TY - JOUR
T1 - Inferior pedicle breast reduction
T2 - A retrospective review of technical modifications influencing patient safety, operative efficiency, and postoperative outcomes
AU - Defazio, Michael V.
AU - Fan, Kenneth L.
AU - Avashia, Yash J.
AU - Tashiro, Jun
AU - Ovadia, Steven
AU - Husain, Tarik
AU - Camison, Liliana
AU - Panthaki, Zubin J.
AU - Salgado, Christopher J.
AU - Thaller, Seth R.
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Background: The inferior pedicle technique remains the most popular approach to breast reduction in the United States. Modifications to this procedure have enhanced versatility, patient safety, and outcome satisfaction in patients with all degrees of macromastia. Methods: A 6-year retrospective review of 241 patients who underwent bilateral inferior pedicle breast reduction was conducted at our institution. Modifications analyzed included methylene blue tattooing to provide preoperative landmarks, preoperative hydrodissection to reduce intraoperative blood loss, incorporation of inframammary darting to reduce tension at the "T-junction," preservation of superomedial volume for enhanced medial fullness, and dermatome blade-guided tissue resection. Results: Inframammary darting reduced the incidence of wound dehiscence. Preoperative hydrodissection reduced intraoperative blood loss by a factor of 2. Dermatome blade use reduced operative times at no increased incidence of postoperative seromas or hematomas. Conclusions: Outcomes resulting from these modifications appear to be at least comparable to, and perhaps better than, those previously reported.
AB - Background: The inferior pedicle technique remains the most popular approach to breast reduction in the United States. Modifications to this procedure have enhanced versatility, patient safety, and outcome satisfaction in patients with all degrees of macromastia. Methods: A 6-year retrospective review of 241 patients who underwent bilateral inferior pedicle breast reduction was conducted at our institution. Modifications analyzed included methylene blue tattooing to provide preoperative landmarks, preoperative hydrodissection to reduce intraoperative blood loss, incorporation of inframammary darting to reduce tension at the "T-junction," preservation of superomedial volume for enhanced medial fullness, and dermatome blade-guided tissue resection. Results: Inframammary darting reduced the incidence of wound dehiscence. Preoperative hydrodissection reduced intraoperative blood loss by a factor of 2. Dermatome blade use reduced operative times at no increased incidence of postoperative seromas or hematomas. Conclusions: Outcomes resulting from these modifications appear to be at least comparable to, and perhaps better than, those previously reported.
KW - Inferior pedicle breast reduction
KW - Patient safety
KW - Reduction mammaplasty
KW - Technical modifications
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U2 - 10.1016/j.amjsurg.2012.07.015
DO - 10.1016/j.amjsurg.2012.07.015
M3 - Article
C2 - 23140832
AN - SCOPUS:84868546551
VL - 204
SP - e7-e14
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 5
ER -