Abstract:

OBJECTIVE: To investigate the clinical manifestations of complications after polyacrylamide hydrogel injection for breast augmentation, the causes and the treatment.
METHODS: A computer search was performed in China Academic Journal Full-text database and Wanfang Database from January 1993 to October 2009 for articles related to the complications after breast augmentation using polyacrylamide hydrogel and treatment research, using key words of “polyacrylamide hydrogel, injection for augmentation, complications” in Chinese. The repeated study, general review or Meta analysis were excluded, 21 articles were screened into the evaluation.
RESULTS: The type and characteristics of the complications after polyacrylamide hydrogel injection for breast augmentation are as follows: ① induration, pain, swelling, infection, fever, aseptic inflammation, leakage, displacement, etc; ② several complications co-exist in the same patient, and the first and second are dominant; ③ breast mass is dispersed and locates in mammary gland tissue, often multiple and non-uniform, superficial mass can be directly located subcutaneously. The treatments of the complications of polyacrylamide hydrogel injection for breast augmentation are as follows: swelling dilution vacuum aspiration, is generally used for patients with gel concentrated but few induration and other complications, it is not suitable for treatment of dispersed induration; Surgical excision of glandular tissue infiltrated by hydrogels, the gels diffuse and infiltrate into surrounding tissues and should be removed completely, otherwise it will affect normal tissue; incision drainage and intermittent lavage, severe infection patients should be treated by two-way drainage and intermittent lavage, which is consistent with the principles of surgery.
CONCLUSION: According to the specific conditions of patients, different methods used to deal with hydrogel injection for breast augmentation is feasible and effective.