B. Jegorov, M. Kubík, J. Měšťák, P. Christodoulou, P. Šuk, M. Molitor
Department of Plastic Surgery, First Faculty of Medicine, Charles University and University Hospital Bulovka, Prague, Czech Republic
During the period of 1960s and 1970s, a new alloplastic material – Wichterle gel – was introduced in the field of plastic surgery. In 1961, a Czech scientist, prof. Otto Wichterle, had developed, along with his research team, a hydrophilic gel made of polymers, which fulfilled the high standards for prosthetic materials due to its hydrophilic, chemical, thermal and shape stability that provided a better tolerance in the body compared with other hydrophobic gels. Plastic surgeons had started to use the gel for breast augmentations and reconstructions. Success of the gel had been reinforced due to its easy preoperative preparation. The material had been implanted during general anaesthesia via submammary approach over the muscle fixed with a stitch to the fascia. Fixing corset bandage was applied after the surgery. The implanted material had proved to be suitable for postoperative processes with a minimum of complications. In the later postoperative period, however, serious complications occurred – mainly infections and calcifications. Longterm results are presented by case reports. Today, this material is no longer used and it is replaced by more modern implants.
breast implants – breast reconstruction – breast augmentation – Wichterle – hydron – hydrophilic polymer – polyglyconmethacryl – calcification