSIGNED: A 34-year-old patient underwent day-case bilateral breast reduction/mastopexy combined with sub-muscular implant augmentation, abdominoplasty and bilateral liposuction to the flanks. She reported to have stopped breastfeeding more than 6 months prior. Intraoperatively, the breast tissue was noted to be lactating. The procedure was completed as planned and a routine postoperative plan was followed including oral antibiotics, analgesia and compression garments. The patient was discharged, however reattended on postoperative day 10 with breast pain and fevers. She was treated for right breast surgical site infection and required washout and implant removal. She was referred to Endocrinology for treatment of galactorrhoea with Bromocriptine and Cabergoline. She subsequently underwent revision implant augmentation with good outcomes.
UNASSIGNED: This case highlights the increased likelihood of post-operative infection in galactorrhoea associated with breast implant augmentation. It is important to exclude lactation preoperatively and avoid a prosthesis in this situation, to minimise this risk and optimise surgical outcomes.
UNASSIGNED: Aesthetic breast surgeons must be aware of the incidence of galactorrhoea, and its possible effects on risks of postoperative complications and poor aesthetic outcomes. The authors suggest deferring implant augmentation until complete resolution of lactation where possible.
摘要：
■持续哺乳，或者半乳糖血症，是一个常见的问题，在美容手术的背景下很少见。诸如隆胸之类的美容乳房手术的频率越来越高，这表明需要更好地了解半乳糖对手术结果的影响。
■一名34岁的患者接受了日间双侧乳房缩小/乳房固定术联合肌下植入物增强术，腹部成形术和双侧侧翼吸脂术。她报告说已经停止母乳喂养超过6个月前。术中,乳腺组织被记录为泌乳。手术按计划完成，并遵循常规的术后计划，包括口服抗生素，镇痛和压缩服装。病人出院了,然而，在术后第10天因乳房疼痛和发烧而重新就诊。她接受了右乳房手术部位感染的治疗，需要冲洗和移除植入物。她被转诊到内分泌学，用溴隐亭和卡麦角林治疗半乳。随后，她接受了翻修植入增强术，效果良好。
■该病例突出了与隆胸相关的乳晕术后感染的可能性增加。在这种情况下，术前排除泌乳并避免使用假体是很重要的，将这种风险降至最低并优化手术结果。
■美容乳房外科医生必须意识到半乳糖血症的发生率，及其对术后并发症风险和不良美学结果的可能影响。作者建议在可能的情况下推迟植入直到泌乳完全解决。
■一名34岁的患者接受了日间双侧乳房缩小/乳房固定术联合肌下植入物增强术，腹部成形术和双侧侧翼吸脂术。她报告说已经停止母乳喂养超过6个月前。术中,乳腺组织被记录为泌乳。手术按计划完成，并遵循常规的术后计划，包括口服抗生素，镇痛和压缩服装。病人出院了,然而，在术后第10天因乳房疼痛和发烧而重新就诊。她接受了右乳房手术部位感染的治疗，需要冲洗和移除植入物。她被转诊到内分泌学，用溴隐亭和卡麦角林治疗半乳。随后，她接受了翻修植入增强术，效果良好。
■该病例突出了与隆胸相关的乳晕术后感染的可能性增加。在这种情况下，术前排除泌乳并避免使用假体是很重要的，将这种风险降至最低并优化手术结果。
■美容乳房外科医生必须意识到半乳糖血症的发生率，及其对术后并发症风险和不良美学结果的可能影响。作者建议在可能的情况下推迟植入直到泌乳完全解决。
