necessity of en bloc w/saline implants.....Dr Blias

[Guest guest]

I had my saline implants removed this past August by one of the recommended surgeons. I am having a reoccurence of burning and pain in the breasts which I experienced up to 2 months after surgery then it resolved. Right after surgery I had problems writing with my left hand and then was diagnosed with MS in October as I lost vision in my left eye called optic neuritis.

Is this normal to have pain/burning/sensistivity 5 months post op? I am supposed to have a a mamogram and an ultrasound as per my request by my OBGYN amd then see a local breast doctor. I am very worried about what has been going on. I spent a ton of money to have the implants removed (one was ruptured) out of state and then wound up in worse condition than before. I certainly am not feeling any better post op as far as health and I had it done enbloc. Well let me rephrase that, the capsule was stuck to my ribs and was taken out in pieces but all was removed. The other breast I think was enbloc. So what does that mean in regards to the illnesses I have encountered post op with it being done in peces vs. enbloc which the surgeon said wasn't possible?

------------- Original message -------------- From: DGRAHAMA@...

Dr Pierre Blias on Residual Capsule

http://www.info-implants.com/pierre.html

Residual Capsule and Intercapsular Debris As Long Term Risk Factors.

Contamination of the space between the capsule and the implants by micro- organisms, silicone oils, degradation products and gel impurities constitutes a major problem which potentiates the risk of implants. Such problems include inflammation, infection, deposition of mineral debris, as well as certain auto-immune phenomena. These problems can be present when implants are in situ (in the body) and are often attributable to the implant. The logical expectation is that, upon removal of the implants, adverse effects will cease. This is an unjustifiably optimistic view. It is well documented from case histories that removal and or replacement of implants without exhaustive debridement of the prosthetic site leads to failure and post surgical complications.

Plastic surgery procedures tend to favor speed and immediate cosmetic results. For these reasons, leaving or "reusing" tissue from an existing capsule may seem more "gratifying" However, adverse effects resulting from the practice are widespread but have not been well documented. Typically, patients who require removal of faulty implants and undergo immediate re-implantation in the same prosthetic site habitually relapse with the same problem which motivated the previous surgery; the most common example is exchange of implants and/or sectorizing or bisecting the capsule without removing it completely.

Such patients rarely achieve a significant capsular correction and habitually return for more similar surgery. A more illustrative situation is that where patients do not receive replacement implants. They form the basis of knowledge for evaluating the risks that arise from remaining capsules. An example is described in a paper published in 1993 (Copeland, M., Kessel, A., Spiera, H., Hermann, G., Bleiweiss, I. J.; Systemic Inflammatory Disorder Related To Fibrous Breast Capsules After Silicone Implant Removal; Plastic and Reconstructive Surgery: 92 (6), 1179-1181, 1993): reported problems derived primarily from immune phenomena and inflammatory syndromes with pain, swelling, serologic abnormaladies and alarming radiologic presentation.

Numerous similar cases have been noted amongst implant patients but have not been theobject of publications. Some are cited in FDA Reaction Reports. Others appear in theU.S. Pharmacopoeia Reporting Programs.

A residual capsule is not a stable entity. It may collapse upon completion of surgery and remain asymptomatic for some time, however, it will fill with extracellular fluid and remain as a fluid-filled space with added blood and prosthetic debris. As the wall matures and the breast remodels to accommodate the loss of the prostheses, the capsular tissue shrinks. Water as well as electrolytes are expelled gradually from the pocket or else the mixture is concentrated from leakage of water from the semi-permeable capsular membrane wall.

In most cases, calcium salts precipitate during that stage and may render the capsule visible as a radiodense and speckled zone in radiographic projections. Prosthetic debris is also radiodense and may be imaged to further complicate the presentation. The average size of the residual capsules after 6-12 months is in the 2-7 cm range: most are compact, comparatively small and dense. Surgical removal should present no difficulty for most patients if adequate radiographic information is available.

Later stages of maturation include the thickening of the capsule wall, sometimes reaching 0.5-1cm. Compression of the debris into a cluster of nodules which actually become calcified follows for some patients. A few mimic malignancies. Others appear as small "prostheses" during mammographic studies. They are alarming to onocologists and are habitually signalled for further studies or biopsies by oncologic radiologists.

In light of the present knowledge and considering the probable content of the residual closed capsules, an open or needle biopsy is not advisable. The risks of releasing significant amounts of hazardous contamination and possibly spreading infective entities outweighs the advantage of the diagnostic. At any rate, such a capsule requires removal for mitigation of symptoms and a more direct surgical approach appears more economical and less risky.

In summary, a capsule with a dense fibro-collagenous wall behaves as a bioreactor. Worse yet, it is fitted with a semi-permeable wall that may periodically open to release its content to the breast. The probability of finding the space colonized with atypical micro-organisms is elevated and the control of infective processes by classic pharmacologic approaches is difficult if not impossible.

Such closed capsular spaces may be comparable to "artificial organs" of unpredictable functions. Their behavior will depend on the content and the age of the structure, its maturity and the history of the patient. There is a high probability that these capsules will continue to evolve for many years, adding more layers of fibro-collagenous tissue and possibly granulomatous material. If bacterial entities are present within the capsule space, they can culminate in large breast abscesses with will resist conservative treatments.

Even with less active capsules containing mostly oily and calcitic debris, the thickening of the wall leads eventually to solid "tumor-like structures" and are, by themselves, alarming on auscultation and self examination. At best, such structures are unique environments for protein denaturation and aberrant biochemical reactions with unknown long term consequences.

Pierre Blais, Ph.D.

Innoval 496 Westminster Ave.

Ottawa, Ontario

Canada KeA 2V1

Phone: (613) 728-8688

Fax: (613) 728-0687

Pierre Blais, PhD received his undergraduate and graduate degrees in physical-organic polymer chemistry from McGill University in Montreal, Canada, and a Post-doctorate Fellowship in biomaterials engineering at Case Western University in Cleveland, Ohio. In 1976 he became one of the first scientists to join the medical devices and radiological health program of the Department of Health and Welfare in Canada. He left the department in 1989 as Senior Scientific Advisor and formed Innoval Consultants, a firm engaged in the design, testing and failure analysis of high risk medical systems. He has authored over 250 publications on medical materials and their interactions with living tissues.

Start the year off right. Easy ways to stay in shape in the new year.

[Guest guest]

Hi and Kayla's mommy,

I too had a persistant burning sensation in my breasts for quite a

few months after surgery. Dr. Kolb told me there is a slight

possibilty for infection and was going to put me on an antifungal and

antibiotics if I wanted. I was too afraid of more antibiotics and so

I opted not to do it. It resolved itself eventually...at about 7

months post explant. It could be nerve regeneration in which you

feel tingles, twinges and some burning.

Did an MRI confirm MS? I have the optic neuritis as well but that

too is improving in that it changes from hour to hour rather than

being a constant loss of vision. Have you had a hair analysis to

check for mercury? The reason I ask is many mercury toxic people

experience the vision loss and I am mercury toxic. The good news is

the vision returns after chelation and detoxing, according to others

who've been there.

I don't know enough about mammograms to comment on whether that would

determine what's going on. If you have an operative report that

states removal was en bloc then relax and continue to detox. I know

what you're going through...it's rough w/ the weird vision and scary

symptoms, but it'll get better in time. jo is an example of

that. She's emailed some great juicing/fasting recipes that have

helped her regain her health. Hang in there. Love, PH

>

> I had my saline implants removed this past August by one of the

recommended surgeons. I am having a reoccurence of burning and pain

in the breasts which I experienced up to 2 months after surgery then

it resolved. Right after surgery I had problems writing with my left

hand and then was diagnosed with MS in October as I lost vision in my

left eye called optic neuritis.

>

> Is this normal to have pain/burning/sensistivity 5 months post op?

I am supposed to have a a mamogram and an ultrasound as per my

request by my OBGYN amd then see a local breast doctor. I am very

worried about what has been going on. I spent a ton of money to have

the implants removed (one was ruptured) out of state and then wound

up in worse condition than before. I certainly am not feeling any

better post op as far as health and I had it done enbloc. Well let

me rephrase that, the capsule was stuck to my ribs and was taken out

in pieces but all was removed. The other breast I think was enbloc.

So what does that mean in regards to the illnesses I have encountered

post op with it being done in peces vs. enbloc which the surgeon said

wasn't possible?

>

> ------------- Original message --------------

> From: DGRAHAMA@...

>

> Dr Pierre Blias on Residual Capsule

> http://www.info-implants.com/pierre.html

> Residual Capsule and Intercapsular Debris As Long Term Risk Factors.

> Contamination of the space between the capsule and the implants by

micro- organisms, silicone oils, degradation products and gel

impurities constitutes a major problem which potentiates the risk of

implants. Such problems include inflammation, infection, deposition

of mineral debris, as well as certain auto-immune phenomena. These

problems can be present when implants are in situ (in the body) and

are often attributable to the implant. The logical expectation is

that, upon removal of the implants, adverse effects will cease. This

is an unjustifiably optimistic view. It is well documented from case

histories that removal and or replacement of implants without

exhaustive debridement of the prosthetic site leads to failure and

post surgical complications.

> Plastic surgery procedures tend to favor speed and immediate

cosmetic results. For these reasons, leaving or " reusing " tissue from

an existing capsule may seem more " gratifying " However, adverse

effects resulting from the practice are widespread but have not been

well documented. Typically, patients who require removal of faulty

implants and undergo immediate re-implantation in the same prosthetic

site habitually relapse with the same problem which motivated the

previous surgery; the most common example is exchange of implants

and/or sectorizing or bisecting the capsule without removing it

completely.

> Such patients rarely achieve a significant capsular correction and

habitually return for more similar surgery. A more illustrative

situation is that where patients do not receive replacement implants.

They form the basis of knowledge for evaluating the risks that arise

from remaining capsules. An example is described in a paper published

in 1993 (Copeland, M., Kessel, A., Spiera, H., Hermann, G.,

Bleiweiss, I. J.; Systemic Inflammatory Disorder Related To Fibrous

Breast Capsules After Silicone Implant Removal; Plastic and

Reconstructive Surgery: 92 (6), 1179-1181, 1993): reported problems

derived primarily from immune phenomena and inflammatory syndromes

with pain, swelling, serologic abnormaladies and alarming radiologic

presentation.

> Numerous similar cases have been noted amongst implant patients but

have not been theobject of publications. Some are cited in FDA

Reaction Reports. Others appear in theU.S. Pharmacopoeia Reporting

Programs.

> A residual capsule is not a stable entity. It may collapse upon

completion of surgery and remain asymptomatic for some time, however,

it will fill with extracellular fluid and remain as a fluid-filled

space with added blood and prosthetic debris. As the wall matures and

the breast remodels to accommodate the loss of the prostheses, the

capsular tissue shrinks. Water as well as electrolytes are expelled

gradually from the pocket or else the mixture is concentrated from

leakage of water from the semi-permeable capsular membrane wall.

> In most cases, calcium salts precipitate during that stage and may

render the capsule visible as a radiodense and speckled zone in

radiographic projections. Prosthetic debris is also radiodense and

may be imaged to further complicate the presentation. The average

size of the residual capsules after 6-12 months is in the 2-7 cm

range: most are compact, comparatively small and dense. Surgical

removal should present no difficulty for most patients if adequate

radiographic information is available.

> Later stages of maturation include the thickening of the capsule

wall, sometimes reaching 0.5-1cm. Compression of the debris into a

cluster of nodules which actually become calcified follows for some

patients. A few mimic malignancies. Others appear as

small " prostheses " during mammographic studies. They are alarming to

onocologists and are habitually signalled for further studies or

biopsies by oncologic radiologists.

> In light of the present knowledge and considering the probable

content of the residual closed capsules, an open or needle biopsy is

not advisable. The risks of releasing significant amounts of

hazardous contamination and possibly spreading infective entities

outweighs the advantage of the diagnostic. At any rate, such a

capsule requires removal for mitigation of symptoms and a more direct

surgical approach appears more economical and less risky.

> In summary, a capsule with a dense fibro-collagenous wall behaves

as a bioreactor. Worse yet, it is fitted with a semi-permeable wall

that may periodically open to release its content to the breast. The

probability of finding the space colonized with atypical micro-

organisms is elevated and the control of infective processes by

classic pharmacologic approaches is difficult if not impossible.

> Such closed capsular spaces may be comparable to " artificial

organs " of unpredictable functions. Their behavior will depend on the

content and the age of the structure, its maturity and the history of

the patient. There is a high probability that these capsules will

continue to evolve for many years, adding more layers of fibro-

collagenous tissue and possibly granulomatous material. If bacterial

entities are present within the capsule space, they can culminate in

large breast abscesses with will resist conservative treatments.

> Even with less active capsules containing mostly oily and calcitic

debris, the thickening of the wall leads eventually to solid " tumor-

like structures " and are, by themselves, alarming on auscultation and

self examination. At best, such structures are unique environments

for protein denaturation and aberrant biochemical reactions with

unknown long term consequences.

> Pierre Blais, Ph.D.

> Innoval 496 Westminster Ave.

> Ottawa, Ontario

> Canada KeA 2V1

> Phone: (613) 728-8688

> Fax: (613) 728-0687

> Pierre Blais, PhD received his undergraduate and graduate degrees

in physical-organic polymer chemistry from McGill University in

Montreal, Canada, and a Post-doctorate Fellowship in biomaterials

engineering at Case Western University in Cleveland, Ohio. In 1976 he

became one of the first scientists to join the medical devices and

radiological health program of the Department of Health and Welfare

in Canada. He left the department in 1989 as Senior Scientific

Advisor and formed Innoval Consultants, a firm engaged in the design,

testing and failure analysis of high risk medical systems. He has

authored over 250 publications on medical materials and their

interactions with living tissues.

>

>

>

>

>

>

> Start the year off right. Easy ways to stay in shape in the new

year.

>

[Guest guest]

Hi and Kayla's Mommy!

Getting your implants removed is just the first step!

It sounds like you had a rough explant because of the adhesions. . . It's likely some of the junk from the side that wasn't done en bloc got spilled into your chest - despite the best efforts of your surgeon.

That won't prevent you from healing, but it may delay it a bit.

What are you doing diet wise? . . . It's time to eat very healthy . . . NO sugar, refined grains, etc. . . And, if you haven't done so, to treat for fungal issues with antifungals and probiotics.

Have you tried the Three Lac spit test for Candida? . . .

Once you get fungal issues under control, it's time for detoxing . . .

Hugs and prayers,

Rogene

[Guest guest]

Hello,

I am sorry you are having such caos with your

health. It WILL get better......

The pain and burning can last a long time.

you can even have phantom pain, I did. My boobs

hurt where they used to be, out in front of me, and

they no longer were there. Your nerve endings can

take a long time to get back to normal. It is important

to get your gut back to normal, and to detox from all

the toxins inside you from the implants.

I posted some things on MS/LUPUS/THYROID

and foods, like soy and msg and things......Read them.

Patty posted some on the gut and it is important to

get the right balance back inside your system to that

it has what it needs to heal you.

PH posted some important things to read about it

and things she gives her kids. All are very important

and helpful. I hope these help you. I will send them

all to you privately to be sure you got them all. You

must have your hands full with being ill, and having kids

to care for.

Love DedeStart the year off right. Easy ways to stay in shape in the new year.

[Guest guest]

Hello,

I am sorry you are having such caos with your

health. It WILL get better......

The pain and burning can last a long time.

you can even have phantom pain, I did. My boobs

hurt where they used to be, out in front of me, and

they no longer were there. Your nerve endings can

take a long time to get back to normal. It is important

to get your gut back to normal, and to detox from all

the toxins inside you from the implants.

I posted some things on MS/LUPUS/THYROID

and foods, like soy and msg and things......Read them.

Patty posted some on the gut and it is important to

get the right balance back inside your system to that

it has what it needs to heal you.

PH posted some important things to read about it

and things she gives her kids. All are very important

and helpful. I hope these help you. I will send them

all to you privately to be sure you got them all. You

must have your hands full with being ill, and having kids

to care for.

Love DedeStart the year off right. Easy ways to stay in shape in the new year.