Modified techniques versus Hadfield’s procedure in patients with periductal mastitis

Abstract

Background Periductal mastitis (PM) is a rare disease characterized by chronic inflammation of the terminal mammary ducts. Complete removal of terminal lactiferous ducts with Hadfield procedure is a previously defined technique in treatment but carries various complications risks. This study aims to evaluate the effectiveness of modified techniques in the treatment of PM. Methods Twenty women who underwent surgery due to PM between January 2012 and December 2019 were retrospectively analyzed. Types of PM were determined. All patients were operated on with three different incisions [Hadfield’s operation with periareolar incision (n:11), periareolar combined radial incision (n:7), and round block incision (n:2)]. Results The mean age was 37.5 ± 6.5 years (range: 24–49). Sixty percent of patients had type 3 PM. In Hadfield’s procedure, NAC retraction (n:2), seroma (n:1), and hematoma (n:1) were seen. In the periareolar incision combined radial incision group only one patient had complications (seroma) and none in the round block method. Follow-up was 12 ± 1.5 months and disease relapse occurred in two patients in the Hadfield group. Patients who underwent round block were more satisfied with the appearance of the nipple. Conclusions In the treatment of PM, the main principle of surgical treatment is the excision of the affected canal with a clear margin. Apart from the classical Hadfield procedure, the round block method and periareolar combined radial incision techniques can be performed in the treatment of PM.

Aesthetic outcomes of breast-conserving surgery and oncoplastic surgery with the new scale named Quality of Life Questionnaire Breast Reconstruction Module-23

“…The symptom and function scales of BRECON23 were found between 0.61 to 0.87 [ 27 ]. There is only one study in Turkey using QLQ-BRECON23 [ 14 ]. This study compared the effect of surgical techniques on satisfaction in patients who were operated on with the diagnosis of periductal mastitis.…”

“…Turkish versions of QLQ-C30 [ 13 ] and QLQ-BRECON23 [ 14 ] were used for the study. QLQ-C30 is made of 30 questions and evaluates psychosocial well-being, fatigue symptoms, and overall quality of life.…”

High cure rate and satisfaction in patients with periductal mastitis via the latissimus dorsi myocutaneous flap technique: a retrospective study

“…When there is failure of conservative management, surgery may be required, and thorough removal the lesion is the key to preventing recurrence. A defect exceeding 20% of the breast volume can often lead to the destruction of the breast shape after surgery ( 2 ). The latissimus dorsi is the largest flat muscle in human body and is often harvested to repair various defects of the superficial organs.…”