2021, Number 05
Reduction mastoplasty by means of the inferior pedicle technique in patients with mammary hypertrophy
Language: Spanish
References: 20
Page: 1101-1112
PDF size: 1004.78 Kb.
ABSTRACT
Introduction: The reduction mastoplasty by means of the inferior pedicle technique is one of the most used cosmetic surgical interventions to correct mammary hypertrophy.Objective: To characterize the patients with mammary hypertrophy to whom reduction mastoplasty was practiced with the inferior pedicle technique.
Methods: A descriptive, observational, cross-sectional and retrospective study of 185 patients between 10 and 59 years, with diagnosis of mammary hypertrophy was carried out. They were assisted in the Plastic Surgery and Caumatology Service of Octavio de la Concepción y de la Pedraja Teaching General Hospital from the municipality of Baracoa, to whom reduction mastoplasty by inferior pedicle technique was practiced, from January, 2004 to December, 2020.
Results: In the series there was a prevalence of the females between 30-39 years (42.8 %), the cosmetic results with good evaluation (90.3 %), few complications (20.0 %), with primacy of the skin necrosis in the inferior space of the flap union (7.0 %) and the patients satisfied with the procedure (93.5 %). The dried up glandular tissue varied in less than 300 grams and more than 1 200, according to the degree of hypertrophy.
Conclusions: The mammary reduction technique to inferior pedicle is versatile, safe and applicable to all types of hypertrophy, with a low rate of complications; also it offers favorable cosmetic results and high degree of satisfaction.
REFERENCES
Tamayo Crabón AM, Orozco Jaramillo MA, Rendón Oliva IE, Posada Ruiz DA, Valdivia Llanes J. Resultados en mastoplastia reductora por técnica de McKissock modificada en la hipertrofia mamaria moderada. Acta médica. 2020 [citado 12/05/2020];21(1). Disponible en: http://www.revactamedica.sld.cu/index.php/act/article/view/42
Luzardo Iglesia B. Efectividad de las técnicas Strombeck clásico y modificado como procederes quirúrgicos en pacientes con hipertrofia mamaria. Primera Jornada Virtual de CirPlast Sancti Spíritus, 2020 [citado 12/05/2020]. Disponible en: http://www.cirplasantisspiritus2020.sld.cu/index.php/crplass/jvccss2020/paper/view/108
Kelahmetoglu O, Firinciogullari R, Yagmur C, Yildiz K, Guneren E. Combination of Würinger's Horizontal Septum and Inferior Pedicle Techniques to Increase Nipple-Areolar Complex Viability During Breast Reduction Surgery. Aesth Plast Surg. 2017 [citado 18/05/2020];41:1311-7. Disponible en: https://link.springer.com/article/10.1007/s00266-017-0933-9
Zaragoza Guijo S, García Alonso I. Revisión crítica de técnicas avanzadas de cirugía plástica y reparadora. A propósito de una estancia en Addenbrooke´s Hospital [Tesis]. Zaragoza: Facultad de Medicina y Enfermería (Cambridge, UK); 2018 [citado 26/05/2020] Disponible en: http://www.oc.lm.ehu.es/Departamento/TFG/TFG%20Sergio%20Zaragoza.pdf
Danilla S, Troncoso E, Ríos MA, Domínguez C ¿Qué factores influyen en la satisfacción de los pacientes sometidos a reducción mamaria? Análisis de un estudio de cohorte utilizando el instrumento Breast-Q(r). Rev Chil Cir. 2016 [citado 26/05/2020];69(1). Disponible en: https://dx.doi.org/10.1016/j.rchic.2016.09.004
Pérez Panzano E, Gascón Catalán A, Sousa Domínguez R, Carrera Lasfuentes P, García Campayo J, Güemes Sánchez A. Reduction mammaplasty improves levels of anxiety, depression and body image satisfaction in patients with symptomatic macromastia in the short and long term. J Psychosom Obstet Gynaecol. 2017 [citado 11/11/2020];38(4):268-75. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28075191/