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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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[Breast augmentation by Poly Implant Prothèses silicone implants: retrospective study about 99 patients. Rupture

A Aktouf1, I Auquit-Auckbur, D Coquerel-Beghin

  • 1Service de chirurgie plastique, reconstructrice et esthétique, SOS mains, CHU Charles-Nicolle, Rouen, France. ghaniaktouf@hotmail.com

Annales De Chirurgie Plastique Et Esthetique
|June 2, 2012
PubMed
Summary

Poly Implant Prothèses (PIP) silicone breast implants were associated with high rupture rates and complications like lymphadenopathy and silicone spread. These findings support the withdrawal of all PIP implants.

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Multi-Scale Modification of Metallic Implants With Pore Gradients, Polyelectrolytes and Their Indirect Monitoring In vivo

Published on: July 1, 2013

Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Radiology

Context:

  • Poly Implant Prothèses (PIP) silicone implants were widely used for breast augmentation.
  • Concerns regarding PIP implant safety led to their market withdrawal in March 2010 by Afssaps.
  • A retrospective study was conducted to evaluate the outcomes of breast augmentation using PIP implants.

Purpose:

  • To evaluate the incidence of ruptures in Poly Implant Prothèses (PIP) silicone breast implants.
  • To assess associated complications, including lymphadenopathy and silicone spread.
  • To propose management strategies for patients with PIP implants.

Summary:

  • A retrospective study analyzed 192 PIP silicone implants in 99 patients (2005-2010).
  • 23 ruptures (18 intracapsular, 5 extracapsular) were identified in 17 patients.
  • Complications included axillary lymphadenopathy (28 patients), silicone spread (8 patients), and chronic breast pain (35 patients).

Impact:

  • The high rate of ruptures and associated complications necessitate the withdrawal of all PIP silicone breast implants.
  • Findings inform clinical practice regarding patient monitoring and implant management.
  • Highlights the importance of rigorous material safety evaluation in medical devices.