Reduction of Capsular Contracture with Two‐Stage Augmentation Mammaplasty and Pulsed Electromagnetic Energy (Diapulse Therapy)

@article{Silver1982ReductionOC,
  title={Reduction of Capsular Contracture with Two‐Stage Augmentation Mammaplasty and Pulsed Electromagnetic Energy (Diapulse Therapy)},
  author={H. Silver},
  journal={Plastic and Reconstructive Surgery},
  year={1982},
  volume={69},
  pages={802–805}
}
  • H. Silver
  • Published 1 May 1982
  • Medicine
  • Plastic and Reconstructive Surgery
A two-stage augmentation mammaplasty was performed on 231 patients (462 implants) over a period of 3 years. Two hundred and sixteen of the cavities (47 percent) were found to have hematomas at the time of the second surgical stage. After removal of the hematomas and completion of the second stage, only 41 breast (9 percent) developed capsular contracture. Treatment of the 41 with Diapulse therapy, massage, and closed capsulotomy completely eliminated all capsular contracture. The period of… 
Nonsurgical treatment of capsular contracture: Review of clinical studies
TLDR
This systematic review was performed to assess the effectiveness of all nonsurgical treatments for established capsular contracture.
Treatment of Capsule Contracture
TLDR
An excellent means of treating capsule contracture is with partial or total capsulectomy followed by placement of a textured saline implant on the opposite side of the pectoralis major muscle, creating a new implant pocket.
Textured or Smooth Implants for Submuscular Breast Augmentation: A Controlled Study
TLDR
There was a small but inconclusive difference in capsular contracture rate that favored the placement of textured rather than smooth implants in the submuscular pocket.
POST-MASTECTOMY BREAST RECONSTRUCTION: THE SOFT TISSUE ALTERNATIVE
TLDR
The available methods of soft tissue reconstruction of the breast are described and a prosthesis, with or without a latissimus dorsi flap for cover, is the method of first choice.
Complications of Breast Augmentation
TLDR
The author has made a simple and useful classification of breast augmentation complications, split between scientific accuracy, clinical evidence, and possible future outcome for surgeons, patients, and implant manufacturers.
Evaluation of low intensity laser's action on silicone mammary implant pseudocapsules in rats.
TLDR
The low intensity laser modify tissue's reparation process around the implants suggesting it may be useful to model contractures that are formed around silicone implants.
Current Trends and Controversies in Breast Augmentation
TLDR
Most surgeons are slow to embrace controversial practices and to adopt new technologies, although acellular dermal matrix use is becoming more popular, although the 7 percent incidence of anaplastic large cell lymphoma was noteworthy.
In vitro alterations in human fibroblast behavior secondary to silicone polymers.
TLDR
Transmission electron microscopy documents a twofold increase in the rough endoplasmic reticulum when cells are exposed to the silicone gel, suggesting significant alterations in the behavior of human fibroblast subpopulations in response to silicone polymers.
Biological Effects of Pulsed High Peak Power Electromagnetic Energy Using Diapulse
After meeting the inventor of Diapulse, the late Dr. Abraham J. Ginsberg, in 1955, I became intrigued with the medical possibilities of non-thermal, high frequency, pulsed, high peak power
Pulsed radio frequency energy (PRFE) use in human medical applications
TLDR
Pulsed radio frequency energy therapy is a non invasive, electromagnetic field-based therapeutic that is based on delivery of pulsed, shortwave radiofrequency energy in the 13–27.12 MHz carrier frequency range, and designed for local application to a target tissue without the intended generation of deep heat.
...
1
2
...