Inferior Pedicle Reduction Technique With Nipple Repositioning for Huge Gynecomastia
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 6
Abstract
Background : Gynecomastia (GM) is a common benign problem affecting males. Many surgical techniques have been described. We discuss in this study a technique used for large redundant male breast using deepithelialized inferior pedicle with nipple areola repositioning. Patients and method: The study included 10 patients (with total 20 breasts) with huge gynecomastia treated surgically using inferior pedicle technique. They were operated in Al Azhar university hospital between May 2015 and April 2017. All the patients have bilateral GM with age range from 30 to 48. The operation started by deepithelialization of the ellipse and dissection between the inferior glandular pedicle and chest wall removing breast tissue as we need. The superior breast flap was raised with thickness not more than 1- 2 cm. A disc of skin and subcutaneous fat then removed at the future nipple-areola site at upper flap. The inferior pedicle pulled up under the upper flap and the nipple areola complex of the lower flap was then repositioned at the new site and sutures using prolene 5/0. Suction drain was used in all patients. Results: The operated 20 breasts ended by good asthetic results and patient satisfaction with only 3 breasts showed wound infection and 2 breasts showed seroma. Conclusion: The inferior pedicle method for the management of Simon gradeIII gynaecomastia is a satisfactory method for treatment of these severe cases.
Authors and Affiliations
Mostafa Mahmoud Salama. Mohammed Mamdouh Ahmed
Keywords
Related Articles
- EP ID EP569354
- DOI 10.22192/ijcrms.2017.03.06.023
- Views 133
- Downloads 0
Frequency of Wound Infection in Iranian Patients with Simple Appendicitis: A systematic review and meta-analysis
Objective: The aim of this study was to evaluate the Frequency of Wound Infection in Iranian Patients with Simple Appendicitis. Methods: The searches were conducted by two independent researchers in the international (Pu...
Gastrointestinal Nematode Infestation; Prevalence and Associated Risk Factors in Small Ruminant at Wolayta Soddo District, Southern Ethiopia
A cross-sectional study was conducted to estimate the prevalence and risk factors associated with small ruminant nematodes in the Wollayta-Soddo district, southern Ethiopia. In the study conducted from october 2017 to Ju...
Adverse drug reaction of Ramucirumab in patients with gastroesophageal junction cancer
Ramucirumab is the first recombinant human IgG1 monoclonal antibody developed for the treatment of solid cancers and is given as a single drug. Studies have demonstrated that it has survival benefits in patients with adv...
Literature Review on Siddha Medicines in the treatment of Shayam (Tuberculosis) – A Review
Siddha system of medicine is an ancient medicine nowadays, it become popular throughout the world. It claims high curative value with minimum toxicity. It cures many acute and chronic diseases. Many medicines were writte...
An update on Anaemia, Iron, Folic acid and Vitamin B 12 in Pregnancy and Postpartum
Anaemia is a decrease in number of red blood cell (RBCs) or less than the normal quality of haemoglobin in the blood. However, it can include decreased oxygen-binding ability of each haemoglobin molecule due to deformity...