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Lipofilling in Rahmen der Mammachirurgie

Ergebnisse einer retrospektiven Analyse

Autologous fat grafting in breast surgery

Results of a retrospective study

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Zusammenfassung

Hintergrund

Die autologe Fettgewebstransplantation, auch als Lipofilling bezeichnet, besitzt als körpereigenes Gewebe die Eigenschaften eines idealen Fillers. Sie wird in der rekonstruktiven und ästhetischen Chirurgie zur Korrektur angeborener oder erworbener Weichteildeformitäten insbesondere der Brust angewendet.

Methodik

Von Mai 2007 bis September 2012 wurden 298 autologe Fettgewebstransplantationen bei 199 Patienten durchgeführt. Die Hauptindikation waren Konturdeformitäten und Volumenverlust nach Brustkrebsoperationen bzw. Brustfehlbildungen wie Asymmetrie, Hypoplasie, Poland-Syndrom oder tubuläre Brust. Das Fett wurde mit dem Tissue-Trans™ (Shippert Medical), Lipivage™ (Polytech) oder einem selbst entwickelten Sammelsystem gewonnen und unmittelbar ohne weitere Aufbereitung subkutan bzw. intramuskulär reinjiziert.

Ergebnisse

Das mittlere Patientenalter lag bei 45 Jahren. Meist wurden eine (42 %) oder zwei (31 %) Behandlungen durchgeführt. Das pro Operation im Durchschnitt transplantierte Volumen betrug 90 ml. In 2 % der Fälle trat eine lokale Infektion auf, die antibiotisch behandelt wurde.

Schlussfolgerung

Lipofilling ist eine einfache, schnelle, komplikationsarme und effektive Behandlungsmethode und somit eine wichtige Therapieergänzung bei Brustfehlbildungen und -deformitäten. Man erreicht nicht nur eine schönere Kontur und ein größeres Volumen, es zeigt sich auch eine Verbesserung der Narbenqualität.

Abstract

Background

Autologous fat has many qualities for an ideal filler and is widely used in reconstructive and aesthetic surgery, especially in the treatment of primary and secondary deformities of the breast.

Methods

From May 2007 to September 2012 298 autologous fat graftings were performed in 199 patients. Fat was harvested using the Tissue-Trans™ (Shippert Medical), Lipivage™ (Polytech) or a self-developed harvesting system and injected without any further processing into subcutaneous and/or intramuscular layers.

Results

The mean patient age was 45 years. Main indications were contour deformities and volume loss after breast cancer surgery as well as asymmetry, hypoplasia, Poland syndrome or tuberous breasts. The average volume of grafted fat was 90 ml per surgery. Most patients received one (42 %) or two (31 %) sessions of treatment. The infection rate was 2 % which was further treated with oral antibiotics.

Conclusion

Autologous fat grafting represents an important tool for the management of deformities of the breast not only by filling deformities and adding volume, but also by improving the quality of scars. It is a simple, fast and effective treatment option with few complications.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. E. Russe, T. Schöller, H. Hussl, P. Pülzl, H. Reichl, F. Ensat, M. Hladik und G. Wechselberger geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung für Plastische, Ästhetische und Rekonstruktive Chirurgie, Krankenhaus der Barmherzigen Brüder Salzburg, Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Kajetanerplatz 1, 5020, Salzburg, Österreich

    E. Russe, H. Reichl, F. Ensat, M. Hladik & G. Wechselberger

  2. Abteilung für Plastische und Wiederherstellungschirurgie, Marienhospital Stuttgart, Stuttgart, Deutschland

    T. Schöller

  3. Universitätsklinik für Plastische und Wiederherstellungschirurgie Innsbruck, Innsbruck, Österreich

    H. Hussl & P. Pülzl

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  1. E. Russe
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  2. T. Schöller
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  3. H. Hussl
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  4. P. Pülzl
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  5. H. Reichl
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  6. F. Ensat
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  7. M. Hladik
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  8. G. Wechselberger
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Correspondence to E. Russe.

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Russe, E., Schöller, T., Hussl, H. et al. Lipofilling in Rahmen der Mammachirurgie. Chirurg 86, 476–481 (2015). https://doi.org/10.1007/s00104-014-2775-1

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  • DOI: https://doi.org/10.1007/s00104-014-2775-1

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