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Nipple-sparing mastectomy through periareolar incision with immediate reconstruction

Title
Nipple-sparing mastectomy through periareolar incision with immediate reconstruction
Authors
Paek, Se HyunHong, Seung EunWoo, Kyong-JeWoo, JoohyunLim, Woosung
Ewha Authors
임우성우경제홍승은우주현백세현
SCOPUS Author ID
임우성scopus; 우경제scopus; 홍승은scopus; 우주현scopusscopus; 백세현scopusscopus
Issue Date
2020
Journal Title
ANNALS OF SURGICAL TREATMENT AND RESEARCH
ISSN
2288-6575JCR Link

2288-6796JCR Link
Citation
ANNALS OF SURGICAL TREATMENT AND RESEARCH vol. 98, no. 2, pp. 57 - 61
Keywords
MammaplastyPeriareolarSubcutaneous mastectomy
Publisher
KOREAN SURGICAL SOCIETY
Indexed
SCIE; SCOPUS; KCI WOS
Document Type
Article
Abstract
Purpose: Nipple-sparing mastectomy (NSM) has become increasingly popular due to improved cosmesis without compromising oncologic safety. Radial and inframammary incisions are usually used to achieve NSM, with periareolar incisions usually being avoided because of the risk to nipple-areola complex viability. In an attempt to maximize esthetic effects, we performed NSM through periareolar incision with immediate reconstruction. We report our initial experience. Methods: This case series consisted of all consecutive patients (n = 34) who underwent NSM through a periareolar incision in our institution between August 2017 and December 2018. All patients underwent NSM through periareolar incision followed by immediate reconstruction with an implant or deep inferior epigastric perforator flap. Patient demographics, tumor and treatment characteristics, and short-term postoperative outcomes were reviewed. Results: The mean patient age was 46.74 +/- 6.69 years (range, 38-62 years), and the mean operation time was 96.68 +/- 28.00 minutes. Indications included in situ cancer in 12 cases and invasive cancer in 22 cases. There was 1 major complication (postoperative hematoma) requiring operative reintervention, No other complications including fistula, implant exposure, or reconstruction failure was observed. At the time of writing, no case of local recurrence has been observed. Conclusion: Our initial report shows that NSM with immediate reconstruction may successfully be performed through periareolar incision. This method maximizes esthetic effects and may be an appropriate surgical option for NSM.
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DOI
10.4174/astr.2020.98.2.57
Appears in Collections:
의과대학 > 의학과 > Journal papers
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