MD-OncoMD-OncoMD-Onco2782-32022782-6171Publishing House ABV Press19810.17650/2782-3202-2025-5-3-58-70NEW DIRECTIONS AND ADVANCEMENTS IN TREATMENT OF ONCOLOGICAL DISEASES IN THE CURRENT AGEНОВЫЕ НАПРАВЛЕНИЯ И УСПЕХИ В ЛЕЧЕНИИ ОНКОЛОГИЧЕСКИХ ЗАБОЛЕВАНИЙ НА СОВРЕМЕННОМ ЭТАПЕAnalysis of factors and errors affecting the development of complications after breast reconstruction with silicone implants in cancer patientsАнализ факторов и ошибок, влияющих на развитие осложнений после реконструкции молочной железы силиконовыми эндопротезами у онкологических пациентокTroshenkovE. A.ТрошенковЕ. А.
Russian Federation

3 2nd Botkinsky proezd, Moscow 125284

125284 Москва, 2-й Боткинский проезд, 3

VlasovaM. Yu.ВласоваМ. Ю.
Russian Federation

3 2nd Botkinsky proezd, Moscow 125284

125284 Москва, 2-й Боткинский проезд, 3

ZikiryakhodjaevA. D.ЗикиряходжаевА. Д.
Russian Federation

3 2nd Botkinsky proezd, Moscow 125284

Bld. 2, 8 Trubetskaya St., Moscow 119991

6 Miklukho-Maklaya St., Moscow 117198

125284 Москва, 2-й Боткинский проезд, 3

119048 Москва, ул. Трубецкая, 8, стр. 2

117198 Москва, ул. Миклухо-Маклая, 6

KaprinA. D.КапринА. Д.
Russian Federation

3 2nd Botkinsky proezd, Moscow 125284

Bld. 2, 8 Trubetskaya St., Moscow 119991

6 Miklukho-Maklaya St., Moscow 117198

4 Koroleva St., Obninsk 249036

125284 Москва, 2-й Боткинский проезд, 3

119048 Москва, ул. Трубецкая, 8, стр. 2

117198 Москва, ул. Миклухо-Маклая, 6

249036 Обнинск, ул. Королева, 4

MalikD. S.МаликД. С.
Russian Federation

4 Koroleva St., Obninsk 249036

249036 Обнинск, ул. Королева, 4

UsovF. N.УсовФ. Н.
Russian Federation

3 2nd Botkinsky proezd, Moscow 125284

125284 Москва, 2-й Боткинский проезд, 3

P.A. Herzen Moscow Research Institute of Oncology – branch of the National Medical Research Center of Radiology, Ministry of Health of RussiaМосковский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский университет)Peoples’ Friendship University of Russia n. a. Patrice LumumbaФГАОУ ВО «Российский Университет дружбы народов им. Патриса Лумумбы»A.F. Tsyb Medical Radiology Research Center – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaМедицинский радиологический научный центр им. А.Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России210920255358701909202519092025Copyright ©; 2025, ABV-PressCopyright ©; 2025, АБВ-пресс2025ABV-PressАБВ-прессhttps://mdonco.abvpress.ru/jour/about/editorialPolicieshttps://mdonco.abvpress.ru/jour/article/view/198

Currently, breast reconstruction with silicone endoprostheses has become widespread. This was facilitated by the simplicity of the surgical technique, rapid recovery of patients, and the availability of high-quality synthetic and biological materials. With one-stage breast reconstruction, optimal aesthetic results can be achieved in one surgical intervention. However, some factors can make adjustments to the reconstruction result. Most foreign and Russian publications are devoted to the effect of radiation therapy on the development of complications after the use of silicone endoprostheses/tissue expanders. In our article, we analyzed studies devoted to the analysis of the influence of various factors that can provoke the development of infection, implant protrusion, and other complications. Taking into account all possible criteria at the preoperative, postoperative stages, and directly during surgery, it is possible to significantly reduce the risks of implant loss and reoperations.

В настоящее время реконструкция молочной железы силиконовыми эндопротезами получила широкое распространение. Этому способствовали простота техники операции, быстрое восстановление пациентов, доступность качественных синтетических и биологических материалов. При одномоментной реконструкции молочной железы можно добиться оптимальных эстетических результатов за одно хирургическое вмешательство. Однако некоторые факторы могут привести к осложнениям и неудачному исходу реконструкции. Большинство зарубежных и российских публикаций посвящены влиянию лучевой терапии на развитие осложнений после использования силиконовых эндопротезов/тканевых экспандеров. Мы проанализировали исследования, изучающие влияние различных факторов, которые могут спровоцировать развитие инфицирования, протрузии имплантата и других осложнений. Учитывая все возможные критерии на дооперационном, послеоперационном этапах и непосредственно во время хирургического вмешательства, можно значительно снизить риски потери имплантата и реопераций.

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