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KMID : 0358819850120030363
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1985 Volume.12 No. 3 p.363 ~ p.367
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THE EFFECT OF HEMATOMA ABOUT SPHERICAL CONTRACTURE FOLLOWING AUGUMENTATION MAMMOPLASTY -CLINICAL ANALYSIS-
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Ham Kee-Suk
Kim Soo-Chul
Han Seung-Hae
Han Koo-Suk
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Abstract
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Spherical contracture around breast prosthesis continues to be a major complication following augumentation mammoplasty, in spite of the efforts that have been done to reduce it. According to many reported data, the incidence veries from 4 to 74 percent.
The etiology of the spherical contracture is speculative and probably multifactorial, but that has been focused to few factor including subclinical infection, hematoma and organized seroma.
We suggest that hematoma is the most significant factor about it. So many plastic surgeons routinely drain into the dissected pockets postoperatively in order to eliminate the hematoma.
Our studies are purposed of the three aspects: The first, How much volume of bloody fluid were drained during first 24hrs postoperatively even if dry pocket was considered intraoperatively. The second, How much hemoglobin value be contained in the evacuated fluid. The third, How much were correlated incidence of spherical contracture with above 2 factors.
We studied 76 breasts(38 patients) who had performed bilateral augumentation mammoplasty at Ohin aesthetic surgery center during from January 1983 to June 1984, all had the smooth surfaced soft law profile and employed the drained technique using Hemo-vac.
We have adopted Baker’s classification for grading the severity of spherical contracture.
We could be summarized and the results were as follows:
1. All cases were drained some amount of bloody fluid from 4cc to 85cc and the average amount of 18.6cc.
2. The hemoglobin value of the evacuated fluid was ranged from 3.2mg% to 12.7mg% and the average value of 7.6mg%.
3. There was tendency to the smaller volume of bloody evacuated fluid the lower hemoglobin level.
4. The amount of drained fluid and it’s hemoglobin value were closely related with the incidence of spherical contracture around prosthesis in acceptable group (Grade Ⅰ & Grade Ⅱ) but not in unacceptable group (Grade Ⅱ & Grade Ⅳ).
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KEYWORD
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