Aim:The primary author previously described his technique for periareolar closure in mastopexy using a pinwheel interlocking purse string with absorbable barbed suture and now reports the results of a retrospective ph...Aim:The primary author previously described his technique for periareolar closure in mastopexy using a pinwheel interlocking purse string with absorbable barbed suture and now reports the results of a retrospective photometric analysis comparing this technique with the same closure using Gortex®suture.This study is designed to compare the degree of areolar widening and safety profile of using absorbable barbed sutures for periareolar closure versus permanent smooth suture.Methods:A retrospective chart review was conducted of all patients whose periareolar closures were performed using an interlocking purse-string technique over a 10-year period.Only patients undergoing circumvertical mastopexy were included.All had photometric evaluation and follow-up performed within 6-24 months.Results:In total,20 patients(40 areolas),which were closed with absorbable barbed suture,were analyzed photometrically.In this suture group,areola size increased a mean of 4.9%from baseline,and no complications(0%)were observed.This compared favorably with previously reported complication rates using permanent sutures and with a series of cases presented herein in which permanent smooth suture was used for purse string closure.The degree to which absorbable barbed suture controls areolar spread was shown to be significantly better than those where permanent smooth purse string techniques were employed.Conclusion:Circumvertical mastopexy closures using absorbable barbed suture was shown to be safe and effective and compared favorably to older techniques using permanent smooth suture for similar closures.This paper lends support to the safety of using absorbable barbed suture in circumareolar closures to limit areolar spread.展开更多
目的比较临床应用真空辅助旋切术与经乳晕旁切口手术治疗乳腺良性肿物的疗效。方法采用前瞻性研究的方法,选取2016年5月至2018年3月在广西玉林市第一人民医院普通外科手术治疗82例乳腺良性肿物患者,按照随机平行分组法随机分为对照组和...目的比较临床应用真空辅助旋切术与经乳晕旁切口手术治疗乳腺良性肿物的疗效。方法采用前瞻性研究的方法,选取2016年5月至2018年3月在广西玉林市第一人民医院普通外科手术治疗82例乳腺良性肿物患者,按照随机平行分组法随机分为对照组和观察组,每组各41例,对照组患者给予经乳晕旁切口手术治疗,观察组患者给予真空辅助旋切术治疗,对比分析两组患者的手术时间、切口长度、术中出血量、手术费用、术后不良反应、半年复发率及乳房美观程度满意度情况。结果观察组患者的手术时间(16.61±3.23 min vs.28.42±1.75 min)、切口长度(2.32±0.43 mm vs.7.56±5.32 mm)、术中出血量(22.42±4.76 ml vs.34.36±3.91 ml)均明显低于对照组(P<0.05),手术费用(5 145.42±325.31元vs.3 217.25±167.70元)较对照组明显升高(P<0.05);两组患者的术后不良反应发生率比较,观察组明显低于对照组(17.1%vs.51.0%)(P<0.05),两组患者的半年内复发率比较(4.9%vs.4.9%),差异无统计学意义(P>0.05);两组患者对术后乳房美观程度满意度比较,观察组明显高于对照组(92.7%vs.82.9%)(P<0.05)。结论临床应用真空辅助旋切术治疗乳腺良性肿物疗效确切,不良反应发生率低,但手术费用相对较高。展开更多
文摘Aim:The primary author previously described his technique for periareolar closure in mastopexy using a pinwheel interlocking purse string with absorbable barbed suture and now reports the results of a retrospective photometric analysis comparing this technique with the same closure using Gortex®suture.This study is designed to compare the degree of areolar widening and safety profile of using absorbable barbed sutures for periareolar closure versus permanent smooth suture.Methods:A retrospective chart review was conducted of all patients whose periareolar closures were performed using an interlocking purse-string technique over a 10-year period.Only patients undergoing circumvertical mastopexy were included.All had photometric evaluation and follow-up performed within 6-24 months.Results:In total,20 patients(40 areolas),which were closed with absorbable barbed suture,were analyzed photometrically.In this suture group,areola size increased a mean of 4.9%from baseline,and no complications(0%)were observed.This compared favorably with previously reported complication rates using permanent sutures and with a series of cases presented herein in which permanent smooth suture was used for purse string closure.The degree to which absorbable barbed suture controls areolar spread was shown to be significantly better than those where permanent smooth purse string techniques were employed.Conclusion:Circumvertical mastopexy closures using absorbable barbed suture was shown to be safe and effective and compared favorably to older techniques using permanent smooth suture for similar closures.This paper lends support to the safety of using absorbable barbed suture in circumareolar closures to limit areolar spread.
文摘目的比较临床应用真空辅助旋切术与经乳晕旁切口手术治疗乳腺良性肿物的疗效。方法采用前瞻性研究的方法,选取2016年5月至2018年3月在广西玉林市第一人民医院普通外科手术治疗82例乳腺良性肿物患者,按照随机平行分组法随机分为对照组和观察组,每组各41例,对照组患者给予经乳晕旁切口手术治疗,观察组患者给予真空辅助旋切术治疗,对比分析两组患者的手术时间、切口长度、术中出血量、手术费用、术后不良反应、半年复发率及乳房美观程度满意度情况。结果观察组患者的手术时间(16.61±3.23 min vs.28.42±1.75 min)、切口长度(2.32±0.43 mm vs.7.56±5.32 mm)、术中出血量(22.42±4.76 ml vs.34.36±3.91 ml)均明显低于对照组(P<0.05),手术费用(5 145.42±325.31元vs.3 217.25±167.70元)较对照组明显升高(P<0.05);两组患者的术后不良反应发生率比较,观察组明显低于对照组(17.1%vs.51.0%)(P<0.05),两组患者的半年内复发率比较(4.9%vs.4.9%),差异无统计学意义(P>0.05);两组患者对术后乳房美观程度满意度比较,观察组明显高于对照组(92.7%vs.82.9%)(P<0.05)。结论临床应用真空辅助旋切术治疗乳腺良性肿物疗效确切,不良反应发生率低,但手术费用相对较高。
