Advantages of the modified double ring areolar incision over the traditional areolar incision in multicentric breast fibroadenoma surgery

Abstract

BackgroundThis study was conducted to investigate the clinical advantages of modified double ring areola incision (MDRAI) compared to ordinary areola incision (OAI) in multicentric breast fibroadenoma in women.MethodsSixty cases of multicentric benign breast tumor were recruited from the First Affiliated Hospital of Bengbu Medical College from January to December 2016. The cases were divided into two groups according to surgical approach: MDRAI (n = 20) and OAI (n = 40). The operation duration, intraoperative blood loss, drainage time, and postoperative recurrence rate in the first six months were compared.ResultsThe mean age and tumor locations were not statistically different between the groups (P > 0.05). However, more lesions and larger tumor diameter were found in the MDRAI group than in the OAI group, with statistical difference (P < 0.05). The operation duration and drainage time of the two groups were not statistically different for unilateral or bilateral lesions (P > 0.05). However, the intraoperative blood loss was statistically different between the two groups (P < 0.05). All 60 cases received six months of follow‐up. Eight recurrent cases were found in the OAI group, but none in the MDRAI group. The recurrence rate was significantly different (χ2 = 4.62, P < 0.05).ConclusionCompared with OAI, MDRAI offers greater advantages in the aspects of blood loss and recurrence for the treatment of breast benign tumor, especially for multicentric larger lesions.

The altering in sensory sensitivity: a current issue of female breast surgery

“…They observed that patients who chose the intra-areolar incision had a good sensory recovery of the areolar skin [64]. Other studies have shown that the medial incision of the areola has a significantly lower impact on the nerves than the lower incision of the areola [65]. Several researchers had controversial findings: they observed that even with a circum-areolar incision at the 4 o'clock position of the left breast or the 8 o'clock position of the right breast, which is most likely to favor an injury of the lateral cutaneous branch of the 4 th intercostal nerve, there was no significant difference in the recovery time of the nipple and areola when compared with other incisions.…”

Visual analysis of minimally invasive surgery for breast cancer: a bibliometric analysis

“…Minimally invasive breast cancer surgery (MIBCS) refers to operation on breast cancer patients with endoscopy and robotics, characterized by small incision, aesthetic and fast recovery [1][2][3][4]. Minimal invasive breast surgery conducted through a small axillary or areola incision is developing to a possible alternative to open surgery for breast cancer patients [5][6][7][8]. Benefiting from the short learning curve, the low rate of postoperative complications, and the accessibility of the laparoscopic breast technique, more and more hospitals are turning to perform it [9,10].…”