Volume 82, Issue 9 (December 2024)
Tehran Univ Med J 2024, 82(9): 708-714 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Farnosh N, Roueintan A, Hejazian S E, Ezoji K, Abdullah Gorji F, Motamed S. Comparative study of two methods of vertical reduction mammaplasty by reverse T method and purse method. Tehran Univ Med J 2024; 82 (9) :708-714
URL: http://tumj.tums.ac.ir/article-1-13348-en.html
URL: http://tumj.tums.ac.ir/article-1-13348-en.html
Nazila Farnosh1 
, Abdolreza Roueintan1 , Seyd Ebrahim Hejazian2 , Khadijeh Ezoji3 , Fatemeh Abdullah Gorji4 , Sadrollah Motamed *5
, Abdolreza Roueintan1 , Seyd Ebrahim Hejazian2 , Khadijeh Ezoji3 , Fatemeh Abdullah Gorji4 , Sadrollah Motamed *5
1- Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Surgery, Shahid Beheshti Hospital, School of Medicine, Babol University of Medical Sciences, Babal, Iran.
3- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babal, Iran.
4- Clinical Research Development Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,Sadrollahmotamed2015@sbmu.ac.ir
2- Department of Surgery, Shahid Beheshti Hospital, School of Medicine, Babol University of Medical Sciences, Babal, Iran.
3- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babal, Iran.
4- Clinical Research Development Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
Abstract: (767 Views)
Background: Introduction & Objective: Reductive mammoplasty, which is performed for medical or cosmetic reasons, can be carried out with different techniques. In this study, we compare the results obtained from vertical mammoplasty surgery with reverse T method and purse method in patients.
Methods: In this retrospective cross-sectional study, we examined sample consisted of 58 patients referred to the 15- KORDAD educational center in Tehran for reductive mammoplasty surgery. In all patients, the scar length was 12 cm and the resected was 300 g. Patients were followed up in the first week, 1 and 3 months after surgery, and conducted photographism was assessed based on Vancouver and patient and observer scar assessment scal (POSAS) criterion .The duration of wound restoration and the presence of redness and discharge (secretion) complications or long-term itching were assessed.
Results: The obtained results showed that age, body mass index and resection weight did not have statistically significant difference between the reverse T incision groups and the purse method. However, the duration of surgery (minute) in reverse T group was longer than the purse method, which was statistically significant. Postoperative scars rate using POSAS criterion were not significantly different between the two groups in terms of redness, discharge and itching complications. Postoperative scar rate using Vancouver criterion were not significantly different in terms of hyper and hypopigmentation, vascularity and high and medium scale satisfaction, but in terms of Pliability and wound height were higher in the purse group and were significantly different. Complications of seroma, nipple areola necrosis and anesthesia in nipple areola and infection and hematoma were not significantly different in both groups.
Conclusion: Reverse T-mammoplasty had a longer operation time, but satisfaction was higher in this method, but only in a good scale. The Pliability and height of the wound were higher in the purse group.
Methods: In this retrospective cross-sectional study, we examined sample consisted of 58 patients referred to the 15- KORDAD educational center in Tehran for reductive mammoplasty surgery. In all patients, the scar length was 12 cm and the resected was 300 g. Patients were followed up in the first week, 1 and 3 months after surgery, and conducted photographism was assessed based on Vancouver and patient and observer scar assessment scal (POSAS) criterion .The duration of wound restoration and the presence of redness and discharge (secretion) complications or long-term itching were assessed.
Results: The obtained results showed that age, body mass index and resection weight did not have statistically significant difference between the reverse T incision groups and the purse method. However, the duration of surgery (minute) in reverse T group was longer than the purse method, which was statistically significant. Postoperative scars rate using POSAS criterion were not significantly different between the two groups in terms of redness, discharge and itching complications. Postoperative scar rate using Vancouver criterion were not significantly different in terms of hyper and hypopigmentation, vascularity and high and medium scale satisfaction, but in terms of Pliability and wound height were higher in the purse group and were significantly different. Complications of seroma, nipple areola necrosis and anesthesia in nipple areola and infection and hematoma were not significantly different in both groups.
Conclusion: Reverse T-mammoplasty had a longer operation time, but satisfaction was higher in this method, but only in a good scale. The Pliability and height of the wound were higher in the purse group.
Type of Study: Original Article |
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
