The impact of Allergan implant-related issues on patients with breast implants for reconstruction

Background In August 2019, the Ministry of Food and Drug Safety and the Korean Society of Plastic and Reconstructive Surgeons confirmed the first case report of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in Korea and provided recommendations. This study was conducted to eval...

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Autores principales:	Ji Min Kim, Woo Jin Song, Hyun Gyo Jeong, Sang Gue Kang
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society for Aesthetic Plastic Surgery 2021
Materias:	breast reconstruction breast implant complications lymphoma, large-cell, anaplastic patient compliance Surgery RD1-811
Acceso en línea:	https://doaj.org/article/64c1cb8f8a70440c8c84efdd71bc870b
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spelling	oai:doaj.org-article:64c1cb8f8a70440c8c84efdd71bc870b2021-11-09T06:59:08ZThe impact of Allergan implant-related issues on patients with breast implants for reconstruction2234-08312288-933710.14730/aaps.2021.00122https://doaj.org/article/64c1cb8f8a70440c8c84efdd71bc870b2021-10-01T00:00:00Zhttp://e-aaps.org/upload/pdf/aaps-2021-00122.pdfhttps://doaj.org/toc/2234-0831https://doaj.org/toc/2288-9337Background In August 2019, the Ministry of Food and Drug Safety and the Korean Society of Plastic and Reconstructive Surgeons confirmed the first case report of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in Korea and provided recommendations. This study was conducted to evaluate the impact of the first case report of BIA-ALCL on patients and whether the impact could be mitigated through expert recommendations. Methods A retrospective chart review was performed of patients who underwent implant-based breast reconstruction using Biocell textured breast implants at Soonchunhyang University Hospital. After the first case report of BIA-ALCL and informing the patients via text messages, the pattern of outpatient visits and the proportion and indications of outpatient office visitors who received reoperations were analyzed. Results After the first BIA-ALCL case report in Korea, 12 patients underwent reoperations due to other complications identified incidentally, while only three patients underwent prophylactic surgery. Among the patients who underwent reoperation after the Allergan issues, 76.7% received implant exchange. There was no significant difference in the proportion of reoperation types before and after the Allergan issues and the transmission of text messages (P=0.700). Conclusions Despite the major issues, outpatients were managed successfully according to our recommendations. The study found a low rate of regular outpatient visits; however, our efforts increased this rate. Therefore, methods for appropriate information delivery are needed for outpatient visits, as well as a system for regular monitoring. As experts, plastic surgeons should provide responsible leadership in this situation to relieve patients’ concerns.Ji Min KimWoo Jin SongHyun Gyo JeongSang Gue KangKorean Society for Aesthetic Plastic Surgeryarticlebreast reconstructionbreast implantcomplicationslymphoma, large-cell, anaplasticpatient complianceSurgeryRD1-811ENArchives of Aesthetic Plastic Surgery, Vol 27, Iss 4, Pp 132-138 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast reconstruction breast implant complications lymphoma, large-cell, anaplastic patient compliance Surgery RD1-811
spellingShingle	breast reconstruction breast implant complications lymphoma, large-cell, anaplastic patient compliance Surgery RD1-811 Ji Min Kim Woo Jin Song Hyun Gyo Jeong Sang Gue Kang The impact of Allergan implant-related issues on patients with breast implants for reconstruction
description	Background In August 2019, the Ministry of Food and Drug Safety and the Korean Society of Plastic and Reconstructive Surgeons confirmed the first case report of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in Korea and provided recommendations. This study was conducted to evaluate the impact of the first case report of BIA-ALCL on patients and whether the impact could be mitigated through expert recommendations. Methods A retrospective chart review was performed of patients who underwent implant-based breast reconstruction using Biocell textured breast implants at Soonchunhyang University Hospital. After the first case report of BIA-ALCL and informing the patients via text messages, the pattern of outpatient visits and the proportion and indications of outpatient office visitors who received reoperations were analyzed. Results After the first BIA-ALCL case report in Korea, 12 patients underwent reoperations due to other complications identified incidentally, while only three patients underwent prophylactic surgery. Among the patients who underwent reoperation after the Allergan issues, 76.7% received implant exchange. There was no significant difference in the proportion of reoperation types before and after the Allergan issues and the transmission of text messages (P=0.700). Conclusions Despite the major issues, outpatients were managed successfully according to our recommendations. The study found a low rate of regular outpatient visits; however, our efforts increased this rate. Therefore, methods for appropriate information delivery are needed for outpatient visits, as well as a system for regular monitoring. As experts, plastic surgeons should provide responsible leadership in this situation to relieve patients’ concerns.
format	article
author	Ji Min Kim Woo Jin Song Hyun Gyo Jeong Sang Gue Kang
author_facet	Ji Min Kim Woo Jin Song Hyun Gyo Jeong Sang Gue Kang
author_sort	Ji Min Kim
title	The impact of Allergan implant-related issues on patients with breast implants for reconstruction
title_short	The impact of Allergan implant-related issues on patients with breast implants for reconstruction
title_full	The impact of Allergan implant-related issues on patients with breast implants for reconstruction
title_fullStr	The impact of Allergan implant-related issues on patients with breast implants for reconstruction
title_full_unstemmed	The impact of Allergan implant-related issues on patients with breast implants for reconstruction
title_sort	impact of allergan implant-related issues on patients with breast implants for reconstruction
publisher	Korean Society for Aesthetic Plastic Surgery
publishDate	2021
url	https://doaj.org/article/64c1cb8f8a70440c8c84efdd71bc870b
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The impact of Allergan implant-related issues on patients with breast implants for reconstruction

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