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- W1122069540 abstract "A recent report from Agence Nationale de sécurité du medicament et des produits de santé (ANSM) assesses the rupture of silicone gel breast implants without proposing rules for follow-up and replacement of implants.To demonstrate that systematic follow-up surveillance of silicone breast implants could improve early diagnosis of ruptures; to propose a surveillance protocol based on the findings.This is a multicentric, retrospective study which reports cases of ruptured silicone gel breast implants from January 2006 to June 2014. Using Case-notes from ANSM and quotations from CCAM certificates, 130cases were gathered from 6 centers.The average time between implantation and the diagnosis of ruptures was 9.24 years (± 6.19). Forty cases of ruptured implants (30.8%) originated from original reconstruction or symmetrisation in the context of a breast carcinoma; and 90 (69.2%) originated from augmentation mammaplasty. The average length in reconstructive group was 6.97 years (± 3.33). The difference in the lifetime of the implants between both groups was statistically significant (P = 0.0291). A clinical abnormality led to an imaging assessment in only 19.7% of cases; rupture was thus mainly discovered incidentally either during a systematic breast screening (59.8%), or during a preoperative examination for an aesthetic surgery (20.5%) (P = 0.0082).The results suggest that implant ruptures of silicone gel breast implants are under diagnosed. Clinical follow-up seems insufficient to diagnose implant ruptures. Ultra sound surveillance (± MRI) could be proposed 4 years, 7 years and 10 years after the initial surgery. It does not seem appropriate to propose a systematic change of implant without the incidence of a rupture." @default.
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- W1122069540 date "2015-12-01" @default.
- W1122069540 modified "2023-10-17" @default.
- W1122069540 title "Surveillance et changement des implants mammaires en gel de silicone : étude rétrospective a propos de 130cas de rupture d’implants" @default.
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- W1122069540 doi "https://doi.org/10.1016/j.anplas.2015.07.006" @default.
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