Universität zu Köln

Schroeder, Lars, Rudlowski, Christian, Walgenbach-Bruenagel, Gisela, Leutner, Claudia, Kuhn, Walther and Walgenbach, Klaus-Juergen (2015). Surgical Strategies in the Treatment of Gynecomastia Grade I-II: The Combination of Liposuction and Subcutaneous Mastectomy Provides Excellent Patient Outcome and Satisfaction. Breast Care, 10 (3). S. 184 - 189. BASEL: KARGER. ISSN 1661-3805

Full text not available from this repository.

Abstract

treatment with a low rate of complications and excellent patient satisfaction. Preoperative workup is important to rule out specific diseases or malignancy causing the GM. Background: Gynecomastia (GM) is a benign condition with glandular tissue enlargement of the male breast. GM is classified into 4 grades of increasing severity. We describe a series of GM grade I-II, diagnosed, treated surgically and analyzed regarding feasibility, complication rate, and satisfaction. Methods: From 2005 to 2012, a chart review was performed for 53 patients. Preoperative examination included endocrine and urological examination and exclusion of other pathological conditions. The surgical technique consisted of liposuction through an inframammarian-fold incision and excision of the glandular tissue by a minimal periareolar approach. Results: A total number of 53 male patients with 104 breasts were available for analysis. By liposuction, a median of 300 ml (range: 10-1000 ml) was aspirated from each breast and 25.1 g (range: 3-233 g) gland tissue was resected. Surgery lasted between 25 and 164 min per patient (median: 72 min). 2 postoperative hemorrhages occurred (n = 2, 3.8%). 2 patients underwent reoperation due to cosmetic reasons (n = 2, 3.8%). Conclusions: This analysis demonstrates that treatment of GM grade I-II can easily be performed by liposuction combined with subcutaneous resection of the glandular tissue as a minimally invasive and low-impact surgical treatment with a low rate of complications and excellent patient satisfaction. Preoperative workup is important to rule out specific diseases or malignancy causing the GM.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schroeder, Lars UNSPECIFIED UNSPECIFIED UNSPECIFIED Rudlowski, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Walgenbach-Bruenagel, Gisela UNSPECIFIED UNSPECIFIED UNSPECIFIED Leutner, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhn, Walther UNSPECIFIED UNSPECIFIED UNSPECIFIED Walgenbach, Klaus-Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-416306
DOI:	10.1159/000381152
Journal or Publication Title:	Breast Care
Volume:	10
Number:	3
Page Range:	S. 184 - 189
Date:	2015
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1661-3805
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PUBERTAL GYNECOMASTIA; ALGORITHM; MEN Multiple languages Oncology; Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41630