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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">spractice</journal-id><journal-title-group><journal-title xml:lang="ru">Хирургическая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Surgical practice (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-2427</issn><publisher><publisher-name>АНО "Консорциум "Медицинская техника"</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">spractice-59</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>MANU PROPRIA. ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>КАПСУЛЯРНАЯ КОНТРАКТУРА: ПРИЧИНЫ, МЕРЫ ПРОФИЛАКТИКИ</article-title><trans-title-group xml:lang="en"><trans-title>CAPSULAR CONTRACTURE: CAUSES, PREVENTION</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карапетян</surname><given-names>Г. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Karapetyan</surname><given-names>G. E.</given-names></name></name-alternatives><email xlink:type="simple">911@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ратушный</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ratushny</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">PRA5555@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пахомова</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pakhomova</surname><given-names>R. A.</given-names></name></name-alternatives><email xlink:type="simple">PRA5555@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кочетова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kochetova</surname><given-names>L. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Krasnoyarsk State Medical University named after Prof. V.F.Voino-Yasenetsky</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2020</year></pub-date><issue>2</issue><fpage>42</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Карапетян Г.Э., Ратушный Н.А., Пахомова Р.А., Кочетова Л.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Карапетян Г.Э., Ратушный Н.А., Пахомова Р.А., Кочетова Л.В.</copyright-holder><copyright-holder xml:lang="en">Karapetyan G.E., Ratushny N.A., Pakhomova R.A., Kochetova L.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.spractice.ru/jour/article/view/59">https://www.spractice.ru/jour/article/view/59</self-uri><abstract><p>В статье по данным научной литературы рассмотрены послеоперационные осложнения после маммопластики. Капсулярная контрактура имеет наи- большее значение, поскольку современные имплантаты являются инородными телами, на которые организм закономерно отвечает образованием капсу- лы. Формирование капсулы физиологичесий процесс, который развивается в послеоперационном периоде, но при определенных условиях происходит ее уплотнение с формированием рубцовой капсулы, что приводит к уплотнению молочной железы, изменению ее формы, нарушению контуров, появлению болей, развитию местных воспалительных изменений, смещению и деформации эндопротезов. В обзоре рассмотрены причины формирования капсуляр- ной контрактуры, классификация по шкале Baker и вопросы профилактики развития капсулярной контрактуры в раннем и позднем послеоперационном периоде. Описаны технические оперативные приемы, позволяющие предупредить развитие капсулярной контрактуры в послеоперационном периоде.</p></abstract><trans-abstract xml:lang="en"><p>The article in the literature reviewed postoperative complications after mammoplasty. Capsular contracture is the most important, since modern implants are foreign bodies, which the body naturally responds with the formation of capsule. The formation of capsules fiziologicheskii process that develops in the postoperative period, but under certain conditions it is the seal with the formation of a scar capsule, which leads to compaction of the breast, a change in its shape, disruption of contours, the appearance of pain, development of local inflammatory changes, the displacement and deformation of the implants. The review considers the reasons for the formation of capsular contracture, Baker classification scale and the prevention of the development of capsular contracture in the early and late postoperative period. Describes the technical, operational techniques, allowing to prevent the development of capsular contracture in the postoperative period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ментационная маммопластика</kwd><kwd>капсулярная контрактура</kwd><kwd>осложнения</kwd><kwd>профилактика</kwd><kwd>augmentation mammaplasty</kwd><kwd>capsular contracture</kwd><kwd>complications</kwd><kwd>prevention</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Капсулярная контрактура молочных желез / Г.Э. Карапетян [и др.]// Современные проблемы науки и образования. 2015. № 5.</mixed-citation><mixed-citation xml:lang="en">Капсулярная контрактура молочных желез / Г.Э. 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