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Re: Re: Inflatable breast implants after breast reconstruction.

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That has been the problem with all these " studies " of surgeries. On

Med-Line, I was not able to get any long-term studies for reconstructions.

When I contacted the ASPRS last spring, they called and told me that it was

too onerous on their membership to ask them to keep track of

reconstructions.

There is a good reason for that. When no one is tracking, they can convince

the women all the surgeries are successful. IF they send a patient to a

patient who has already had the surgery, you can be sure it will be someone

who has had the surgery less than 2 years and who is still enthralled by the

doctor.

Not long ago, I had a woman contact me about the " new " reconstruction...the

latissimus dorsi flap. I told her it wasn't new. It is the surgery from

hell...was 20 years ago and still is today.

Pam

http://www.magiclink.com/web/spudnik/

----- Original Message -----

From: " MARTHA " <MAM-NSIF@...>

" > " <ilena@...>

Cc: <SBI-Talkegroups>

Sent: Saturday, October 21, 2000 4:36 PM

Subject: Re: Inflatable breast implants after breast

reconstruction.

> Hi Ladies,

>

> I cannot believe that any 'idiot' would consider 44 months a " Long Term

> Study " , nor would anyone consider 101 patients a significant number to

even

> qualify for a " Study " --- even of the effects of Dallas Tap Water on those

> who drink at least 8 glasses a day! What a Joke!

>

> MM/ NSIF

>

> -----Original Message-----

> From: Ilena Rose <ilena@...>

> Recipient List Suppressed:; <Recipient List Suppressed:;>

> Date: Saturday, October 21, 2000 9:38 PM

> Subject: Inflatable breast implants after breast reconstruction.

>

>

> Tolerance, reliability and efficiency of inflatable breast implants after

> breast reconstruction. Retrospective study of 101 consecutive cases

>

> Author: Jorquera F; Gounot N; R; Bobin JY; Delay E

> Address: Departement de chirurgie, centre Leon-Berard, Lyon, France.

> Source: Ann Chir Plast Esthet, 2000 Apr, 45:2, 90-6

>

> Abstract: A long-term retrospective study of breast reconstruction with

> inflatable implants is presented. One hundred and one patients were

studied,

> with a median follow-up of 44 months. Prosthetic implants used were round

> McGhan implants, model 168. Median volume was 215 mL. Twenty-two patients

> had

> contralateral symmetrisation, an average of five months after implant. The

> advantages of this sort of reconstruction are ease, speed and homogenously

> good results. Drawbacks include the appearance of prosthetic leaks (7%),

> waves and folds (13%), stage III and IV capsular contractures (26%),

> asymmetry and incorrect placement of the implant (25%). Breast

> reconstruction

> with implants alone gives good results for specific indications: immediate

> reconstructions, bilateral reconstructions, no history of radiotherapy,

and

> good quality chest wall tissues.

>

> 7% + 13% + 26% + 25% = 71% with complications in 3 years 8 months!

>

>

>

>

>

>

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