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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 Hyun; Hong, Seung Eun; Woo, Kyong-Je; Woo, Joohyun; Lim, Woosung
- Ewha Authors
- 임우성; 우경제; 홍승은; 우주현; 백세현
- SCOPUS Author ID
- 임우성; 우경제; 홍승은; 우주현; 백세현
- Issue Date
- 2020
- Journal Title
- ANNALS OF SURGICAL TREATMENT AND RESEARCH
- ISSN
- 2288-6575
2288-6796
- Citation
- ANNALS OF SURGICAL TREATMENT AND RESEARCH vol. 98, no. 2, pp. 57 - 61
- Keywords
- Mammaplasty; Periareolar; Subcutaneous mastectomy
- Publisher
- KOREAN SURGICAL SOCIETY
- Indexed
- SCIE; SCOPUS; KCI
- 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.
- DOI
- 10.4174/astr.2020.98.2.57
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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