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| Effects of Minimally Invasive Surround-Mammary Areola Incision Surgery and Open Resection Surgery in the Treatment of Gynecomastia |
| HE Jiao, ZHOU Yuhui, MA Xiaoxia, et al |
| The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Xi'an 710061, China |
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Abstract Objective: To explore the effects of minimally invasive surround-mammary areola incision surgery and open resection surgery in the treatment of gynecomastia (GYN). Methods: A total of 105 patients with GYN admitted to the hospital from August 2020 to August 2022 were selected and divided into two groups according to different surgical treatment regimens. Among the patients, 63 cases with GYN undergoing minimally invasive surround-mammary areola incision surgery were included in observation group, and 42 cases receiving open resection surgery were enrolled as control group. The surgery-related indicators, wound healing time, scar width, breast beauty, preoperative and postoperative traumatic stress indicators [norepinephrine (NE), epinephrine (E), cortisol (Cor)], occurrence of postoperative complications and postoperative effect satisfaction were compared between the two groups. Results: The surgical time, hospital stay and wound healing time in observation group were shorter than those in control group (P<0.05), and the intraoperative blood loss was less than that in control group (P<0.05), and the incision length and scar length were shorter compared with those in control group (P<0.05), and the breast beauty was higher compared to control group (P<0.05). The levels of serum NE, E and Cor in both groups were higher after surgery than those before surgery (P<0.05), but the decreases in observation group were lower than those in control group (P<0.05). The total incidence rate of postoperative complications was lower in observation group than that in control group (3.17% vs 21.43%, P<0.05). The satisfaction scores of postoperative chest appearance, wound scar and skin and areola nipple sensation and overall satisfaction score in observation group were higher compared with those in control group (P<0.05). Conclusion: Compared with open resection surgery, minimally invasive surround-mammary areola incision surgery for patients with GYN has shorter surgical time, wound healing time and hospital stay, less intraoperative blood loss and shorter postoperative incision length and scar length, and the latter one can better significantly relieve the postoperative traumatic stress response, reduce the postoperative complications, and enhance the patients’ satisfaction with postoperative effect.
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2023, Vol. 29 
