Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery
In breast augmentation surgery, the correct evaluation of the implant size required is crucial to achieve satisfactory final result. Intraoperative volume decision is usually made by the use of silicone gel breast sizers. Intraoperative sizers have some disadvantages: the progressive loss of structu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587823000098 |
| _version_ | 1797823315498237952 |
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| author | Giuseppe Pezone Annachiara Cavaliere Gisella Nele Francesco D'Andrea Fabrizio Schonauer |
| author_facet | Giuseppe Pezone Annachiara Cavaliere Gisella Nele Francesco D'Andrea Fabrizio Schonauer |
| author_sort | Giuseppe Pezone |
| collection | DOAJ |
| description | In breast augmentation surgery, the correct evaluation of the implant size required is crucial to achieve satisfactory final result. Intraoperative volume decision is usually made by the use of silicone gel breast sizers. Intraoperative sizers have some disadvantages: the progressive loss of structural integrity, the increased risk of cross infection, the high costs. However, during breast augmentation surgery, it is mandatory to fill and expand the newly dissected pocket. In our practice we fill the dissected space with Betadine-soaked and then squeezed gauzes. The use of multiple soaked gauzes as sizers is advantageous for the following reasons: they fill and expand the pocket, they are useful to check the volume and to show the circumferential contour of the breast, to keep the pocket clean while dissecting the second one, to check final hemostasis and to compare the two breasts’ size before definitive implant insertion. We simulated an “intra operative setting” where standardized volume Betadine-soaked gauzes were packed into a breast pocket. This easily reproducible and accurate technique is inexpensive and produces reliable and highly satisfactory results; it can be incorporated into the practice of any surgeon performing breast augmentation.Evidence Based Medicine (EBM) level: IV |
| first_indexed | 2024-03-13T10:22:17Z |
| format | Article |
| id | doaj.art-e32f5d0de035449d82d2d3526fdb7a3e |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-13T10:22:17Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-e32f5d0de035449d82d2d3526fdb7a3e2023-05-20T04:30:20ZengElsevierJPRAS Open2352-58782023-06-01368993Betadine-soaked gauzes intraoperative sizing in breast augmentation surgeryGiuseppe Pezone0Annachiara Cavaliere1Gisella Nele2Francesco D'Andrea3Fabrizio Schonauer4Unit of Plastic Surgery, University “Federico II” , Via Sergio Pansini, 5, Napoli, Naples 80131, Italy; Corresponding author at: Unit of Plastic Surgery, University “Federico II” , Via Sergio Pansini, 5, Napoli, Naples 80131, Italy.Unit of Plastic Surgery, University “Federico II” , Via Sergio Pansini, 5, Napoli, Naples 80131, ItalyRuesch Private Hospital, , Viale Maria Cristina di Savoia, 39, Napoli, Naples 80122, ItalyUnit of Plastic Surgery, University “Federico II” , Via Sergio Pansini, 5, Napoli, Naples 80131, ItalyUnit of Plastic Surgery, University “Federico II” , Via Sergio Pansini, 5, Napoli, Naples 80131, ItalyIn breast augmentation surgery, the correct evaluation of the implant size required is crucial to achieve satisfactory final result. Intraoperative volume decision is usually made by the use of silicone gel breast sizers. Intraoperative sizers have some disadvantages: the progressive loss of structural integrity, the increased risk of cross infection, the high costs. However, during breast augmentation surgery, it is mandatory to fill and expand the newly dissected pocket. In our practice we fill the dissected space with Betadine-soaked and then squeezed gauzes. The use of multiple soaked gauzes as sizers is advantageous for the following reasons: they fill and expand the pocket, they are useful to check the volume and to show the circumferential contour of the breast, to keep the pocket clean while dissecting the second one, to check final hemostasis and to compare the two breasts’ size before definitive implant insertion. We simulated an “intra operative setting” where standardized volume Betadine-soaked gauzes were packed into a breast pocket. This easily reproducible and accurate technique is inexpensive and produces reliable and highly satisfactory results; it can be incorporated into the practice of any surgeon performing breast augmentation.Evidence Based Medicine (EBM) level: IVhttp://www.sciencedirect.com/science/article/pii/S2352587823000098BetadineGauzesBreast sizingBreast implantBreast augmentationIntraoperative breast sizing |
| spellingShingle | Giuseppe Pezone Annachiara Cavaliere Gisella Nele Francesco D'Andrea Fabrizio Schonauer Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery JPRAS Open Betadine Gauzes Breast sizing Breast implant Breast augmentation Intraoperative breast sizing |
| title | Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery |
| title_full | Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery |
| title_fullStr | Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery |
| title_full_unstemmed | Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery |
| title_short | Betadine-soaked gauzes intraoperative sizing in breast augmentation surgery |
| title_sort | betadine soaked gauzes intraoperative sizing in breast augmentation surgery |
| topic | Betadine Gauzes Breast sizing Breast implant Breast augmentation Intraoperative breast sizing |
| url | http://www.sciencedirect.com/science/article/pii/S2352587823000098 |
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