title: [Should we drain after pre-pectoral breast implants? Analysis of a cohort of 400 patients operated for breast augmentation with pre-pectoral silicone implants].
abstract: OBJECTIVE
  During breast augmentation, surgical drainage remains a source of debate. The objective of the study was to determine the interest of the drainage after pre-pectoral breast implants pre, analyzing the risk of hematoma and capsular contracture.
  
  
  METHODS
  We retrospectively analyzed a cohort of 400 patients who underwent a first aesthetic breast augmentation by pre-pectoral silicone gel implants. Patients were followed with a maximum of nine years and a minimum of one year.
  
  
  RESULTS
  The mean age of patients was 37 years (18-64). Ninety-two percent (368 cases) had no drainage (patients "low risk of bleeding") and 8% (32 cases) underwent a bilateral drainage (patients "high risk of bleeding"). We recorded 1.75% hematoma (7 cases) and 2% of capsular contracture (8 cases).
  
  
  CONCLUSIONS
  We believe that the drainage should not be systematic for pre-pectoral breast implants. In patients at high risk of bleeding that we drained, it does not prevent the occurrence of a possible hematoma. In patients at low risk of bleeding that we have not drained, we do not observed more hematoma or capsular contracture than data published for drained patients.
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: P
authors.initials: P
authors.lastname: Bogaert
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: P
authors.initials: P
authors.lastname: Perrot
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: franck.duteille@chu-nantes.fr.
authors.forename: F
authors.initials: F
authors.lastname: Duteille
mesh_terms: D000293:Adolescent; D000328:Adult; D019928:Breast Implantation / Q000379:methods; D018427:Breast Implants; D015331:Cohort Studies; D003286:Contracture / Q000517:prevention & control; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000517:prevention & control; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Breast implant; Capsular contracture; Complications; Coque; Drainage; Hematoma; Hématome; Prothèses mammaires