OBJECTIVETo explore the treatment of breast sclerosis caused by capsular contracture after augmentation mammaplasty, and preventive measures after the treatment to avoid the recurrence.

METHODSWith the incision through periareola, a part of the fibrous capsule and fibrillate tissue which is between the base of the capsula and the wall of the capsula were resected in the shape of wedge. At the same time, the wall of the capsular cavity was incised in radiant shape to relax it. After operation, the early and effective massage should be fully used.

RESULTS17 case of 26 case were given follow-up over half a year, the results were satisfactory.

CONCLUSIONSAfter capsular contracture was relaxed and a part of the fibrous capsula between the base and the wall of the capsular cavity was resected in the shape of wedge, the prosthesis can be moved smoothly in the suitable cavity without any obstruction. In addition to the early and effective massage after operation, the methods might reach the ideal results.

Adult ; Breast ; surgery ; Contracture ; surgery ; Female ; Humans ; Mammaplasty ; adverse effects ; Postoperative Complications ; surgery

OBJECTIVETo assess the feasibility and safety of thoracoscopic bulla resection under laryngeal mask anesthesia with low tidal volume high-frequency lung ventilation.

METHODSSixty patients with pulmonary bulla were randomized into two groups (n=30) to undergo video-assisted thoracoscopic surgery (VATS) for bulla resection with laryngeal mask anesthesia and high-frequency low tidal volume lung ventilation general anesthesia and or with intubation anesthesia and one-lung ventilation through double-lumen endotracheal intubation.

RESULTSNo significant differences were found in anesthesia time, surgery time, intraoperative lowest SpO2, intraoperative highest PetCO2, operative field, anesthetic effects, or blood loss between the two groups. The post-operative WBC and NEU% showed significantly smaller increments in the mask anesthesia group than in the intubation group, and the postoperative awake time, initial eating time, ambulation time, in-hospital stay, and drainage time were significantly shortened in the former group with also lower incidences of gastrointestinal reactions, throat discomfort and hoarseness.

CONCLUSIONThoracoscopic bulla resection under laryngeal mask anesthesia with low tidal volume high-frequency lung ventilation is safe and feasible and results in better patient satisfaction and shorter in-hospital stay than procedures performed under intubation anesthesia with one-lung ventilation.

Adolescent ; Adult ; Aged ; Anesthesia, General ; methods ; Blister ; Child ; Female ; High-Frequency Ventilation ; Humans ; Intubation, Intratracheal ; Laryngeal Masks ; Lung Diseases ; surgery ; Male ; Middle Aged ; One-Lung Ventilation ; Thoracic Surgery, Video-Assisted ; Young Adult