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The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients

Reduction mammaplasty is one of the most popular plastic surgery procedures requested by patients. The areola holding flap can be sculpted using a variety of methods that have evolved over time dependent on vascularity. Our institution has always employed the vertical bipedicle technique proposed by...

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Autores principales: Messana, Francesco, Grigatti, Martina, Budini, Valentina, Ricci, Federico, Brambullo, Tito, Bassetto, Franco, Vindigni, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684666/
https://www.ncbi.nlm.nih.gov/pubmed/36439546
http://dx.doi.org/10.3389/fsurg.2022.970381
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author Messana, Francesco
Grigatti, Martina
Budini, Valentina
Ricci, Federico
Brambullo, Tito
Bassetto, Franco
Vindigni, Vincenzo
author_facet Messana, Francesco
Grigatti, Martina
Budini, Valentina
Ricci, Federico
Brambullo, Tito
Bassetto, Franco
Vindigni, Vincenzo
author_sort Messana, Francesco
collection PubMed
description Reduction mammaplasty is one of the most popular plastic surgery procedures requested by patients. The areola holding flap can be sculpted using a variety of methods that have evolved over time dependent on vascularity. Our institution has always employed the vertical bipedicle technique proposed by Mckissock, and we still favor it over other methods for larger breasts. In this study, we examined the case-study data from the Padua University Hospital's Unit of Plastic and Reconstructive Surgery from January 2009 to December 2021. The rate of complications among patients who received breast reduction using the McKissock technique and all other procedures carried out at our facility was compared. We identified 90 postoperative problems in all (affecting 42.65% of the patients) and categorized them using the Clavien Dindo system. The groups were comparable in age, BMI, and follow-up time. Similar findings emerged from the study of the single groups' complication rate. The statistical analysis did not reveal any appreciable variation in total complications or scar quality across groups. Therefore, in order to guarantee NAC survival, a stable shape, and a full upper pole, we think it is preferable to bind more than one pedicle in cases of very large breasts. Based on the results of our experience, we also recommend the McKissock approach as the first option for patients with large and ptotic breasts, particularly those who have undergone bariatric surgery and need a full upper pole and a stable outcome.
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spelling pubmed-96846662022-11-25 The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients Messana, Francesco Grigatti, Martina Budini, Valentina Ricci, Federico Brambullo, Tito Bassetto, Franco Vindigni, Vincenzo Front Surg Surgery Reduction mammaplasty is one of the most popular plastic surgery procedures requested by patients. The areola holding flap can be sculpted using a variety of methods that have evolved over time dependent on vascularity. Our institution has always employed the vertical bipedicle technique proposed by Mckissock, and we still favor it over other methods for larger breasts. In this study, we examined the case-study data from the Padua University Hospital's Unit of Plastic and Reconstructive Surgery from January 2009 to December 2021. The rate of complications among patients who received breast reduction using the McKissock technique and all other procedures carried out at our facility was compared. We identified 90 postoperative problems in all (affecting 42.65% of the patients) and categorized them using the Clavien Dindo system. The groups were comparable in age, BMI, and follow-up time. Similar findings emerged from the study of the single groups' complication rate. The statistical analysis did not reveal any appreciable variation in total complications or scar quality across groups. Therefore, in order to guarantee NAC survival, a stable shape, and a full upper pole, we think it is preferable to bind more than one pedicle in cases of very large breasts. Based on the results of our experience, we also recommend the McKissock approach as the first option for patients with large and ptotic breasts, particularly those who have undergone bariatric surgery and need a full upper pole and a stable outcome. Frontiers Media S.A. 2022-11-10 /pmc/articles/PMC9684666/ /pubmed/36439546 http://dx.doi.org/10.3389/fsurg.2022.970381 Text en © 2022 Messana, Grigatti, Budini, Ricci, Brambullo, Bassetto and Vindigni. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Messana, Francesco
Grigatti, Martina
Budini, Valentina
Ricci, Federico
Brambullo, Tito
Bassetto, Franco
Vindigni, Vincenzo
The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title_full The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title_fullStr The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title_full_unstemmed The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title_short The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients
title_sort mckissock's technique in reduction mammaplasty: a comparative study of outcomes and complications in 211 consecutive patients
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684666/
https://www.ncbi.nlm.nih.gov/pubmed/36439546
http://dx.doi.org/10.3389/fsurg.2022.970381
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