工业液体硅酮的使用:范围审查。

Acta cirurgica brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/acb395624
Ayla Gerk, Luiza Telles, Madeleine Carroll, Maria Eduarda de Freitas Mesquita do Nascimento, Rafaela Góes Bispo, Bruno Felipe Santos de Oliveira, Saulo Mendes, Sophie Nouveau Fonseca Guerreiro, Abbie Naus, Cristina Pires Camargo
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引用次数: 0

摘要

目的:非法注射美容仍然非常普遍,并可引起严重的并发症,包括死亡。我们旨在探究全球范围内使用非法注射美容针剂的现有文献:我们检索了从开始到 2022 年的六个数据库,语言不限。我们收录了所有以接受任何非法美容注射的任何性别成年患者为研究对象的文章。筛选和数据提取遵循《系统综述和Meta分析扩展范围综述的首选报告项目》指南的标准:在筛选了 629 篇摘要和 193 篇全文后,共纳入了 142 篇引文。我们确定了来自 28 个国家的文章和 3 项多国研究。大部分文章来自高收入国家(75.3%)和中上收入国家(21.8%)。在所有描述了性别身份的患者中,49.9% 是变性女性,40.8% 是顺性女性。最常注射的解剖区域是臀部(35%)和乳房(13.3%)。最常见的并发症是肉芽肿(41.5%)、皮肤问题(41.5%)、感染(35.9%)和肺部并发症(34.5%):我们观察到了非法硅胶注射的影响,尤其是对顺性别女性和变性人的影响。必须消除现有的障碍,包括医疗偏见和对性别少数群体护理知识的不足。这就需要对高危人群进行教育,并加强对这些程序的政策监管。
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Use of industrial liquid silicone: a scoping review.

Purpose: Illicit cosmetic injections remain highly prevalent and can cause serious complications, including death. We aimed to explore existing literature regarding the use of illicit cosmetic injections globally.

Methods: We searched six databases with no language restriction from inception to 2022. We included all articles focused on adult patients of any gender who received any illicit cosmetic injection. Screening and data extraction followed standards from the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews guidelines.

Results: After screening 629 abstracts and 193 full texts, 142 citations were included. We identified articles from 28 countries and three multi-country studies. Most were from high-income (75.3%) and upper-middle-income countries (21.8%). Of all patients whose gender identity was described, 49.9% were transgender women, and 40.8% were cisgender women. The anatomic regions most frequently injected were the buttocks (35%) and the breast (13.3%). The most frequently described complications were granuloma (41.5%), dermatological problems (41.5%), infection (35.9%), and pulmonary complications (34.5%).

Conclusions: We observed the impact of illicit silicone injections, particularly on cisgender women and transgender individuals. Existing barriers must be addressed, including healthcare prejudice and inadequate knowledge about care for gender minorities. This will require educating at-risk groups and enhancing policies to regulate these procedures.

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