Role of liposuction combined with webster’s procedure in the surgical treatment of Gynecomastia
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 3
Abstract
Background: Gynecomastia is swelling of the breast tissue in males, caused by an imbalance of the hormones oestrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly. This condition differs from pseudo gynecomastia (fatty breasts), which usually occurs in obese men, due to increased local fat deposition without glandular enlargement. Aims and Objectives: To study the effectiveness of Liposuction combined with Webster’s procedure in the treatment of Gynaecomastia. Materials and Methods: In this retrospective study, a total of 10 patients were included with patients presenting to the general surgery OPD and Plastic surgery OPD in the year 2016-2017 in our institute. After taking a thorough history regarding the aetiology, age of onset, laterality, and nipple discharge; clinical examination and relevant investigations were done. Those patients with simon’s grade 3 and with secondary causes of gynaecomastia were excluded. Those with primary gynaecomastia and those willing for surgery were included in the study. Out of 10 patients , 6 had bilateral and 4 had unilateral gynaecomastia. Preoperative marking of the enlarged breasts was done . All surgeries were performed under general anaesthesia. Liposuction was carried out through a small incision along the inframammary crease in the anterior axillary line. With an infra areolar skin incision, glandular tissue excision is done. Intraoperatively breasts are examined for symmetry. Results: 1. In all 10, the indication of surgery was cosmetic. Mean age of the patient was 27 3. Postoperative complications like infection and seroma formation were minimal and were managed conservatively. 4. Out of 10, 2 patients had simon’s grade 2b , but 6 months post op, on follow up, they did not need a skin reduction surgery Conclusion: Liposuction combined with webster’s procedure is a reliable procedure for the treatment of gynaecomastia and offers good chest contour and symmetry.
Authors and Affiliations
E R Srinivasan, Chiliki Amulya, K Govardhanan
A study of necrotizing fasciitis with reference to clinical, haematological, microbiological and radiological investigations in the diagnosis of necrotizing fasciitis
Background: Necrotizing fasciitis represents a group of highly lethal infections characterized by rapidly progressing inflammation and necrosis. Microbiological and radiological inv patients with necrotizing fasciitis (N...
The risk of recurrent laryngeal nerve injury in thyroid surgery
Background: Incidence of RLN injury is expected to be higher with total thyroidectomy, though many clinical reports have shown that difference in incidence is insignificant after either total or subtotal thyroidectomy. S...
Comparative assessment of outcomes following laparoscopic verses open splenectomy for paediatric haematological disorders
Objectives: To compare the outcomes and to evaluate the safety and feasibility of laparoscopic splenectomy in children with haematological disorders as compared to open splenectomy. Methods: 65 patients underwent either...
Assessment of predicting factors for acute pancreatitis
Background: The incidence of acute pancreatitis varies in different centres and depends upon etiologic factors. Incidence of gallstone pancreatitis is more in this part of the world and males are affected more than femal...
Comparative study of fistula in ano in primary closure and wound kept open
Objective: To compare the fistula in ano repair method by primary closure and wound kept open Design: A prospective comparative study of all patients with fistula in ano. Results: The primary closure method of fistulecto...