The Mentor Study on Contour Profile Gel Silicone MemoryGel Breast Implants.
BACKGROUND
Two-year safety and efficacy data were presented to the Canadian Therapeutic Products Directorate Scientific Advisory Panel, in Ottawa, Ontario, Canada.


METHODS
The 955 women enrolled in the 10-year, multicenter, Mentor MemoryGel study were distributed into four cohorts: 572 augmentation patients, 123 revision-augmentation patients, 191 reconstruction patients, and 69 revision-reconstruction patients. The surgeons in the study received an intensive clinical educational program in addition to the protocol.


RESULTS
Mentor's 2-year study results indicate that the risk of any complication or reoperation at some point through 2 years after implant surgery is 24.5 percent for primary augmentation patients, 30.2 percent for revision-augmentation patients, 42.9 percent for primary reconstruction patients, and 41.8 percent for revision-reconstruction patients. The rupture rates reported from the magnetic resonance imaging cohort were 0 percent for all groups. Patients reoperated on at least one time were as follows: 9.4 percent for primary augmentation, 12.8 percent for revision-augmentation, 27.3 percent for primary reconstruction, and 19.4 percent for revision-reconstruction. Also, 2.4 percent of primary augmentation patients, 7.3 percent of revision-augmentation patients, 8.9 percent of primary, and 11.6 percent of reconstruction patients had their implants removed, with patient choice and capsular contracture being the most common reasons.


CONCLUSIONS
The data from the Mentor CPG Gel Study resulted in approval of these implants for general use on October 20, 2006. The educational program resulted in improved clinical outcomes and probably should be required for all surgeons using the devices.
Cunningham
Bruce
B
Minneapolis, Minn. From the Department of Plastic Surgery, University of Minnesota.
D001940:Breast / Q000601:surgery*; D001941:Breast Diseases / Q000453:epidemiology / Q000601:surgery*; D018427:Breast Implants / Q000009:adverse effects / Q000706:statistics & numerical data*; D015331:Cohort Studies; D003240:Connective Tissue Diseases / Q000453:epidemiology / Q000473:pathology; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000453:epidemiology / Q000473:pathology; D011446:Prospective Studies; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D012307:Risk Factors; D012421:Rupture; D020034:Silicone Gels; D013518:Surgery, Plastic / Q000193:education
D020034:Silicone Gels