Emergency extrusion and explantation: consequences of intrusion in Venezuelan plastic surgery. Venezuelan case report

It should be noted that intrusion is understood as the exercise of the activities of professionals by people not authorized to do it, despite having a degree in a speciality that includes the basic surgical skills to perform a procedure. In post-augmentation mammoplasty patients, a seroma warrants timely diagnosis and appropriate treatment; a delay can cause extrusion of the implant. Objective: Report the case of an emergency surgical extrusion and explantation resulting from an augmentation mammoplasty performed by a professional not certified in Plastic Surgery. Clinical case: 19 years old female with a history of augmentation mammoplasty by a General Surgeon 6 months previously, who developed a seroma in the right breast 2 weeks prior to admission and, since it was not treated, went to the emergency room with extrusion of round textured right breast implant and phlogosis. Bilateral emergency surgical explantation and antibiotic coverage were performed. Communication: Explantation may be indicated in multiple scenarios including complications such as extrusion. The risk of extrusion includes several factors, including infection, seromas, hematomas, or incorrect surgical technique when placing the implant. In the present case, intraoperative findings revealed after bilateral explantation that the implants were located in a subglandular plane and the left one was beginning to generate skin retraction. After extrusion of an implant, it is a priority to cure the infection and maintain the size of the breast until it is safe to place a new implant.