Operatives Management und Techniken der Mastektomie bei Frau-zu-Mann Transsexuellen

Abstract

We newly introduced an operative concept of mastectomy being embedded and adjusted in an overall approach for gender adjustment (Munich Modular Operative Kit; MMOK). Using the presented individualised surgical techniques of mastectomy, all procedures were conducted in a very scar-saving manner, however, a higher rate of correction procedures was necessary to individually adjust skin shrinking and thereby optimising the prior aesthetic results. The new Munich Modular Operative Kit allows for gender reassignment including breast corrections usually using 4 operative steps.

Effect of low‐thermal dissection device versus conventional electrocautery in mastectomy for female‐to‐male transgender patients

“…In female‐to‐male transgender patients, the first surgical procedure in their reassignment surgery is the subcutaneous mastectomy (Figures 4‐6). This special patient population undergoing mastectomy has a relatively high risk of complications, such as hematoma, wound healing problems, and necrosis of the NAC 2‐5 . Based on previous work, 23,24,27 it is likely that wound healing problems can be reduced in female‐to‐male transsexuals undergoing mastectomy by using alternative devices of monopolar electrocautery, such as PEAK PlasmaBlade, which provides scalpel‐like cutting precision, while the blade temperature remains close to body temperature.…”

“…This special patient population undergoing mastectomy has a relatively high risk of complications, such as hematoma, wound healing problems, and necrosis of the NAC. [2][3][4][5] Based on previous work, 23,24,27 it is likely that wound healing problems can be reduced in female-to-male transsexuals undergoing mastectomy by using alternative devices of monopolar electrocautery, such as PEAK PlasmaBlade, which provides scalpel-like cutting precision, while the blade temperature remains close to body temperature. Therefore, in the present study, we evaluated two dissection techniques, like PEAK PlasmaBlade and monopolar electrosurgery and their effect on postoperative wound healing, in female-to-male transgender patients undergoing mastectomy.…”

“…The main goal is to masculinize the chest by removing the female contour in a scar‐saving procedure in order to create an aesthetically pleasing result 1 . Mastectomy of female‐to‐male transgender patients is associated with a relatively high rate of complications (11%‐19%), such as hematomas, wound healing problems, and necrosis of the nipple areola complex (NAC) 2‐5 . This special patient cohort tends also to haemorrhages because of prior testosterone treatment 6 .…”

“…1 Mastectomy of female-to-male transgender patients is associated with a relatively high rate of complications (11%-19%), such as hematomas, wound healing problems, and necrosis of the nipple areola complex (NAC). [2][3][4][5] This special patient cohort tends also to haemorrhages because of prior testosterone treatment. 6 Wound healing problems may be caused, among other reasons, by conventional electrosurgical dissection technique and its associated thermal damage and tissue ischaemia.…”

Subkutane Mastektomien bei Frau-zu-Mann transsexuellen Patienten: Kritische Analyse verschiedener Operationstechniken und deren Komplikationen am AGAPLESION Markus Krankenhaus in Frankfurt a. M.

“…In der dargestellten internationalen Fachliteratur sind verschiedene Algorithmen beschrieben, die Einzelfallentscheidungen erlauben. 98,112,115 Obwohl kleine Unterschiede in den Algorithmen erkennbar sind, ist die generelle Anzahl an Revisionseingriffen benötigt wurden 106,112,115,127,133…”