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Biomedical subjects

A H Ellenberg

Publications and source records attributed to A H Ellenberg.

6 recordsLinked to original sources
PubMed1980

A 3 1/2-year experience with double-lumen implants in breast surgery.

The use of the double-lumen implant, with 20 mg of Solu-Medrol or less, has improved the final results in patients having reconstruction after mastectomy. However, the results in patients having augmentation mammaplasties have been much more dramatic, with far superior results over those patients having a gel implant. During the first year the incidence of scar tissue problems is 17 times greater with the gel implants than with the double-lumen implants and 20 mg or less of Solu-Medrol. Scar capsules were also extremely amenable to closed capsulotomy after augmentation with the double-lumen implant, in marked contrast to the gel implant. There is no evidence to support the hypothesis that the double-lumen implant and Solu-Medrol merely delays the eventual appearance of the scar tissue problem. The recommended dosage of Solu-Medrol would appear to be 20 mg and not less.

Breast↗
PubMed1977

Marked thinning of the breast skin flaps after the insertion of implants containing triamcinolone.

In 14 mastectomy patients I did bilateral breast reconstruction with double gel-saline implants. In the first two patients we added triamcinolone to the saline solution, and they developed marked thinning and atrophy of the whole anterior surface of each breast--with impending rupture and loss of the cutaneous coverage. The implants were removed, and other implants (not containing any steroid) were inserted. Satisfactory results followed. In 12 other patients I used double implants containing 10 to 20 mg of methylprednisolone (instead of triamcinolone). The above complication has not appeared in this group.

Adult↗