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Single axillary incision endoscopic surgery and liposuction for gynecomastia

Gynecomastia is a common type of breast tissue hypertrophy in men. Surgical excision is the most effective treatment for this condition. Minimally invasive surgical techniques can be used to avoid visible chest scarring. In this study, we evaluated the efficacy and safety of single-axillary-incision...

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Autores principales: Tukenmez, Mustafa, Emiroglu, Selman, Kozanoglu, Erol, Akalin, Bora Edim, Mollavelioglu, Baran, Cabioglu, Neslihan, Muslumanoglu, Mahmut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936023/
https://www.ncbi.nlm.nih.gov/pubmed/36800581
http://dx.doi.org/10.1097/MD.0000000000033020
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author Tukenmez, Mustafa
Emiroglu, Selman
Kozanoglu, Erol
Akalin, Bora Edim
Mollavelioglu, Baran
Cabioglu, Neslihan
Muslumanoglu, Mahmut
author_facet Tukenmez, Mustafa
Emiroglu, Selman
Kozanoglu, Erol
Akalin, Bora Edim
Mollavelioglu, Baran
Cabioglu, Neslihan
Muslumanoglu, Mahmut
author_sort Tukenmez, Mustafa
collection PubMed
description Gynecomastia is a common type of breast tissue hypertrophy in men. Surgical excision is the most effective treatment for this condition. Minimally invasive surgical techniques can be used to avoid visible chest scarring. In this study, we evaluated the efficacy and safety of single-axillary-incision endoscopic mastectomy and liposuction for the treatment of gynecomastia. Nipple-sparing mastectomy via a single-port axillary incision was successfully performed in all patients. Twenty-four bilateral procedures were performed in total. Twenty patients underwent liposuction concomitantly. The median weight of the mastectomy pieces was 88.5 g (range: 42.5–440 g), and the median amount of liposuction was 262.5 cc (range: 25–350 cc). The median duration of surgery was 120 minutes (range, 73–195 minutes). Two patients developed a seroma, and 1 patient developed a hematoma in the early postoperative period. The mean satisfaction levels related to physical appearance, mental status, and social environment were 8.75 (standard deviation [SD]: 1.19), 9.17 (SD: 1.44), and 9.33 (SD: 0.76) points, respectively, on a 10-point visual analog scale. Endoscopic single-port nipple-sparing mastectomy combined with liposuction is a technically feasible method to avoid anterior chest wall scarring with good cosmetic results. Between June 2021 and June 2022, 30 patients underwent endoscopic single-port nipple-sparing mastectomy through a small axillary incision, while 20 underwent concomitant liposuction. The demographic information of the patients, duration of surgery, amount of tissue removed, and complications were recorded. Patients’ levels of satisfaction with their physical appearance, mental status, and social environment were measured.
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spelling pubmed-99360232023-02-18 Single axillary incision endoscopic surgery and liposuction for gynecomastia Tukenmez, Mustafa Emiroglu, Selman Kozanoglu, Erol Akalin, Bora Edim Mollavelioglu, Baran Cabioglu, Neslihan Muslumanoglu, Mahmut Medicine (Baltimore) 7100 Gynecomastia is a common type of breast tissue hypertrophy in men. Surgical excision is the most effective treatment for this condition. Minimally invasive surgical techniques can be used to avoid visible chest scarring. In this study, we evaluated the efficacy and safety of single-axillary-incision endoscopic mastectomy and liposuction for the treatment of gynecomastia. Nipple-sparing mastectomy via a single-port axillary incision was successfully performed in all patients. Twenty-four bilateral procedures were performed in total. Twenty patients underwent liposuction concomitantly. The median weight of the mastectomy pieces was 88.5 g (range: 42.5–440 g), and the median amount of liposuction was 262.5 cc (range: 25–350 cc). The median duration of surgery was 120 minutes (range, 73–195 minutes). Two patients developed a seroma, and 1 patient developed a hematoma in the early postoperative period. The mean satisfaction levels related to physical appearance, mental status, and social environment were 8.75 (standard deviation [SD]: 1.19), 9.17 (SD: 1.44), and 9.33 (SD: 0.76) points, respectively, on a 10-point visual analog scale. Endoscopic single-port nipple-sparing mastectomy combined with liposuction is a technically feasible method to avoid anterior chest wall scarring with good cosmetic results. Between June 2021 and June 2022, 30 patients underwent endoscopic single-port nipple-sparing mastectomy through a small axillary incision, while 20 underwent concomitant liposuction. The demographic information of the patients, duration of surgery, amount of tissue removed, and complications were recorded. Patients’ levels of satisfaction with their physical appearance, mental status, and social environment were measured. Lippincott Williams & Wilkins 2023-02-17 /pmc/articles/PMC9936023/ /pubmed/36800581 http://dx.doi.org/10.1097/MD.0000000000033020 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7100
Tukenmez, Mustafa
Emiroglu, Selman
Kozanoglu, Erol
Akalin, Bora Edim
Mollavelioglu, Baran
Cabioglu, Neslihan
Muslumanoglu, Mahmut
Single axillary incision endoscopic surgery and liposuction for gynecomastia
title Single axillary incision endoscopic surgery and liposuction for gynecomastia
title_full Single axillary incision endoscopic surgery and liposuction for gynecomastia
title_fullStr Single axillary incision endoscopic surgery and liposuction for gynecomastia
title_full_unstemmed Single axillary incision endoscopic surgery and liposuction for gynecomastia
title_short Single axillary incision endoscopic surgery and liposuction for gynecomastia
title_sort single axillary incision endoscopic surgery and liposuction for gynecomastia
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936023/
https://www.ncbi.nlm.nih.gov/pubmed/36800581
http://dx.doi.org/10.1097/MD.0000000000033020
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