Endoscope-Assisted Minimally Invasive Surgery for the Treatment of Glandular Gynecomastia

Innocenti, Alessandro; Tarantino, Giulio

doi:10.1007/s00266-022-03036-w

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…[10,11] Endoscopic mastectomy techniques have been explored over the last decade. [12][13][14][15][16][17][18] This study aimed to investigate the efficacy of endoscopic mastectomy and liposuction through a single axillary incision, and its effects on patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Single axillary incision endoscopic surgery and liposuction for gynecomastia

et al. 2023

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Gynecomastia is a common type of breast tissue hypertrophy in men. Surgical excision is the most effective treatment for this condition. Minimally invasive surgical techniques can be used to avoid visible chest scarring. In this study, we evaluated the efficacy and safety of single-axillary-incision endoscopic mastectomy and liposuction for the treatment of gynecomastia. Nipplesparing mastectomy via a single-port axillary incision was successfully performed in all patients. Twenty-four bilateral procedures were performed in total. Twenty patients underwent liposuction concomitantly. The median weight of the mastectomy pieces was 88.5 g (range: 42.5-440 g), and the median amount of liposuction was 262.5 cc (range: 25-350 cc). The median duration of surgery was 120 minutes (range, 73-195 minutes). Two patients developed a seroma, and 1 patient developed a hematoma in the early postoperative period. The mean satisfaction levels related to physical appearance, mental status, and social environment were 8.75 (standard deviation [SD]: 1.19), 9.17 (SD: 1.44), and 9.33 (SD: 0.76) points, respectively, on a 10-point visual analog scale. Endoscopic single-port nipple-sparing mastectomy combined with liposuction is a technically feasible method to avoid anterior chest wall scarring with good cosmetic results. Between June 2021 and June 2022, 30 patients underwent endoscopic singleport nipple-sparing mastectomy through a small axillary incision, while 20 underwent concomitant liposuction. The demographic information of the patients, duration of surgery, amount of tissue removed, and complications were recorded. Patients' levels of satisfaction with their physical appearance, mental status, and social environment were measured.Abbreviations: BMI = body mass index, EM = endoscopic mastectomy, SD = standard deviation, VAS = visual analog scale.

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Section: Introductionmentioning

confidence: 99%

Single axillary incision endoscopic surgery and liposuction for gynecomastia

et al. 2023

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“…11 Recently endoscopic mastectomy has been described as an alternative technique. [12][13][14][15][16][17] We aimed to share our experience with a novel technique: air-assisted subcutaneous mastectomy through a single axillary incision. We also evaluated the efficiency and safety of this technique also its effects on patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

A Novel Surgical Technique for Gynecomastia: Air-Assisted Minimally Invasive Surgery With Single Axillary Incision

Tukenmez,

Mollavelioglu,

Kozanoglu

et al. 2023

Surg Innov

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Background Gynecomastia is a benign condition that develops due to the proliferation of breast tissue in men. Surgical excision is the most effective treatment method. Minimally invasive techniques can be used to avoid visible scarring. We evaluated the efficacy and safety of air-assisted subcutaneous mastectomy in the treatment of gynecomastia. Patient and Methods 10 patients with gynecomastia underwent air-assisted subcutaneous mastectomy and liposuction through a single axillary incision, between June 2022 and February 2023. Demographic and clinical data of the patients, duration of surgery, and complications were recorded. The satisfaction levels of the patients regarding physical appearance, mental status, and social environment were measured. The body Q questionnaire was performed preoperatively and in the postoperative third month. Results The median age was 26 (range, 18-54). Surgical excision was measured as a median of 69 gr (range, 41-177), and liposuction volume was measured as a median of 210 ccs (range, 63-400). The median operation time was 50 minutes (range, 21-60) for excision and 21 minutes (range, 20-75) for liposuction. Body, chest, and nipples related appearance satisfaction levels were measured preoperatively as a median of 44 (range, 36.5-52), 31 (range, 27.5-39), and 51.5 (range, 21-69.8) points vs postoperatively as 92 (range, 92-100), 93 (range, 93-94.8) and 90 (range, 90-100) points, respectively. The patients had a median follow-up of 6 months (range, 3-11). No complications were observed during the follow-up period. Conclusion Air-assisted subcutaneous mastectomy and liposuction is a feasible technique that may provide good cosmetic outcomes by avoiding anterior chest wall scarring.

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Endoscope-Assisted Minimally Invasive Surgery for the Treatment of Glandular Gynecomastia

Cited by 2 publications

References 6 publications

Single axillary incision endoscopic surgery and liposuction for gynecomastia

Single axillary incision endoscopic surgery and liposuction for gynecomastia

A Novel Surgical Technique for Gynecomastia: Air-Assisted Minimally Invasive Surgery With Single Axillary Incision

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