کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279679 1611525 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Inferior pedicle breast reduction: a retrospective review of technical modifications influencing patient safety, operative efficiency, and postoperative outcomes
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Inferior pedicle breast reduction: a retrospective review of technical modifications influencing patient safety, operative efficiency, and postoperative outcomes
چکیده انگلیسی

BackgroundThe inferior pedicle technique remains the most popular approach to breast reduction in the United States. Modifications to this procedure have enhanced versatility, patient safety, and outcome satisfaction in patients with all degrees of macromastia.MethodsA 6-year retrospective review of 241 patients who underwent bilateral inferior pedicle breast reduction was conducted at our institution. Modifications analyzed included methylene blue tattooing to provide preoperative landmarks, preoperative hydrodissection to reduce intraoperative blood loss, incorporation of inframammary darting to reduce tension at the “T-junction,” preservation of superomedial volume for enhanced medial fullness, and dermatome blade–guided tissue resection.ResultsInframammary darting reduced the incidence of wound dehiscence. Preoperative hydrodissection reduced intraoperative blood loss by a factor of 2. Dermatome blade use reduced operative times at no increased incidence of postoperative seromas or hematomas.ConclusionsOutcomes resulting from these modifications appear to be at least comparable to, and perhaps better than, those previously reported.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 204, Issue 5, November 2012, Pages e7–e14
نویسندگان
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