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Question re: enbloc

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I understand the need to take silicone implants out 'enbloc " due to

possible spillage of the silicone inside the implants.

But can someone explain to me why it is so necessary to do it with

saline implants?

For ex: If the surgeon attaches a sterile drain and drains the fluid

out of the implants and then removes the implants and then performs a

total capsulectomy....why is this not safe???

Plus...if the capsule is very thin and the PS is trying to do it

enbloc....I would think there is greater potential to nick the implant

resulting in spilling what is in the saline implant into the chest.

Draining off all that implant fluid first seems to make some sense to

me.

Having a hard time understanding the absolute need of enbloc with

saline implants. Help???

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