{"title":"妇科肿瘤的广泛超声波吸脂术:无需手术切除腺体的替代方法","authors":"A. Eyuboğlu","doi":"10.30733/std.2023.01699","DOIUrl":null,"url":null,"abstract":"Aim: Skin and gland removals made on the chest wall may result in noticeable scars that can be challenging for patients to tolerate. This \nstudy aimed to define an extensive ultrasonic liposuction approach without surgical excision for gynecomastia. We also investigated its \neffectiveness in reducing complications and improving cosmetic outcomes. \nMaterials and Methods: Gynecomastia patients with Rohrich grades II and III were evaluated according to skin quality. 46 patients who \nmet these criteria underwent ultrasonic liposuction performed by the senior author between February 2021 and April 2023. These patients \nwere compared with 58 who underwent surgery using suction-assisted liposuction combined with peri areolar mastopexy and glandular \nexcision. \nResults: Our study found that patients who underwent extensive ultrasonic liposuction had a complication rate of 8.7%. Of the total number \nof patients, only one experienced a seroma complication, and three experienced residual breast tissue/ptosis. None of the patients required \nrevision surgery. In comparison, the control group that underwent peri-areolar mastopexy and glandular excision had a higher complication rate \n(10.3%). \nConclusion: We used the basic principles of plastic surgery for wound contraction. Distributing the wound healing mechanisms to a broad \nsurface allowed us to achieve better cosmetics without forming a noticeable scar on the chest wall. \nKeywords: Breast Ptosis, Extensive Liposuction, Gynecomastia Surgery, Ultrasonic Liposuction, Vaser Liposuction","PeriodicalId":332557,"journal":{"name":"Selcuk Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Extensive Ultrasonic Liposuction in Gynecomastia: An Alternative Approach without Surgical Gland Excision\",\"authors\":\"A. Eyuboğlu\",\"doi\":\"10.30733/std.2023.01699\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim: Skin and gland removals made on the chest wall may result in noticeable scars that can be challenging for patients to tolerate. This \\nstudy aimed to define an extensive ultrasonic liposuction approach without surgical excision for gynecomastia. We also investigated its \\neffectiveness in reducing complications and improving cosmetic outcomes. \\nMaterials and Methods: Gynecomastia patients with Rohrich grades II and III were evaluated according to skin quality. 46 patients who \\nmet these criteria underwent ultrasonic liposuction performed by the senior author between February 2021 and April 2023. These patients \\nwere compared with 58 who underwent surgery using suction-assisted liposuction combined with peri areolar mastopexy and glandular \\nexcision. \\nResults: Our study found that patients who underwent extensive ultrasonic liposuction had a complication rate of 8.7%. Of the total number \\nof patients, only one experienced a seroma complication, and three experienced residual breast tissue/ptosis. None of the patients required \\nrevision surgery. In comparison, the control group that underwent peri-areolar mastopexy and glandular excision had a higher complication rate \\n(10.3%). \\nConclusion: We used the basic principles of plastic surgery for wound contraction. Distributing the wound healing mechanisms to a broad \\nsurface allowed us to achieve better cosmetics without forming a noticeable scar on the chest wall. \\nKeywords: Breast Ptosis, Extensive Liposuction, Gynecomastia Surgery, Ultrasonic Liposuction, Vaser Liposuction\",\"PeriodicalId\":332557,\"journal\":{\"name\":\"Selcuk Tip Dergisi\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Selcuk Tip Dergisi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30733/std.2023.01699\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Selcuk Tip Dergisi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30733/std.2023.01699","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:在胸壁上切除皮肤和腺体可能会留下明显的疤痕,患者难以忍受。本研究旨在确定一种无需手术切除妇科肿瘤的广泛超声波吸脂方法。我们还研究了该方法在减少并发症和改善美容效果方面的有效性。材料和方法:根据皮肤质量对罗氏 II 级和 III 级妇科整形患者进行评估。符合这些标准的 46 名患者在 2021 年 2 月至 2023 年 4 月期间接受了由资深作者实施的超声波吸脂术。这些患者与接受抽吸辅助吸脂术、乳晕周围乳房整形术和腺体切除术的 58 名患者进行了比较。研究结果我们的研究发现,接受广泛超声波吸脂术的患者并发症发生率为 8.7%。在所有患者中,只有一人出现血清肿并发症,三人出现乳房组织残留/凹陷。没有一名患者需要进行翻修手术。相比之下,接受乳晕周围乳房整形术和腺体切除术的对照组的并发症发生率更高(10.3%)。结论:我们利用整形外科的基本原则收缩伤口。将伤口愈合机制分布到广泛的表面,使我们能够获得更好的美容效果,而不会在胸壁上形成明显的疤痕。关键词乳房下垂、广泛吸脂、妇科整形、超声波吸脂、Vaser 吸脂术
Extensive Ultrasonic Liposuction in Gynecomastia: An Alternative Approach without Surgical Gland Excision
Aim: Skin and gland removals made on the chest wall may result in noticeable scars that can be challenging for patients to tolerate. This
study aimed to define an extensive ultrasonic liposuction approach without surgical excision for gynecomastia. We also investigated its
effectiveness in reducing complications and improving cosmetic outcomes.
Materials and Methods: Gynecomastia patients with Rohrich grades II and III were evaluated according to skin quality. 46 patients who
met these criteria underwent ultrasonic liposuction performed by the senior author between February 2021 and April 2023. These patients
were compared with 58 who underwent surgery using suction-assisted liposuction combined with peri areolar mastopexy and glandular
excision.
Results: Our study found that patients who underwent extensive ultrasonic liposuction had a complication rate of 8.7%. Of the total number
of patients, only one experienced a seroma complication, and three experienced residual breast tissue/ptosis. None of the patients required
revision surgery. In comparison, the control group that underwent peri-areolar mastopexy and glandular excision had a higher complication rate
(10.3%).
Conclusion: We used the basic principles of plastic surgery for wound contraction. Distributing the wound healing mechanisms to a broad
surface allowed us to achieve better cosmetics without forming a noticeable scar on the chest wall.
Keywords: Breast Ptosis, Extensive Liposuction, Gynecomastia Surgery, Ultrasonic Liposuction, Vaser Liposuction