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clinical status changes in symptomatic women exchanging saline for gel implants

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Clinical Status Changes in Symptomatic Women Exchanging Saline for

Gel Breast Implants

by Vasey,MD, Noreen M. Aziz,MD, M.P.H., Joanne Valeriano, MD,

Division of Rheumatology, University of South FL College of Medicine

and Haley VAH, Tampa, FL.

Abstract:

..... " Replacement of gel with saline filled implants is an appealing

choice to many women contemplating explantation. We expected that

silicone envelope saline filled implant would be safer in that they

lacked the potential immunostimulation of the gel-filled implants. "

" Medical records of 14 consecutively recruited women who had

replaced gel with saline impants were retrospectively reviewed. The

mean age of this group was 45.5 years (range 32-68 years). Mean time

of the onset of clinical signs and symptoms (post gel implantation)

was 3.84 years.... For this sample, the mean duration of exposure to

gel implants was 11.07 years, while the mean duration of saline

implantation was 3.28 years. "

" Of this group, the clinical status of 7 (50%) worsened, 4 (28.6%)

remained the same, and only 3 (21.4%) improved compared to the

previous study sample of women with a similar duration of gel

implant exposure and a comparable severity of local and systemic

clinical signs and symptoms wherein 70% improved and 27% stabilized.

We conclude that the majority of women exchanging saline for

gelimplants did not manifest a significant improvement in their

clinical status and 50% actually demonstrated a deterioration. While

data are preliminary, we currently recommend that symptomatic women

who remove their gel filled breast implants not replace them with

those that are saline filled.

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Since these doctor worked together on this study, it

occurs to me that these doctors might be able to help

implanted women - we know that Dr. Vasey does.

Does anyone know them? . . Or live closeby where they

can check them out?

Rogene

Vasey,MD,

Noreen M. Aziz, MD, M.P.H.,

Joanne Valeriano, MD, Division of Rheumatology,

University of South FL College of Medicine

Haley VAH, Tampa, FL.

>

>

>

> Clinical Status Changes in Symptomatic Women

> Exchanging Saline for

> Gel Breast Implants

> by Vasey,MD, Noreen M. Aziz,MD, M.P.H., Joanne

> Valeriano, MD,

> Division of Rheumatology, University of South FL

> College of Medicine

> and Haley VAH, Tampa, FL.

>

> Abstract:

>

> .... " Replacement of gel with saline filled implants

> is an appealing

> choice to many women contemplating explantation. We

> expected that

> silicone envelope saline filled implant would be

> safer in that they

> lacked the potential immunostimulation of the

> gel-filled implants. "

>

> " Medical records of 14 consecutively recruited women

> who had

> replaced gel with saline impants were

> retrospectively reviewed. The

> mean age of this group was 45.5 years (range 32-68

> years). Mean time

> of the onset of clinical signs and symptoms (post

> gel implantation)

> was 3.84 years.... For this sample, the mean

> duration of exposure to

> gel implants was 11.07 years, while the mean

> duration of saline

> implantation was 3.28 years. "

>

> " Of this group, the clinical status of 7 (50%)

> worsened, 4 (28.6%)

> remained the same, and only 3 (21.4%) improved

> compared to the

> previous study sample of women with a similar

> duration of gel

> implant exposure and a comparable severity of local

> and systemic

> clinical signs and symptoms wherein 70% improved and

> 27% stabilized.

> We conclude that the majority of women exchanging

> saline for

> gelimplants did not manifest a significant

> improvement in their

> clinical status and 50% actually demonstrated a

> deterioration. While

> data are preliminary, we currently recommend that

> symptomatic women

> who remove their gel filled breast implants not

> replace them with

> those that are saline filled.

>

>

>

>

>

>

>

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