Pectoral nerves blocks (PECS) and sedation: A way to avoid general anesthesia in breast surgery - A single institution early experience.

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Thoracic Wall Siliconoma after Silicone Leaking from a Defective Breast Implant in Patient with Poland Syndrome

Silicone breast implants are widely used in both aesthetic and reconstructive breast surgery. Within the rare complications that can appear in patients with this type of implant there is the formation of local and peripheral siliconomas, due to the diffusion of the silicone gel contained within the implant, that can appear in case of both damaged and intact implants [1,2]. The use of new generation breast implants (double lumen envelope and content of cohesive gel) has considerably lowered, but not eliminated, the risk of rupture and the possible formation of siliconomas [3]. The reported case regards a patient who, affected by Poland Syndrome, underwent breast augmentation surgery in order to correct the defect at the age of 18. A P.I.P. implant (Poly Implant Prothese, France) was positioned and, after 10 years, at the diagnostic exams revealed a nodular mass of the thoracic wall compatible with siliconoma without evident rupture of the implant