[Plastic surgery of the sequelae of suppurative mastitis]. / Plasticheskaia khirurgiia posledstvii gnoinogo mastita.

Results of the surgical correction of consequences of purulent mastitis in 53 patients with 73 plastic operations are described. They were aimed at elimination of scarring deformation and asymmetry and restoration of the volume and form of the breast. Specific features of the surgical technique for performing the reconstructive-restorative operations in this group of patients are described.

[Morphological study of capsules formed around various breast endoprostheses]. / Morfologicheskoe izuchenie kapsul, obrazuiushchikhsia vokrug razlichnykh endoprotezov v plasticheskoi khirurgii molochnykh zhelez.

Silicone implants used in mammaplasty are often associated with constrictive capsule fibrosis, leading to induration and deformation of the prosthetic organs. In connection with this, there has been developed and is currently successfully applied in the clinical practice of the A. V. Vishnevsky Institute of Surgery an original method of mammary gland endoprosthesis with oily implants. The objective of this work was to make a comparative study of the late results of mammaplasty based upon the morphologic study of capsules formed around silicone and oily implants, removed during secondary surgical interventions. The dynamics of capsule formation around temporary organic glass endoprostheses has also been studied. The results showed that implantation of silicone prostheses results in a formation of a rough thick capsule, an active inflammatory reaction in the surrounding tissues and the development of constrictive fibrosis. Implantation of a temporary organic glass endoprosthesis that is filled with oil at the second stage of the operation, is followed by a thin capsule formation without signs of inflammation. The stability of the capsule structure up to 3 years has been noted. On the whole, this prosthesis provides a good cosmetic effect during long time after mammaplasty.

[Experience with the surgical correction of the breasts using elastic silicon implants]. / Opyt khirurgicheskoi korrektsii molochnykh zhelez élasticheskimi implantatami iz silikona.

The paper describes the experience of prosthetics of the mammary glands with "Dow Corning" silicon implants. Operations performed on 26 patients with congenital defects of the mammary gland, postlactational involution and also in order to make the plasty of a defect after subcutaneous mastectomies and extended sectorial resection, have shown that silicon endoprostheses can be successfully employed in such cases. The procedures not only corrected the patient's figure but also contributed to the social and psychic rehabilitation of the patients.