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• W2317774742 abstract "Sir:FigureGenerally, the plane of prosthetic placement is easy to determine, but sometimes both planes seem reasonable. If the degree of surgical injury is different between submuscular and retroglandular augmentation mammaplasty, the one with less injury should be chosen. This research was designed to evaluate the difference in the degree of injury between them. Two hundred sixty-eight patients who underwent augmentation mammaplasty in our department from June of 2003 to March of 2010 were analyzed, with ages between 17 and 49 years (average, 33.4 years). They were divided into the submuscular group (184 patients) and the retroglandular group (84 patients). Surgical procedures were standardized, and suction drains were placed. Drains were removed when unilateral volume was less than 30 ml and the color of the output turned light. Unilateral drainage volume (in milliliters), drainage duration (in days), and use of an analgesic pump and other analgesics were noted. Data were analyzed with SPSS 13.0 (SPSS, Inc., Chicago, Ill.) using the independent samples t test or chi-square test. Unilateral drainage volume and duration were 156.3 ± 12.1 ml and 5.06 ± 1.78 days in the submuscular group and 104.6 ± 15 ml and 5.06 ± 1.78 days in the retroglandular group. The volume of the submuscular group was significantly greater than that of the retroglandular group (p < 0.05), but there was no statistical difference in duration (p > 0.05). For patients who did not use analgesic pumps, the rate of postoperative analgesic use by those in the retroglandular group was significantly lower than for those in the submuscular group (p < 0.05), whereas for those who used analgesic pumps, there was no statistical difference (p > 0.05) (Table 1).Table 1: Use of Postoperative AnalgesicsChoice of prosthetic plane for augmentation mammaplasty depends on the original breast volume, degree of ptosis, objective factors, and the patient's opinion,1–3 and sometimes is hard to determine. Following the minimally invasive principle, the operation with less injury should be chosen.4 There is little literature reporting the difference between them regarding injury at present. Exudates could reflect the degree of injury, drainage volume indirectly represents exudation, and postoperative pain is also another injury index.4,5 The purpose of this research was to evaluate the difference in the degree of injury between submuscular and retroglandular augmentation mammaplasty, and provide additional evidence for choosing the plane. Our results show that the drainage volume of the submuscular group was significantly greater than that of the retroglandular group, and that the duration of drainage placement did not reveal any statistical difference. Drainage volume difference suggested that the postoperative injury caused by augmentation mammaplasty was more severe. Because the signs of drainage removal were the same, we could conclude that postoperative drainage was theoretically helpful for patients' recovery and relief of complications. Postoperative pain is another index that reflects surgical injury. In this research, patients were separated according to whether pumps were used, and postoperative use of analgesics was noted and analyzed. For patients not using pumps, the rate of analgesic use was significantly higher in the submuscular group, which revealed a more severe injury resulting from submuscular augmentation mammaplasty. Although for patients using pumps there was no statistical difference between them, we concluded that analgesic pump use was effective for relieving postoperative pain. In summary, injury caused by submuscular augmentation mammaplasty is more severe, drainage placement is helpful for postoperative recovery, and an analgesic pump is effective for relieving postoperative pain. Guo Ke Sun Jiaming Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei Su Yongsheng General Hospital of Baoan District, Shenzhen, Guangdong, People's Republic of China DISCLOSURE The authors have no financial interest to declare in relation to the content of this article." @default.
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• W2317774742 date "2012-05-01" @default.
• W2317774742 modified "2023-10-16" @default.
• W2317774742 title "Evaluation, Comparison, and Analysis of Postoperative Injury between Submuscular and Retroglandular Augmentation Mammaplasty" @default.
• W2317774742 doi "https://doi.org/10.1097/prs.0b013e31824ab23b" @default.
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