Abstract
INTRODUCAO: Os seromas tardios apos mamoplastia de aumento sao ocorrencias pouco comuns, que podem se manifestar sem causa definida e cujo tratamento implica a retirada ou a troca das proteses. Este trabalho objetiva analisar 3 casos dessa complicacao, ocorrida entre 1 ano e 10 anos de pos-operatorio, tratados de formas distintas. METODO: Foram analisados os dados de 3 pacientes que apresentaram seroma no pos-operatorio tardio de inclusao de proteses de mama. Neste artigo sao apresentados dados relativos a indicacao da inclusao, tempo de evolucao sem complicacoes, tipo de protese e resultado da analise do material retirado ou drenado. RESULTADOS: Em 2 pacientes, foi realizada retirada bilateral das proteses, apesar de somente um dos lados ter sido afetado; na terceira paciente, procedeu-se a troca da protese por outra de mesmo volume e tipo. Um dos casos foi diagnosticado como pus esteril. CONCLUSOES: Previamente a inclusao de proteses mamarias, a paciente deve ser alertada para o fato de que sua decisao podera ter implicacoes futuras, sendo, eventualmente, necessario troca-las ou retira-las, o que resultara em novas cirurgias e/ou novas cicatrizes.
Highlights
Over the past few decades, augmentation mammaplasty has been increasingly performed in Brazil and worldwide with increasingly better and safer results
Seromas are unusual late complications that can manifest without a defined cause, and whose treatment involves implant removal or replacement
Two patients underwent bilateral implant removal al though only one side was affected; in the third patient, the implant was replaced with another implant of the same type and volume
Summary
Over the past few decades, augmentation mammaplasty has been increasingly performed in Brazil and worldwide with increasingly better and safer results. Seromas are unusual late complications that can manifest without a defined cause, and whose treatment involves implant removal or replacement. Late seromas after augmentation mammaplasty are uncommon, can manifest without a defined cause, and can be treated by implant removal or replacement. Methods: Data of three patients who developed late seroma after breast implant placement were analyzed. We present data on the indication for implant placement, time without complications, implant type, and the analytical results of the removed or drained material. Conclusions: Before undergoing breast implant surgery, patients should be informed of the implications of their decisions, such as the possible need to remove or replace them, res ulting in more surgical procedures and/or new scars
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