TITLE:
Application of Mammary Gland Endoprosthesis without a Shell in Modern Oncomammological Practice
AUTHORS:
S. D. Myasoyedov, D. V. Myasoyedov, P. S. Moiseyev
KEYWORDS:
Mammary Gland Malignancies; Radical Surgical; Combined and Complex treatment; Endoprosthesis “Nubiplant”; Immediate and Late Results; Complications; Prophylaxis
JOURNAL NAME:
Engineering,
Vol.4 No.10B,
January
17,
2013
ABSTRACT:
Immediate and late follow-up results of
oncomammological application of novel Ukrainian endoprosthesis “Nubiplant”,
made of one piece of polyacrylamide gel, for mammary gland malignancies (MGM) radical
treatment with reconstruction were analyzed. This endoprosthesis have proved
its unique complex of favorable surgical and oncological properties, such as
the shape and size accommodation for mammary gland plasty purposes, absence of
shell and textured surface. Of 184 patients, operated on radically for initial
stages of MGM, using "Nubiplant" endoprosthesis, postoperative complications
have had occur in 18 (9,8%): the wound seroma in 12 (6,5%) and partial necrosis
of cutaneous edge of postoperative wound – in 6 (3,8%). The seromas were
successfully treated by their punctures and local necrosis - using excision
with secondary suture placement. Late follow-up results were obtained in 112
(60,9%) patients: three-year period have had survived 104 (92,6±2,4%), and a
five-year one – 84 (75,0±4,0%) of them. A contracture capsule was revealed in 3
(2,6%) patients, and excised with the endoprosthesis change. “Nubiplant”
endoprosthesis have advantages over most popular worldwide kinds of such products.
It may be used securely and effectively for total or partial reconstruction of
mammary gland, including cases with hypoplasia, and is more resistant to
trauma, radiation therapy and local complications occurrence, including
contracture capsule formation. Its property to absorb the water may be used for
purposes of plastic surgery. Prophylaxis of specific immediate surgical
complications is trustworthy in MGM patients, using modified endoprosthesis
“Nubiplant”, containing insulin, antihistamine and antiseptic medicines.