en bloc capsulectomy
Surgical removal of breast implant together with its intact surrounding scar tissue capsule.
Full Definition
En bloc capsulectomy is a surgical technique where the breast implant and its surrounding fibrous capsule are removed as a single, intact unit without disrupting the capsule. This approach is considered the gold standard when breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is suspected, for textured implants, or when patients have concerns about breast implant illness. The technique requires meticulous dissection to maintain capsule integrity and prevent spillage of implant contents or capsule material into the surgical field. Complete en bloc removal may be challenging in cases with dense capsule adhesions or previous surgeries, and may require more extensive tissue removal compared to standard capsulectomy techniques.
Usage
Usage note: Critical technique for suspected BIA-ALCL cases; document capsule integrity and specimen handling.
In Context
- "En bloc capsulectomy was performed bilaterally due to suspected BIA-ALCL in the textured implants." — Oncology surgical report
- "The surgeon achieved complete en bloc capsulectomy without capsule perforation or spillage." — Operative technique note