Effective minimally invasive strategy for mixed-type gynecomastia using vacuum-assisted mastectomy and power-assisted liposuction

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-17 DOI:10.1016/j.bjps.2024.09.040

Yu-Chi Wang , Shu-Hung Huang , Fang-Ming Chen , Ping-Fu Yang , Li-Chun Kao , Ya-Wei Lai

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引用次数: 0

Abstract

Introduction

Mixed-type gynecomastia is a benign male breast condition characterized by the proliferation of glandular and adipose tissues. Conventional open surgery has been the main approach for treating gynecomastia. However, this method has been associated with complications, including breast deformity, noticeable scar, nipple necrosis, and hypoesthesia. In contrast, vacuum-assisted biopsy systems and liposuction have demonstrated significant advantages in minimally invasive breast surgery.

Aims

Our study aimed to investigate the effectiveness of combining vacuum-assisted mastectomy with power-assisted liposuction (VAM+PAL) for patients with mixed-type gynecomastia compared to conventional open surgery.

Methods

Sixty patients with mixed-type gynecomastia, treated between January 2019 and June 2023, were included in this study. VAM+PAL was performed on 30 patients (59 breasts), and open excision with periareolar approach was performed on 30 patients (59 breasts). The efficacy, complications, outcomes, scar cosmesis, and patient satisfaction were assessed.

Results

Compared to open excision group for gynecomastia, the VAM+PAL group demonstrated a substantial reduction in incision size (4.47 ± 1.21 cm vs. 0.97 ± 0.74 cm, p < 0.001) and lower scores of Vancouver scar scale (3.23 ± 2.27 vs. 1.10 ± 1.47, p < 0.001). No drainage tubes were required for postoperative hematoma/seroma prevention. The patients in the VAM+PAL group had significantly lower complication rates (18.64% vs. 3.39%, p = 0.008), particularly in bruise and hypoesthesia. All VAM+PAL patients reported superior satisfaction with the outcomes in breasts and nipples.

Conclusion

The combination of vacuum-assisted mastectomy and power-assisted liposuction can be used as an efficient minimally invasive method to treat mixed-type gynecomastia with acceptable complications, superior scar cosmesis, and satisfying outcomes.

查看原文本刊更多论文

利用真空辅助乳房切除术和动力辅助吸脂术治疗混合型妇科肿瘤的有效微创策略。

导言：混合型妇科乳腺增生症是一种良性男性乳房疾病，其特点是腺体和脂肪组织增生。传统的开刀手术一直是治疗妇科乳腺增生症的主要方法。然而，这种方法也存在一些并发症，包括乳房畸形、明显疤痕、乳头坏死和感觉减退。相比之下，真空辅助活检系统和吸脂术在微创乳房手术中表现出了显著的优势。目的：我们的研究旨在探讨真空辅助乳房切除术与动力辅助吸脂术（VAM+PAL）相结合治疗混合型妇科乳腺增生症患者的效果，并与传统的开放手术进行比较：本研究纳入了60例混合型妇科乳腺增生患者，这些患者在2019年1月至2023年6月期间接受了治疗。对30名患者（59个乳房）实施了VAM+PAL手术，对30名患者（59个乳房）实施了乳晕周围开放切除术。对疗效、并发症、结果、疤痕美观度和患者满意度进行了评估：结果：与妇科乳腺增生开放切除术组相比，VAM+PAL 组的切口尺寸大大缩小（4.47 ± 1.21 厘米 vs. 0.97 ± 0.74 厘米，P 结论：VAM+PAL 组的切口尺寸比开放切除术组的切口尺寸要小得多：真空辅助乳房切除术和动力辅助吸脂术的结合可作为治疗混合型妇科乳腺增生症的有效微创方法，并发症可接受，疤痕美观，疗效令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.