Fw: Replacement surgery and silicone gel breast implant rupture:self-report by women after mammoplasty.

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

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Sent: Tuesday, May 07, 2002 10:45 AM

Subject: Replacement surgery and silicone gel breast implant

rupture:self-report by women after mammoplasty.

> ~~~ Thanks Kim ~~~

>

> J Womens Health Gend Based Med

>

> 2002 Apr;11(3):255-64

>

> Replacement surgery and silicone gel breast implant rupture: self-report

> by women after mammoplasty.

>

> Brown SL, Pennello G.Epidemiology Branch, Division of Postmarket

> Surveillance, Center for Devices and Radiological Health, Food and Drug

> Administration, Rockville, land.

>

> BACKGROUND:

>

> This study examined the prevalence of revision surgery in which silicone

> gel breast implants were either removed (explanted) or replaced in a

> cohort of women >from Birmingham, Alabama. The main reason leading up to

> the surgery and the prevalence of ruptured implants reported after

> explantation are described.

>

> METHODS:

>

> Data were collected from telephone interviews with 907 women previously

> identified in a larger cohort study of women with breast implants. Women

> who reported breast surgeries subsequent to their index mammoplasty were

> asked to consent to retrieval of the surgical records describing the

> surgery.

>

> RESULTS:

>

> Surgery in which a silicone gel breast implant was removed or replaced

> was reported by 33% of the 907 women in this cohort. The most common

> reason for surgery was problems with the implant that affected the breast

> (103 of 303 surgeries). Of the 303 women reporting surgery, 145 (48%)

> reported knowing after a surgery that an implant was ruptured when it was

> removed, and 171 (56%) reported knowing that an implant was ruptured or

> leaking. Overall, 16% of the 907 women reported knowing that either of

> their implants was ruptured after any surgery. At least one surgical

> record was retrieved for 165 (54%) of the 303 women reporting surgery.

> Among these women, the rupture rate was 69 of 165 (42%) according to the

> surgical record and 85 of 165 (51.5%) according to self-reports, a

> statistically significant difference (p = 0.008 from McNemar's test). The

> mean time from implantation to surgery was 11.5 years among women

> reporting surgery and estimated at 21.4 years for all women.

>

> CONCLUSIONS:

>

> A third of the women in this cohort underwent additional surgery after

> the initial mammoplasty, and nearly half who underwent surgery reported

> that their implants were found to be ruptured when removed. Women

> considering silicone gel breast implants should be informed of the risk

> of additional surgeries and of the potential risk of breast implant

> rupture.PMID: 11988135 [PubMed - in process]

>

>