Utbyte av implantat efter 10 år

Japp - det är på Citadell! Ok, då har de väl bara glömt att uppdatera på sidan då😉Så du ska gå på en konsultation till? Jag är supernervös för att den ynka halvtimmen på konsultationen inte ska räcka nån vart, samtidigt tycker jag att det känns lite så där att man ska behöva boka en extra konsultation bara för att få svar på sina frågor... vi betalar trots allt en halv förmögenhet för detta; då tycker jag egentligen att de kunde vara lite mer generösa med konsultationstiden... Jaja.

följer

Åh, men det låter ju iaf betryggande! Tack!🙂

Fast det beror ju på vilka implantat du syftar på. T.ex. Mentor coh 1 är ju 25+ år gamla och de har ju inte blivit mer hållbara eftersom de inte har ändrat implantaten något. Runda mjuka implantat,typ Perthese, Mentor coh 1 och Allergan responsive har mycket sämre hållbarhet jämfört med fastare implantat, citerar det min kirurg skrev till mig:

Fast ruptur på implantat är inte ovanligt även fast man vanligen opererar om sig för att kroppen förändras etc. Implantaten går ju inte alltid går sönder men visst händer det.

http://www.fda.gov/downloads/ScienceResearch/SpecialTopics/.../UCM247715.pdf

SUBJECTS AND METHODS. Women identified as part of a National Cancer Institute cohort study on breast implants, living in the Birmingham, AL, area were invited to undergo MR imaging of their current silicone gel breast implants at the Kirklin Clinic at the University of Alabama at Birmingham. Three radiologists independently examined and rated all MR images for signs of implant rupture and extracapsular silicone.

RESULTS. A total of 344 women with silicone gel breast implants underwent MR imaging. Breast implant rupture was reported by at least two of three radiologists for 378 (55.0%) of the 687 implants in this study. Another 50 implants (7.2%) were rated as indeterminate (suspicious) for rupture. A majority of women in this study, 265 (77.0%) of 344, had at least one breast implant that was rated as ruptured or indeterminate. Radiologists also agreed that silicone gel could be seen outside the fibrous capsule that forms around the implant in 85 (12.4%) of the 687 implants affecting 73 women (21.2%). Factors that affected implant rupture were implant age and location (submuscular or subglandular). The median implant age at rupture was estimated to be 10.8 years with a 95% confidence interval of 8.4–13.9 years.

CONCLUSION. The prevalence of silent or occult silicone gel breast implant rupture is higher than was previously suspected. Most women in this study had MR imaging evidence of at least one ruptured silicone gel breast implant.

En annan och lite mer nyare studie från FDA.

http://www.fda.gov/downloads/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/UCM260090.pdf

Se sida 10 om "rupture rates".

Japp, det är sant :) De flesta byter ju kanske för att de vill ha större, eller så har kroppen förändras och en del pga. andra komplikationer.

Ringde olika kliniker och fråga hur länge man kunde ha deras implantat i kroppen och dom svarade att man behöver inte byta någonsin. 

RESULTS Thirty-four patients with 60 silicone breast implants were reviewed. Forty-six implants (77%) were for breast augmentation and 14 for reconstruction (23%). Forty-six implants (77%) were placed in a sub glandular pocket, and 14 sub muscular (23%). A mixed group of implants were used- predominantly single lumen silicone implants, the commonest manufacturer being ‘‘Nagor’’ (21⁄60). The mean age of implants was 9.5 years (range: 1–24 years). The mean
age of an implant found to be ruptured at surgery was 13.9 years. The mean age of an implant found to be intact at surgery was 7.1 years. Twenty-two implants in 14 patients were surgically removed. Reasons for removal included suspicion of rupture from clinical assessment and radiological investigations (n = 11), or symptomatic capsular contracture and patient request (n = 11). Twelve implants were found to be ruptured at surgery (rupture rate 12⁄60 = 20%). There was one case of a silicone granuloma (histologically confirmed), giving an incidence in this cohort of 2.9%. The commonest presenting symptoms in those patients with both intact and ruptured implants were pain (23⁄60), firmness (10⁄60), and⁄or change in size or shape of the breast (12⁄60). 9⁄12 ruptured implants were sub glandular implants placed for breast augmentation. In 7⁄12 ruptured implants the manufacturer of the implant was unknown (2 ‘‘Transform’’, 1 ‘‘Becker’’, 2 ‘‘McGhan’’).

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