Correspondence and communication| Volume 65, ISSUE 10, P1439-1440, October 2012

Ultrasonography in PIP implant scanning: A cautionary tale

      We remain in the midst of the Poly Implant Prothèse (PIP) fiasco and its attendant acquisition of practical experience. Since the formal withdrawal of PIP's devices in March 2010, and latterly the lymphoma scare, global advice has varied with France, Wales and others recommending funded implant exchange whereas Britain's National Health Service (NHS) continues to sanction explantation only. Given that the vast majority of the estimated 80,000+ UK implants were through the independent sector (a little over 3000 being undertaken by the NHS), patients find themselves in the invidious position of having to make an informed choice without a strong medical evidence base and clear advice. News worsened recently with the MHRA extending their recall retrospective to January 2001 so that now all of PIP's silicone devices are subject to doubts about their gel composition.
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