- JW정원소개
- 연구활동
설철환 원장, 제3회 아시아유방성형심포지움에서 4개의 연제 발표
- 작성자
- 관리자
- 작성일
- 2011-10-13
- 조회수
- 2933
 본원의 설철환 원장이 2011년 10월 7~9일 열린 제3회 아시아유방성형심포지움 학술프로그램에서    이날 설철환 원장이 개발한 내시경 재수술법(기존의 겨드랑이절개로 재수술이 가능하며 새로운 절개자국을 만들 필요가 없음)과 내시경가슴확대법 및 처진가슴올림술의 노하우 및 수술방법에 대해 참석한 국내외 성형외과 전문의들로부터 많은 찬사를 받았습니다 재수술 관련 강연의 초록을 아래에 첨부합니다. Secondary Endoscopic Transaxillary Breast Augmentation JW Plastic Surgery Center, Seoul, Korea Chul Hwan Seul In general, periareoalr approach or inframammary approach is used for the revisional breast augmentation. While it is possible to change the breast implants through the transaxillary approach, it is impossible to perform the revision surgeries with blind dissection through the transaxillary approach such as capsulotomy, capsulectomy, supracapsular dissection and capsulorrhaphy. The reason is that operation field cannot be visualized through the conventional transaxillary approach so that we cannot coagulate the bleeding and dissect the appropriate anatomical plane. Transaxillary approach is preferred in oriental countries because Asian people have a tendency to have more noticeable scar after surgery. Patients who had a breast surgery through the periareolar approach or inframammary approach can undergo a revision surgery through the same approach. But for the patients who underwent a breast surgery through the transaxillary approach, surgeons should find another new approach for the revision surgery other than transaxillary approach. But it is inevitable to remain another scar and additional tissue injury from new approach. But the technique using the endoscopy made it possible to do the revision surgery through the transaxillary approach again without additional scar. It is possible because operation field is visualized and coagulation can be done with endoscopy. I will introduce the technique using endoscopy for the revision breast surgeries through the transaxillary approach such as capsulotomy, supracapsular dissection, capsulectomy, cauterization of capsule and capsulorrhaphy. In the mild cases of capsular contracture, the capsulotomy can be enough, and, it is possible to minimize the recurrence rate of capsular contracture using endoscopy, because, endoscopy makes it possible to find out the correct dissecting plane between the pectoralis major and pectoralis minor and serratus anterior muscle. Even in the case with severe capsular contracture after breast augmentation in a subpectoral plane, it was possible to insert the breast implant after supracapsular dissection between pectoralis major and capsule using endoscopy. The result can be similar to that of total capsulectomy. And it is possible to reduce the size of implant pocket or elevate the inframmamay fold by cauterization of capsule or capsulorrhaphy using endoscopy. Even though we have to equip the expensive system and it needs long learning curve, endoscopic system makes it possible to perform the various revision surgeries through the same approach for the patients who got a breast augmentation surgery through the transaxillary approach before. |
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