PIP IMPLANTS--CURRENT KNOWLEDGE AND LITERATURE REVIEW.

Non-compliance with the production process and use of non-certified materials du- ring production of PIP implants opened an extensive debate regarding regulation and control mechanisms during their production, but the question of health safety of breast implants in general was also reopened. Production of breast implants is subject to various control mechanisms in each country and it is necessary to unify and coordinate such mechanisms. PIP implants were on the market for more than 15 years and in this period the production process and used materials were being changed purposely and without control, which resulted in production of implants with poor quality capsule filled with non-certified silicon gel. There were around 600,000 of these erroneous implants produced. Despite demonstrable harmfulness of the PIP implants, the current studies were not able to reliably confirm health hazard of these implants. Financial costs together with the inability to demonstrate health risk of PIP implants is the reason why the question to widely replace these implants was not solved and each state has a different opinion on this issue.

Miniabdominoplasty.

In this report the authors discuss the possibility of partially correcting laxity of the abdominal wall without performing a total abdominoplasty. The authors point out the advantages of miniabdominoplasty: the surgery itself is briefer, and postoperative results are very good.

[Delayed reconstructions of soft tissue defects of the face]. / Odlozena rekonstrukce defektu mekkých tkání obliceje.

The author describes a non-standard approach to the management of facial soft tissue defects. Significance of delayed reconstructions in defect face injuries and options for their employment in indicated cases are highlighted.

[Infiltration of subcutaneous tissue for prevention of blood loss in extensive plastic surgery operations--10 years' experience]. / Infiltrace podkozní tkáne jako prevence krevních ztrát u rozsáhlých výkonu v plastické chirurgii--desetileté zkusenosti.

The authors emphasize the importance of extensive preoperative infiltration of subcutaneous tissue in some selected plastic operations as prevention of major blood losses and reduction of the number of blood transfusions during operation and the postoperative period.

Multi-stage augmentation of a narrow lip by the V-Y advancement.

The author describes in the present article a possible surgical procedure using multistage V-Y shift for the correction of narrow lips. His work is based on long-lasting experience assembled during surgery of facial clefts and corrections of post-traumatic conditions. He emphasizes some advantages of the described procedures and the importance of carefully selected indications for its application.

[Personal experience with the areolar rotation technic in surgical treatment of gigantomastia]. / Nase zkusenosti s technikou rotace dvorce u chirurgické lécby gigantomastie.

The authors present a less commonly used method in reduction and modelling of gigantomastia. They draw attention to the advantages of this surgical procedure which is based on rotation of the areola with a broad upper and lateral pedicle. They emphasize in particular the very good postoperative nutrition of the areolas with preservation of their sensitivity.

[Reduction surgery of the breasts at the Plastic Surgery Clinic in Prague]. / Redukcní operace prsu na klinice plastické chirurgie v Praze.

The authors present an account of the history of surgical treatment of hypertrophic breasts at the Clinic of Plastic Surgery in Prague. They divided the period from 1928 to the present time into stages with regard to the predominating technique. The authors emphasize also the necessity of careful selection of the surgical procedure with regard to the type and extent of the defect.