Gynecomastia: A systematic review

Fagerlund, Anders; Lewin, Richard; Rufolo, Guglielmo; Elander, Anna; Pompeo, Fabio Santanelli di; Selvaggi, Gennaro

doi:10.3109/2000656x.2015.1053398

Cited by 53 publications

(48 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…UAL usually eliminates the problem of excessive skin by means of skin contraction. Nevertheless, this technique should be performed with special care to avoid the risk of thermal burns (1,8 (8,9). Proponents of these techniques have reported a better excision of fibrous fat with contour control, and postoperative skin contraction.…”

Section: Discussionmentioning

confidence: 99%

“…Fugerland et al (8), in a systematic review of the relevant literature, indicated that although the majority of surgical techniques used to correct gynecomastia are associated with favorable outcomes, minimal scars, and various complications, the most consistent results have been achieved by a combination of liposuction and tradional surgical excision. Kim et al (13) reported that the patients who were operated with a combination of liposuction +subcutaneous mastectomy had better outcomes than those who underwent liposuction alone.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Need of Glandular Excision After Convantional Liposuction in Gynecomastia

Baltu¹,

Aydin²

2018

Acta Oncol Tur.

View full text Add to dashboard Cite

ÖZET Amaç: Jinekomasti, glandüler, duktal veya adipozal bileşenlerin artması sonucu erkek meme dokusunun iyi huylu büyümesidir. Bu çalışmada, jinekomasti tedavisinde cerrahın intraoperatif değerlendirmesine bağlı olarak konvansiyonel liposuctiondan yapıldıktan sonra glandüler eksizyon gereksinimini araştırmayı amaçladık. Yöntem ve Metotlar: 2013 ve 2017 yılları arasında jinekomasti nedeniyle ameliyat edilen erkek hastaların tibbi kayıtları retrospektif olarak incelendi. Tüm jinekomastili erkek memeleri liposuction yöntemi ile ameliyat edildikten sonra cerrahların intraoperatif değerlendirmesine bağlı olarak ihtiyaç duyulan memelere glandüler eksizyon da uygulandı. Bulgular: 52 erkekte (ortalama 25.61 yıl, ortalama takip: 21.5 ay) toplam 99 meme (5 tek taraflı, 47 bilateral) ameliyat edildi. Toplam 71 (% 71.7) memeye sadece liposuction uygulandı. Geriye kalan 28 (% 28.2) meme, liposuction ve ardından glandüler eksizyon ile ameliyat edildi. Tek başına liposuction uygulanan 8 (% 11.2) memede, takiplerde revizyon ihtiyacı olduğu görüldü ve 6 ay sonra glandüer eksizyon uygulandı. Duktal eksizyon ile ameliyat edilen 8 meme eklendiğinde, 99 memenin 36'sına (% 36.3) liposuction + rezeksiyon uygulanmıştır. Sonuç: Retrospektif olarak yapılan bu çalışmada görülmüştür ki jinekomasti nedeniyle ameliyata alınan memelerin yaklaşık olarak üçte ikisinde liposuction tek başına yeterli bir cerrahi sağlarken üçte birinde liposuction ile beraber glandüler eksizyon gerekmektedir. İntraoperative olarak liposuction sonrası fizik muayene ile bariz glanduler doku kalmış hastalarda glandüler eksizyon uygulamasından kaçınılmamalıdır. Anahtar Kelimeler: jinekomasti; liposuction; glandüler eksizyon ABSTRACT Purpose: Gynecomastia refers to benign enlargement of male mammary tissue as a result of an increase of glandular, ductal, or adiposal components. In this study, we aimed to investigate the need of glandular excision after conventional liposuction in gynecomastia based on the intraoperative evaluation of surgeons. Patients and Methods:We reviewed the medical records of males who were operated for gynecomastia between 2013 and 2017. Although all breasts were operated with the liposuction, a glandular excision was also applied to the breasts that were needed depending on the surgeon's intraoperative evaluation. Results: A total of 99 breasts (5 unilateral, 47 bilateral) were operated in 52 males (mean age 25.61 years, mean follow-up: 21.5 months). A total of 71 (71.7%) breasts were operated with liposuction alone. The remaining 28 (28.2%) breasts were operated with liposuction followed by glandular excision. Only 8 (11.2%) breasts that underwent liposuction alone needed a revision with glandular re-excision 6 months later. When 8 breasts operated with ductal excision were added, 36 (36.3%) of 99 breasts were operated with liposuction+resection. Conclusion: This retrospective study showed that liposuction alone provided satisfactory results in about two thirds of breasts with gynecomastia whereas glandular re-excision becomes necessary in ad...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Need of Glandular Excision After Convantional Liposuction in Gynecomastia

Baltu¹,

Aydin²

2018

Acta Oncol Tur.

View full text Add to dashboard Cite

show abstract

“…Excess skin is the limiting factor for this technique. Due to the weak data, no recommendation can be made with regard to the best surgical approach [30]. …”

Section: Conservative and Surgical Managementmentioning

confidence: 99%

Gynecomastia - Conservative and Surgical Management

Baumann¹

2018

Breast Care

View full text Add to dashboard Cite

Gynecomastia is defined as a unilateral or bilateral persistent benign mammary gland enlargement in men. Prevalence of asymptomatic gynecomastia is up to 65%. True gynecomastia must be distinguished from pseudogynecomastia. Typically, in true gynecomastia, a solid tissue mass is palpable below the nipple-areolar complex. Malignant changes such as male mammary carcinoma must always be ruled out. The causes of gynecomastia are diverse. An imbalance of female to male hormones triggers the onset of the disease. This imbalance can be caused by endogenous diseases like hyperthyroidism, chronic liver disease, primary or secondary gonadal failure, androgen resistance syndromes, medication, and drug abuse. A series of heart or hypertension medications can also trigger gynecomastia. A basic requirement of proper therapy planning is knowledge of the triggers and possible drug therapy options. Inquiring about the patient's lifestyle and medication history is essential. Drug therapy with tamoxifen may be considered at an early stage. For gynecomastia persisting over 12 months, surgical excision is the treatment of choice, and there are several surgical options available depending on the grade of the gynecomastia. A thoughtful approach to managing this condition can lead to high patient satisfaction.

show abstract

“…Gynecomastia is described as the enlargement of male breast tissue [1]. It is a common condition that can be determined at various levels in 40-55% of males [2,3]. In addition to being able to occur due to the benign proliferation of the breast glandular tissue, gynecomastia can occur due to the increased adipose tissue amount on the pectoral muscle, and this latter condition is called pseudogynecomastia.…”

Section: Introductionmentioning

confidence: 99%

“…Although gynecomastia is mostly bilateral, it can be observed to be unilateral or asymmetrical [3]. Simon's classification is mostly used in clinical classification.…”

Section: Introductionmentioning

confidence: 99%

High Volume Adrenalin Solution Infiltration for Surgical Treatment of Gynaecomastia

Orhan

2018

J Clin Exp Invest

View full text Add to dashboard Cite

Objectives:Bleeding is an important problem in the surgical treatment of gynecomastia. The most implemented method to decrease the amount of bleeding is adrenaline infiltration, but adrenalin is mostly infiltrated with the fluid in the volume less than 250 cc in the clinic. It is expected that adrenaline will accumulate more in the tissue and thus, exhibit more bleedingreducing effect by increasing the fluid volume used in the infiltration. In this study, the aim is to reveal the effect of increasing the amount of adrenaline in tissues by infiltrating a highervolume solution without increasing the adrenaline concentration in patients who have received gynecomastia treatment by an open surgery on the postoperative blood loss and surgical complications in patients.

show abstract

Gynecomastia: A systematic review

Cited by 53 publications

References 27 publications

The Need of Glandular Excision After Convantional Liposuction in Gynecomastia

The Need of Glandular Excision After Convantional Liposuction in Gynecomastia

Gynecomastia - Conservative and Surgical Management

High Volume Adrenalin Solution Infiltration for Surgical Treatment of Gynaecomastia

Contact Info

Product

Resources

About