Analysis of complications of polyacrylamide hydrogel injection for augmentation mammaplasty

Objective To analyze complications and their causes of polyacrylamide hydrogel injection for augmentation mammaplasty.Methods From 2000 to 2005,26 cases with complications of polyacrylamide hydrogel injection for augmentation mammaplasty were selected in Chongqing Zhongshan hospital.All the cases were checked by high frequency ultrasound or MRI before operations.Open operations were implemented along the incision of the areola edge under general anesthesia.During the operations,a lot of physiological saline with antibacterial was used for washing the areas of operation.After operations,the wounds got pressure dressing and the patients were treated with antibacterials.Results The patients were followed up from 3 to 18 months.24 cases′ complications disappeared,in which 20 cases healed well and 4 cases received breast orthopaedic surgeries for the second time to recover the breast appearance.The other two cases were operated for removing the rest of polyacrylamide hydrogel,then the complications relieved.Conclusion The open operation under direct vision is a useful way to deal with the complications of polyacrylamide hydrogel injection.