2011
DOI: 10.1016/j.bjps.2011.04.016
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Single incision endoscopic surgery for gynaecomastia

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Cited by 25 publications
(19 citation statements)
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“…In regard to concealing the scar, the laparoscopic technique is the most common method because of shorter‐hidden‐scar and minimally invasive. Recently, some breast surgeons tried to create a space through liposuction techniques and the consequent inflation method to perform a laparoscopic nipple‐sparing subcutaneous mammectomy; however, liposuction and the accompanying inflation method are not recommended in laparoscopic breast‐conserving surgery because the liposuction procedure might cause tumor‐spreading and tumor‐irritation during the process of the operation. Therefore, we designed the SGL‐BCS to solve those issues.…”
Section: Discussionmentioning
confidence: 99%
“…In regard to concealing the scar, the laparoscopic technique is the most common method because of shorter‐hidden‐scar and minimally invasive. Recently, some breast surgeons tried to create a space through liposuction techniques and the consequent inflation method to perform a laparoscopic nipple‐sparing subcutaneous mammectomy; however, liposuction and the accompanying inflation method are not recommended in laparoscopic breast‐conserving surgery because the liposuction procedure might cause tumor‐spreading and tumor‐irritation during the process of the operation. Therefore, we designed the SGL‐BCS to solve those issues.…”
Section: Discussionmentioning
confidence: 99%
“…It has been shown in many studies that the increase in concentration increases the incidence of side effects [9,10]. Thus the only way to increase the amount of adrenaline in the medium without increasing the adrenaline concentration is to increase the volume of solution used in infiltration [8,12].…”
Section: Discussionmentioning
confidence: 99%
“…As a result of the significant blood loss in these patients, since November 2013, a solution containing adrenaline at the ratio of 1:1000 000 has been infiltrated in a volume of 100 cc to each breast in the operations of patients receiving gynecomastia treatment by open surgery. In consequence of continuing blood loss, since September 2015, the solution containing adrenaline at the ratio of 1:1000 000 has started to be infiltrated in a volume of 500 cc to each breast [12]. Patients in whom infiltration was not performed were identified as Group 1, patients in whom 100 cc infiltration was performed were identified as Group 2, and patients in whom 500 cc infiltration was performed were identified as Group 3.…”
Section: Surgical Techniquementioning
confidence: 99%
“…Those desiring the control of visualization with minimal incisions can also consider subcutaneous endoscopic techniques, described by Ohyama et al 21 Although endoscopic surgery typically requires a minimum of three incisions for the camera and instrumentation, these techniques have also become increasingly less invasive with Jarrar et al in 2011 describing liposuction coupled with piecemeal excision under endoscopic visualization from a single 15-mm lateral chest-wall incision hidden in the axilla. 22 Despite the introduction of these new techniques, direct excision through a periareolar incision remains popular due to its simplicity and use of standard instrumentation. In patients with any concern for increased risk of malignancy, such as with Klinefelter syndrome, no liposuction should be done, and only direct excision should be performed to allow for pathologic evaluation.…”
Section: Mild To Moderate Gynecomastia (Simon Grades I and Iia And Rmentioning
confidence: 99%