Tendencia en el uso de implantes mamarios de los cirujanos plásticos iberolatinoamericanos. Estudio FILACP 2010-2020

摘要

Backgraund and objective. Since its creation in 2010, the Implant Registry Committee of FILACP (Ibero Latin American Federation of Plastic Surgery) an international entity that gathers the 22 National Societies of Plastic Surgery of Spanish and Portuguese language, has worked to know the common preferences and uses among its members in breast augmentation surgery with implants. With this aim, between 2010 and 2020, it carried out a series of periodic surveys to investigate the variables involved in breast surgery with implants carried out by plastic surgeons from Iberolatinamerica and how the incidence of breast implants associated anaplastic large cell lymphoma (BIA-ALCL) and its possible etiopathogenic relationship with certain types of implants might have influenced them. We present in this article the data obtained and analyze the observed trends. Methods. Comparative study of data collected in 4 surveys sent to 5000 FILACP members: the first one presented in 2012, with 25 questions on primary breast surgery with implants and 18 on secondary surgery; the second one presented in 2016 with 31 questions on primary surgery and 52 on secondary surgery; the third one in 2018 with 40 questions on both primary and secondary surgery; and the fourth one in 2020, with 13 general questions. Results. General data reflects a preference of Iberolatinamerican plastic surgeons for the use of round implants, with a tendency to increase the use of smooth cover versus textured implants, with a preferential surgical periareolar approach, submuscular placement, and awareness growing need for surgical capsulectomy in secondary surgeries, and for the pathology study of the removed capsule. They also report a good knowledge of BIA-ALCL and the variables involved in its diagnosis and treatment. As of April 2020, we also collected the cases of BIA-ALCL reported by the FILACP National Societies: 106 cases in 9 countries, with 2 deaths. Conclusions. The trend among our respondents, surely influenced by the knowledge of the factors related to the etiolo- gy of BIA-ALCL, is towards the increasing use of smooth and round-shaped implants, and represents an important and updated estimate of the uses of a highly representative professional collective in an international environment that usually collects only data from anglo-saxon professionals and publications.