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Single incision endoscopic surgery for gynaecomastia
Journal of Plastic, Reconstructive & Aesthetic Surgery, 06/06/2011
Jarrar G et al. – Endoscopic excision of gynaecomastia through a single lateral chest wall incision is a minimally invasive effective and safe technique for the management of gynaecomastia, with excellent aesthetic results and an acceptable complication rate.
Methods- 12 gynaecomastia patients were treated with liposuction and/or endoscopic excision.
- Patients were divided into 3 groups: group I; liposuction only, group II; endoscopic excision plus liposuction and group III; endoscopic excision only.
- One 15 mm incision was made laterally at the anterior axillary line.
- A vacuum assisted liposuction removing the fatty tissue was performed.
- Then endoscopic excision of the remaining fibroglandular tissue was done under vision through the same incision.
- The parynchyma was then dissected into small pieces and pulled out.
- Group I had liposuction only (n = 4), group II had liposuction combined with endoscopic excision (n = 7) (58%) while group III had endoscopic excision only (n = 1).
- The mean operative time for liposuction and endoscopic excision was 58 min for each side.
- Mean hospital stay was 1.4 days.
- Postoperative complications included infection with abscess formation and 1 patient had seroma.
- Mean follow-up was 56 weeks.
- 11 out of 12 patients (92%) were satisfied with their results.
- Long-term follow-up showed that results were stable over time, and no revisions were necessary.
