Reduction mammaplasty with the inferior pedicle technique: early and late complications in 371 patients

Mandrekas, Apostolos D.; Zambacos, George J.; Anastasopoulos, Alexandros; Hapsas, Dimitrios

doi:10.1016/s0007-1226(96)90027-2

Cited by 127 publications

(41 citation statements)

References 25 publications

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“…When the complications occurring in the patients in the present study were examined, it was observed that there were complications at the rate of 4.7% in all patients, and there was no statistical difference among the groups in terms of the prevalence of complications. In previous studies in the literature in which infiltration was performed, Steven et al [9] reported complications at the rate of 14%, Kaplan et al [2] reported complications at the rate of 4%, DeBono et al [5] reported complications at the rate of 12.5%, Mandrekas et al [10] reported complications at the rate of 5.7% in their studies. These results indicate that increasing the adrenaline level in the tissue by increasing the amount of the fluid infiltrated does not increase the rates of complications.…”

Section: Discussionmentioning

confidence: 96%

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

Orhan¹

2018

Ann Clin Anal Med

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Aim: One of the important complications during and after the reduction mammoplasty operation is blood loss. 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 250cc in the clinic. It is expected that adrenaline will accumulate more in the tissue and thus, exhibit more bleeding-reducing effect by increasing the fluid volume used in the infiltration. In this study, it is aimed to indicate the effect of the infiltration of adrenaline with the high volume fluid, on the amount of blood loss occurring due to the reduction mammoplasty operation. Material and Method: Patients who had undergone bilateral reduction mammoplasty between July 2013 and August 2017 were retrospectively examined. Patients not subjected to infiltration were described as Group 1, patients infiltrated with adrenalin 100cc were described as Group 2, and patients infiltrated with adrenalin 500cc were described as Group 3. Results: The average decrease in the hemoglobin level (bleeding) after the operation was calculated to be 3.4±0.97 in Group 1, 2.8±0.83 in Group 2, 1.0±0.46 in Group 3 and the average amount of bleeding in Group 2 and Group 3 in comparison with Group 1 and the average amount of bleeding in Group 3 in comparison with Group 2 were statistically significantly lower (p<0.001). Discussion: The infiltration of adrenaline in the same concentration with a fluid of a higher volume decreases blood loss after the reduction mammoplasty operation.

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Section: Discussionmentioning

confidence: 96%

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

Orhan¹

2018

Ann Clin Anal Med

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“…Another advantage of this technique is the relatively easy reproducibility and short learning curve (15,16). The disadvantages include long incision scars, potential skin necrosis and dehiscence at the inverted T base (17,18).…”

Section: Discussionmentioning

confidence: 99%

“…In their study, the mean total breast mass reduction was 1946 g, and the survival rate of the NAC was 99.6%. In another study, Mandrekas et al (17) reviewed 371 consecutive patients who underwent reduction mammaplasty by inferior pedicle technique. The reported incidence of nipple or pedicle necrosis was 0.8% .…”

Section: Discussionmentioning

confidence: 99%

Pedicle viability as the determinant factor for conversion to free nipple graft

Al-shaham¹

2010

CAN J PLAST SURG

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“…По данным литературы, частота гематом при редук-ционной пластике составляет 0,3-5% [1,2], по нашим данным -2,9%.…”

Section: таблица 1 корригирующие операции на здоровой и сформированнunclassified

“…Подобное осложнение при редукционной маммопла-стике с перемещением САК на вертикальной деэпители-зированной ножке по Lejour, по данным литературы, со-ставляет 1-35% [1,2], у нас -2,9%.…”

Section: таблица 1 корригирующие операции на здоровой и сформированнunclassified

Remedial surgery and possible complications after reconstructive plastic interventions into the breast

Арсланов¹,

Zikiryakhodjaev²,

Усов³

et al. 2015

Onkol. Z. im. P.A. Gercena

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12Рак молочной железы (РМЖ) является одной из наи-более распространенных опухолей у женщин. РМЖ в России, как и в большинстве стран мира, занимает первое место по темпу роста заболеваемости. Распространенным методом хирургического лечения является мастэктомия.Утрата молочной железы после радикального хирурги-ческого лечения по поводу рака становится для женщин серьезной психической травмой, во многом определяю- Цель исследования -выбор метода завершающего этапа реконструктивно-пластических операций при раке молочной железы, направленных на улучшение косметического эффекта и качества жизни пациенток и минимизация осложнений после них. Материал и методы. Проведен анализ результатов хирургического лечения 55 больных раком молочной желе-зы, которым были выполнены корригирующие операции на здоровой и реконструированной железе и восстановлен соско-во-ареолярный комплекс (САК) в период 1991-2013 гг. Результаты. У 34 пациенток выполнены корригирующие операции на здоровой и сформированной молочной железе для достижения симметрии. У 14 больных проведена операция по заме-не временного тканевого экспандера на постоянный силиконовый эндопротез. У 46 пациенток выполнена пластика САК. У 8 (23,5%) из 34 пациенток отмечены осложнения. Ведущим фактором ранних послеоперационных осложнений после пластики САК является инфицирование послеоперационной раны, приводящее к некрозу САК. Основными причинами поздних послеоперационных осложнений были: недостаточно выкроенные кожные лоскуты с подкожно-жировой тканью и нарушение техники медицинского татуажа. Заключение. Выбор метода завершающего этапа реконструктивно-пласти-ческих операций при раке молочной железы, направленных на улучшение косметического эффекта и качества жизни пациенток должен быть максимально индивидуализирован. Тщательное планирование и правильный выбор методики ре-конструктивной операции с учетом индивидуальных особенностей пациентки снижает риск осложнений в послеопераци-онном периоде. Завершенная реконструктивно-пластическая операция полностью избавляет пациентку от психологиче-ского, социального и эстетического дискомфорта. Ключевые слова: рак молочной железы, реконструктивно-пластические операции, корригирующие операции.Objective: to choose a method for the closing stage of reconstructive plastic surgery for breast cancer to improve a cosmetic effect and quality of life and to minimize postoperative complications. Subjects and methods. The results of surgical treatment were analyzed in 55 patients with breast cancer who had undergone remedial operations on the healthy and reconstructed breast to restore the nipple-areola complex (NAC) in 1991-2003. Results. Thirty-four patients underwent remedial surgery on the healthy and formed breast to achieve symmetry. Fourteen patients were operated on to change a temporary tissue expander for a continuous silicone implant. NAC plasty was carried out in 46 patients. Complications were noted in 8 (23.5%) of the 34 patients. Infection of a postoperative wound had led to NAC necrosis was a leading factor of early postoperative com...

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Reduction mammaplasty with the inferior pedicle technique: early and late complications in 371 patients

Cited by 127 publications

References 25 publications

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

Pedicle viability as the determinant factor for conversion to free nipple graft

Remedial surgery and possible complications after reconstructive plastic interventions into the breast

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