Endoscopic Excision of A Fibroadenoma Breast: Trans Axillary Approach

Adhikary, Shailesh; Sood, Sonam K; Dhungel, K; Rajbanshi, Saroj; Shakya, Dhana Ratna; Khaniya, Sudeep

doi:10.3126/kumj.v10i2.7357

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…In this study, 26 out of 36 patients (72.2%) (As we exclude the four open cases) had mild postoperative pain and 10 patients (27.8%) had moderate postoperative pain. This coincides with Agrawal et al, Aponte‐Rueda et al, and Adhikary et al al who reported insignificant pain with the use of paracetamol tablets for only two days postoperative.…”

Section: Discussionsupporting

confidence: 89%

“…This agrees with the study done by Agrawal et al in which there was no skin burn reported. While Kitamura et al reported skin burn in one case, also Aponte‐Rueda et al, Adhikary et al reported the absence of intraoperative bleeding, wound infection nor axillary nerve injury at any of operated cases and most of the patients discharged on the second postoperative day. Also Lai et al reported that the mean hospital stay was 2.2 ± 0.4 days.…”

Section: Discussionmentioning

confidence: 96%

“…This agrees with Kitamura et al, Agrawal et al who reported that all patients were visibly happy and satisfied with the cosmetic results of the procedure. Also Aponte‐Rueda et al, Liu et al, and Adhikary et al concluded that the cosmetic outcomes were subjectively satisfying.…”

Section: Discussionmentioning

confidence: 98%

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Transaxillary endoscopic excision of benign breast tumors, early institution experience

2019

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Background and aim Benign breast diseases are one of the most common diseases in females. An important goal in its treatment should be cosmesis, so a new minimally invasive technique has advanced. One of these techniques is the transaxillary endoscopic resection. The aim of this study was to assess the feasibility, safety, operative time, postoperative pain, hospital stay, and cosmetic outcome of this transaxillary approach. Methods This study was carried out on 40 female patients presented with benign breast tumors in the surgical oncology unit at the General Surgery Department, Tanta University Hospital during the period from January 2018 to January 2019. The patients included in the study aged ≥18 years, had solitary or multiple benign breast tumors, located at any breast quadrant. The patients subjected to transaxillary endoscopic excision of the tumors. Results The age of the patients ranged from 20 to 49 years with a mean age of 32 years. 60% of the lesions located in the upper half of the breast. Fibroadenoma was the most common finding in 80% of the patients, 60% of the patients had solitary tumor. The operative time ranged from 42 to 105 minutes with a mean of 61.4 minutes. 88.8% of the patients considered the cosmetic outcome excellent. Conclusion Endoscopic transaxillary excision of benign breast tumors is safe, feasible and has excellent cosmetic outcomes with high patient's satisfaction.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 96%

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Transaxillary endoscopic excision of benign breast tumors, early institution experience

2019

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“…Novel clinical experiences describing new minimally invasive techniques with promising outcomes and cosmesis [4][5][6][7][8][9][10] predominantly mention transaxillary approaches. We present a novel endoscopic-assisted breast surgery for benign breast tumors through the inframammary fold.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic excision of breast fibroadenoma through inframammary fold: Feasibility, safety and medium‐term outcomes

Thakur,

Jamwal,

Irrinki Santosh

et al. 2024

Asian J Endoscop Surgery

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IntroductionEndoscopic‐assisted surgery for breast tumors has the advantage of inconspicuous scars, less breast volume loss, and nipple areolar distortion. A novel endoscopic‐assisted technique through inframammary fold for excision of fibroadenomas is presented.Materials and Surgical TechniqueEndoscopic‐assisted excision of fibroadenoma(s) through inframammary fold was performed in four patients after informed written consent via three ports (12, 5, and 5 mm). Breast Cancer Treatment Outcome Score‐12 (BCTOS‐12) was used to evaluate patient satisfaction after surgery.DiscussionNo intraoperative and wound complication was noted. On median follow‐up of 26.5 months, patients reported satisfactory responses to aesthetic and functional outcomes. No scar related complications were noted. Endoscopic‐assisted excision of fibroadenoma through inframammary fold can be a safe and feasible option with good aesthetic outcomes.

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“…However, minimally invasive methods including ultrasound guided vacuum-assisted biopsy have been described for breast lump removal [2, 3]. Also Endoscopic excision of breast fibroadenoma through the axilla which spared the breast from scar has also been described [4]. These sophisticated methods are not readily available in our setting probably due to the high cost of equipment and the expertise required.…”

Section: Introductionmentioning

confidence: 99%

Outcome of open excisional breast biopsies in Abakaliki, South-East Nigeria

Isikhuemen¹,

Eliboh²,

Eni³

et al. 2018

Pan Afr Med J

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Introduction open excisional breast biopsy is a known modality for treatment of breast lumps especially in developing countries. Other sophisticated methods are available for management of breast lumps in more advanced nations. Our aim in this study was to review the outcome of open excision breast biopsies in our setting with a view to improving patient management. Methods this study was conducted at the National Obstetric Fistula Centre, Abakaliki, South East Nigeria among women who had excision breast biopsy between January 2015 and December 2016. Data was analysed using Statistical Package for Social Sciences (SPSS), version 21. Results a total of 107 case folders were reviewed in this study. The mean age of the women was 27 ± 10 years. Overlying breast incision was the preferred route in 78(72.9%), periareolar incision in 28(26.2%), and Gillard Thomas's method (infero-lateral submammary sulcus incision) used in one patient with bilateral multiple breast lumps (0.9%). The complications recorded in this study were haematoma in 3(2.8%), wound infection in 5(4.7%) and wound breakdown in 1(0.9%). Hypertrophic scar was found in 2(1.8%) patients at follow-up. Overall, most patients were satisfied with the aesthetic outcome of their surgery. Conclusion open excision breast biopsy is a useful modality for management of breast diseases in our setting. Complication rates are minimal. Both overlying and periareolar breast incisions results in aesthetically satisfactory scar in our practice. Inferior-lateral sub mammary sulcus skin incision is useful when the lumps are multiple and located at different quadrants of the breast. Appropriate use of drain helps to reduce the incidence of haematoma.

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Endoscopic Excision of A Fibroadenoma Breast: Trans Axillary Approach

Cited by 6 publications

References 10 publications

Transaxillary endoscopic excision of benign breast tumors, early institution experience

Transaxillary endoscopic excision of benign breast tumors, early institution experience

Endoscopic excision of breast fibroadenoma through inframammary fold: Feasibility, safety and medium‐term outcomes

Outcome of open excisional breast biopsies in Abakaliki, South-East Nigeria

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