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Khirurgiia (Mosk) ; (2): 64-69, 2017.
Article in Russian | MEDLINE | ID: mdl-28303876

ABSTRACT

AIM: To present the results of PRP-adipose grafts implanatation. MATERIAL AND METHODS: The study included 25 patients after transplantation of autologous adipose tissue. Autotransplantation was performed to correct volume defects of breast and to restore lost volume after polyacrylamide gel removal in 4 patients; after mastectomy in 6 cases; after complicated replacement using silicone endoprostheses in 11 patients; after previous reduction in 2 cases; after augmentation mammoplasty in 2 cases. Mean age of patients was 42 years. Patients were divided into 2 groups. Group 1 included 12 patients in whom pure adipose tissue was transplanted. Group 2 consisted of 13 patients who received autologous fat with platelet-rich plasma (PRP). RESULTS: Dynamic ultrasonic monitoring showed early resorption processes (liponecrosis foci) after autologous fat injection. Locally increased vascular pattern of breast tissue is an inflammatory sign requiring anti-inflammatory therapy. PRP-adipose grafts have improved outcomes.


Subject(s)
Adipose Tissue/transplantation , Breast , Mammaplasty , Mastectomy/adverse effects , Postoperative Complications/surgery , Transplants/diagnostic imaging , Ultrasonography/methods , Adult , Breast/diagnostic imaging , Breast/surgery , Female , Humans , Mammaplasty/instrumentation , Mammaplasty/methods , Mastectomy/methods , Monitoring, Physiologic/methods , Outcome and Process Assessment, Health Care , Russia
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