The National Organization for Women (NOW) was pleased to convene the recent
symposium on the safety and effectiveness of silicone gel-filled breast
implants. As an organization advocating on behalf of all women, we recognize
that breast implants are an important public health issue, considering the
escalating use of and demand for these devices and the long-standing and very
public debate concerning their safety.
Speakers at the July 21 news conference at the National Press
Club in Washington, D.C. included, from left: NOW President
Kim Gandy; Dr. Paul Wooley of Wayne State University Medical
School; plastic surgeon Dr. Edward Melmed. Photo by Lisa
Bennett
It was our goal to highlight recent research on silicone gel-filled breast
implants in order to encourage a continued dialogue between scientists, plastic
surgeons, physicians and federal regulators about the safety and effectiveness
of these medical devices. The complex conclusions of the Institute of Medicine
(IOM) report released in 1999 were misinterpreted by the popular press. It was
erroneously suggested that past research had definitively proven the safety of
these devices. However, NOW and many scientists viewed the IOM conclusions as a
demand for better and more extensive research. In view of the growing body of
research in this field, it was our goal to provide an opportunity to review the
status of clinical, toxicological, and immunological studies on silicone
gel-filled breast implants.
Plastic surgeon Dr. Edward Melmed discussed the health risks
of silicone-gel filled breast implants. Photo by Lisa
Bennett
The relevance of this meeting was made more critical considering the fact
that individuals engaged in research in this area meet resistance from
scientific and medical journals in their effort to publish studies on silicone
gel-filled breast implants. For many panel members, the symposium presented an
opportunity to discuss the relevance of recent findings and make recommendations
for future research.
The ongoing commitment of many scientists to study silicone gel-filled breast
implants has included new research conducted at the National Institutes of
Environmental Health Sciences at the National Institutes of Health and the Food
and Drug Administration. These and other literature reports afford strong
evidence of the need for a continued assessment of the growing body of
information on the risks of these devices. We were privileged to have in
attendance federal researchers from the Food and Drug Administration, the
National Institutes of Health and the Armed Forces Institute of Pathology in
addition to a number of prominent scientists from around the country.
This silicone gel-filled breast implant was removed from a
patient after it ruptured. Silicone gel can be seen leaking
from the right side. Photo by Lisa
Bennett
An important part of NOW's mission is to ensure that women are provided with
a thorough scientific basis for informed decisions about their health care,
including the use of medical devices. New research in the area of silicone
gel-filled breast implants has raised additional questions concerning the
long-term safety of these devices and the need for frequent surgeries to correct
complications. We, therefore, strongly encourage the Food and Drug
Administration to consider both short- and long-term complications in a review
of the clinical data on silicone gel-filled breast implants.
We would like to thank the
panel members
and presenters, as well as the many other individuals who helped to make
this symposium possible.
Kim Gandy, President
National Organization for Women
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