JAIME EDUARDO PACHON SUAREZ, Colombia
NUEVA CLINICA LOS CEDROS PLASTIC AND RECONSTRUCTIVE SURGERYPresenter of 1 Presentation
IMMUNOLOGICAL BEHAVIOR OF THE PATIENT WITH BIOPOLYMERS AND CAUSAL RELATIONSHIP WITH ASIA SYNDROME - PERSONAL EXPERIENCE OF SURGICAL MANAGEMENT WITH OPEN TECHNIQUE
Abstract
Background and Aims
Biopolymers are non-biocompatible allogeneic materials that have signs and symptoms locally and systemically. Those materials produce systemic inflammatory autoimmune syndrome induced by adjuvants
Methods
A study of patients between year 2017 and 2019 is carried out in patients with biopolymer administration; open technique was performed by the author at Nueva Clinica los Cedros in Bogotá Colombia. 120 patients were evaluated in a period between 2017 and 2019, ages between 24 and 74 years. Clinical evaluation with major and minor criteria for Asia syndrome described by Schoenfeld and Agmon Levin and quantitative rheumatological tests were performed: antinuclear antibodies, lupic anticoagulant, rheumatoid factor, lactate dehydrogenase, serum complement c3 – c4, anti SLC – 70 antibodies and HLA-B27; post-surgical evaluation of symptoms and rheumatic control studies were evaluated 3 to 6 months after open surgical biopolymer extraction.
Results
Pre-surgical evaluation of symptoms manifested by patients during anamnesis and positive rheumatologic findings were documented, analysis showed most commonly expressed symptoms: Myalgia, arthralgia, asthenia, Adinamia, hair loss, fever or pyrexia, preoperative rheumatologic altered exams are: antinuclear antibodies (60.8%). Lupus anticoagulant (40.8%) lactic dehydrogenase (31.6%) serum complement C3 and C4 (13.3%), rheumatoid factor (9.1%), HLA-B27 (4.1%) and anti SLC 70 antibodies (4.1%). Objective results show symptom improvement and quantitative rheumatologic changes after resection of non-biocompatible allogeneic material.
Conclusions
qualitative analysis of clinical and quantitative results of pre and post-surgical rheumatologic studies of patients with biopolymers allow to conclude that open buttock technique has clinical benefits in terms of improvement and palliation of symptoms and inmunologic response