دورية أكاديمية

Mechanical Performance of Poly Implant Prosthesis (PIP) Breast Implants: A Comparative Study.

التفاصيل البيبلوغرافية
العنوان: Mechanical Performance of Poly Implant Prosthesis (PIP) Breast Implants: A Comparative Study.
المؤلفون: Ramião NA; INEGI, LAETA, Faculty of Engineering, University of Porto, Campus da FEUP, Rua Dr. Roberto Frias 400, 4200-465, Porto, Portugal., Martins PA; INEGI, LAETA, Faculty of Engineering, University of Porto, Campus da FEUP, Rua Dr. Roberto Frias 400, 4200-465, Porto, Portugal. palsm@fe.up.pt., Barroso MD; Department of Plastic Surgery, Gaia Hospital Center, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal., Santos DC; Department of Plastic Surgery, Gaia Hospital Center, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal., Pereira FB; INEGI, LAETA, Faculty of Engineering, University of Porto, Campus da FEUP, Rua Dr. Roberto Frias 400, 4200-465, Porto, Portugal., Fernandes AA; INEGI, LAETA, Faculty of Engineering, University of Porto, Campus da FEUP, Rua Dr. Roberto Frias 400, 4200-465, Porto, Portugal.
المصدر: Aesthetic plastic surgery [Aesthetic Plast Surg] 2017 Apr; Vol. 41 (2), pp. 250-264. Date of Electronic Publication: 2017 Jan 27.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: United States NLM ID: 7701756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5241 (Electronic) Linking ISSN: 0364216X NLM ISO Abbreviation: Aesthetic Plast Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, Springer-Verlag.
مواضيع طبية MeSH: Equipment Failure Analysis* , Materials Testing*/methods, Breast Implantation/*instrumentation , Breast Implants/*standards , Prosthesis Design/*standards , Silicone Gels/*standards, Biocompatible Materials/adverse effects ; Biocompatible Materials/standards ; Breast Implantation/adverse effects ; Breast Implants/adverse effects ; Device Removal ; Female ; Humans ; Mechanical Phenomena ; Prosthesis Design/adverse effects ; Prosthesis Failure ; Reoperation ; Silicone Gels/adverse effects
مستخلص: Background: There is societal concern regarding potential health problems associated with breast implants. Much of this distrust climate was a reaction to the Poly Implant Prosthesis (PIP) scandal. Studying the mechanisms of implant rupture is an important step for their improvement. The mechanical behaviour of breast implant shells was studied on explanted and virgin implants. Implants from both PIP and another brand (brand X), currently in the market, were considered.
Methods: To study the mechanical behaviour of the shell, a total of 940 samples from 11 explants and 5 control implants were analysed. The experimental protocol follows the ISO standards for shell integrity and determination of tensile stress-strain properties. Pearson correlation analyses and the multi-factor ANOVA statistical tests were performed using mechanical test data.
Results: Both PIP control and explants had significant variations of stress (P = 0.0001) and shell thickness (P = 0.000) throughout the implant. The stress was directly related to shell thickness. Shell thickness varied significantly for PIP implants, exceeding the manufacturer's specifications. Regarding the other brand, thickness variation was within manufacturer's specifications.
Conclusions: The heterogeneous nature of PIP implants was confirmed. The implant shell thickness should be considered as a relevant parameter during the manufacturing process, for quality control purposes. These results may contribute to dispel mistrust and doubt surrounding breast implants, among the medical community and patients.
Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
فهرسة مساهمة: Keywords: Breast implant; Implant thickness; Mechanical behaviour; Poly Implant Prosthesis (PIP)
المشرفين على المادة: 0 (Biocompatible Materials)
0 (Silicone Gels)
تواريخ الأحداث: Date Created: 20170128 Date Completed: 20180112 Latest Revision: 20220311
رمز التحديث: 20240628
DOI: 10.1007/s00266-017-0776-4
PMID: 28127663
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-5241
DOI:10.1007/s00266-017-0776-4