Eight cases of postoperative breast milk _3506

e707004304 · Wysłany: Śro 1:33, 09 Mar 2011

,[link widoczny dla zalogowanych]
Eight cases of postoperative breast milk

Burden. Since 1995,[link widoczny dla zalogowanych], our hospital on March 1 September 1998 for a total of 276 cases of breast augmentation, including 8 cases of postoperative lactation, the report is as follows. 1 clinical data the 8 patients, accounting for 2.9% of breast augmentation. Age of 24-32 years old, motherhood. 3 cases, pregnancy, birth, 5 cases were to stop breastfeeding for 25 years, no lactation history. Menstrual history normal. 5 patients to stop breast-feeding after breast became smaller,[link widoczny dla zalogowanych], 3 cases with primary breast dysplasia. To stop breast-feeding after breast restitution, admission requirements of breast augmentation. Examination: bilateral breast flat, the basic symmetry,[link widoczny dla zalogowanych], nipple intercostal l cases in Ⅳ, V intercostal space in 3 cases, 4 cases Ⅵ of rib, bilateral breast tissue were less than the loose skin, no palpable mass. No nipple retraction, nipple squeezing not discharge. Operations were at a high level under continuous epidural anesthesia, implant volume 180-220. 6 cases of silicone oil, salt type 2 cases. Axillary incision in 5 cases, the breast next to the anterior axillary line incision in 2 cases, under the breast fold incision l cases. Implants were placed in the space, pectoralis major. Less blood loss and surgery well. Pioneer Pioneer postoperative ADM ADM Ⅵ V or prevention of infection,[link widoczny dla zalogowanych], 2 days after being swollen breasts; spontaneous lactation in 5 cases, the first 3 days in 3 cases of spontaneous lactation. Daily milk yield 515ml, for the milky white liquid, smear microscopy examination are fat droplets. No inflammatory cells and red blood cell; 8 patients had single blood prolactin increased, l10-135r-(normal value <25 resistant). Treatment: Keep the nipples clean ,5-1O days after the phasing out of lactation, prolactin levels gradually returned to normal. Up for 3 months, no recurrence of lactation, breast appearance and feel are satisfied. Author: Burns, First Affiliated Hospital of Huaxi Medical University, pits the United States Department of Plastic (Chengdu .610041) 2 typical cases were 28 years old. L child birth 5 years ago, stopped breastfeeding lactation of no history of normal menstruation. Relaxation due to smaller breasts, breast augmentation request line. Examination: bilateral breast flat, the basic symmetry, without palpable mass, nipple discharge free. 1O days after the last menstrual period, at a high level of epidural anesthesia by axillary incision, deep to the pectoralis major insertion type 220 saline breast implants. After dressing according to specifications, Pioneer CTC Ⅵ prevent infection. 3 days after double nipple milky white liquid overflowed a day, lO a 15ml, nipple discharge smears for the fat drops, no inflammatory cells and red blood cells. Blood prolactin was l2lr. Daily cleaning nipple, covered with sterile gauze, not special treatment, after 7 days of lactation itself to stop. LO days after lactation review of 28 anti-PRL ml. After 3 months later, the blood prolactin as 22nml, breast appearance and feel are satisfied. 3 to discuss breast augmentation implants for over 30 years of history, with the increase by the surgeon, complications have occurred, but reports of breast milk after little complicated. This group by the surgeon before surgery to stop breast-feeding has been more than 2 years, no lactation history of normal menstruation. Occurred after 2-3 days of lactation. We believe that may be related to breast implants after the acute swelling of breast tissue that creates a powerful compression; operation of the psychological and physiological kuai excited about. Reflex caused by increased pituitary prolactin, causing a transient lactation. To reduce this complication, we believe that choice should be medium size breast implants; before surgery by patients who should communicate ideas and eliminate tension; surgery operations gentle to avoid causing a strong stimulation of breast tissue after breast augmentation lactation. No special discomfort can stop on their own without special treatment. (Received 1998.10-30 sale pigsty :1999-01. ∞)