Rev. argent. mastología; 39 (144), 2020
Publication year: 2020
Introducción:
¿La mastoplastia de aumento realizada por un cirujano no especialista en cirugía plástica debe ser vista como un acto de intrusismo o de competencia médica?
Objetivo: Presentación de casos de mastoplastias de aumento realizadas por un ginecólogo mastólogo, su comparación con la bibliografía publicada por reconocidos cirujanos plásticos y discusión de la situación actual del tema.
Material y método:
Se describen retrospectivamente casos de mastoplastia de aumeeto recolectados en diez años de experiencia unipersonal, entre julio 2010 y abril de 2020, comparando resultados cosméticos y complicaciones con casuística publicada.
Resultados:
Se realizaron 144 casos de mastoplastia de aumento. Hubo 2.08% de complicaciones tempranas y 6.25% de complicaciones tardías, con 94.4% de satisfacción cosmética de las pacientes. No hubo diferencias significativas respecto a tasa de complicaciones quirúrgicas respecto a la serie comparada, encontrando equivalente el resultado cosmético.
Conclusiones:
La mastoplastia de aumento realizada por un cirujano mastólogo capacitado en el área cosmética, debería aceptarse dentro del alcance de su competencia, creando un marco regulatorio científico y legal adecuado.
Introduction:
Can an augmentation mammoplasty performed by a surgeon who is not a plastic surgery specialist be cosidered as an act of presessional intusion, or within the scope of his competence?
Objetive: Report of a gynecologist and breast specialist's experience comparing results and complications to the reported case studies published by renowned plastic surgeons and an argument about the topic.
Material and method:
The author reports retrospectively his ten years experience (january 2010 - april 2020) in augmentation mammoplasty. Cosmetic results and complications were compared with published reports.
Results:
144 augmentation mammoplasties were performed between january 2010 and april 2020. There were 2.08% of early complications, 6.25% of late complication, and 94.4% of the patients were satisfied with the cosmetic result. The results show no significative difference about complications and an equivalent cosmetic satisfaction compared to the reported experience published.
Conclusions:
Augmentation mammoplasty surgery performed by a breast surgeon trained in cosmetic procedures must be considered within the scope of his competence, thus developing an adequate medical and legal regulatory framework.