Die Ribeiro-Technik bei Gigantomastie – Review von 294 Reduktionsplastiken in 8 Jahren

Wolter, A; Pluto, Naja; Scholz, T.; Diedrichson, J.; Arens-Landwehr, Andreas; Liebau, J.

doi:10.1055/s-0043-113132

Cited by 7 publications

(3 citation statements)

References 35 publications

(51 reference statements)

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“…In the West, the literature is rich and also concerns cases or even cohorts of cases. 4,18,21 Gigantomastia affected rather young women, as shown by the average age of the patients in our series (27 years). This is consistent with several series.…”

Section: Commentssupporting

confidence: 52%

“…Nevertheless, the literature is full of case studies and cohorts of cases. 5,8,9,12,[15][16][17][18] In Black Africa, Togo Keita,12 in a study of gigantomastia in the B surgery department of the CHU du Point G in Bamako, Mali, in 2022, found four cases over a period of six years. Kibadi 9 and Traoré 10 published one case each, in the Democratic Republic of Congo and Mali respectively.…”

Section: Commentsmentioning

confidence: 99%

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Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Pamphile,

Ulysse,

Opheelia

et al. 2023

OGIJ

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Objective: This study aims to evaluate the outcomes of surgical interventions for gigantomastia in at the obstetrics and gynaecology department of the Hôpital d'Instruction des Armées d'Akanda (HIAA). Patients and Methods: This was a prospective, descriptive study conducted from 1 June 2019 to 31 October 2022, Inclusion criteria comprised women who seeked consultation at HIAA due to unilateral or bilateral gigantomastia, have a benign primary or tumoral gigantomastia. Participants were required to consent to a minimum follow-up period of 6 months post-operation by the HIAA medical team and be available for telephone follow-ups beyond the initial 6 months. Results: The prevalence of gigantomastia was 1.05% (10/952). The mean age of the patients was 27 years. The mean BMI was 27.7 kg/m2. All patients wore a very large (≥D) cup size. The mean breast axis was 36.25 cm for straight breasts. The most frequently performed method was the inverted T with superior-internal flap (57%). The average weight of the operative parts was 1350 g for right breasts. Only one patient had delayed skin wound closure. Only one patient had a suture disunion. Regarding the plastic result, two patients were classified <<average result>> and the other two (50%) <<good result>>. Two patients report << very satisfied>>and the other two were satisfied. Conclusion: This study presented the preliminary results of an ongoing study at the HIAA. The inverted T technique with syuperomedial flap was the most commonly used, with few early complications. The plastic results after the 6th month are appreciable.

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Section: Commentssupporting

confidence: 52%

Section: Commentsmentioning

confidence: 99%

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Pamphile,

Ulysse,

Opheelia

et al. 2023

OGIJ

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“…Ишемия или потеря САК после уменьшения объема МЖ является стрессовой ситуацией как для пациентки, так и для хирурга [27]. Редукционная маммопластика при гипертрофии МЖ попрежнему считается большим испытанием даже для опытных пластических хирургов [28].…”

Section: редукционная маммопластика: техника принципы осложненияunclassified

Features of the blood supply to the breast in the context of reduction mammoplasty

et al. 2022

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The blood supply to the nipple-areola complex of hypertrophied mammary glands is variable and unpredictable in each patient who is planned to undergo reduction mammoplasty. The review provides historical aspects and modern views on reduction mammoplasty and the study of blood supply to hypertrophied mammary glands. The emphasis is also placed on the importance of preoperative diagnostics of the peculiarities of blood supply to the nipple-areola complex.

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Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study

Wolter

Fertsch²,

Munder³

et al. 2021

Aesth Plast Surg

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Introduction Reduction mammaplasty in patients with gigantomastia is challenging. The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is the standard technique for reduction mammaplasty in our clinic. The aim of this study was to review our approach in cases with gigantomastia in comparison with the current literature. Patients and Methods From 01/2011 to 12/2017, we performed 831 reduction mammaplasties in 630 patients. The Double-Unit Superomedio-Central (DUS) pedicle and inverted-T incision was implemented as a standard procedure for gigantomastia. Patient demographics and the outcome parameters complication rate, patient satisfaction with the aesthetic result, nipple sensibility, and surgical revision rate were obtained and retrospectively analyzed. Results In 37 patients, 55 reduction mammaplasties were performed with more than 1000 g per breast. Mean resection weight was 1311 g on right side and 1289 g on left side. Mean age was 52.5 years, mean body mass index was 32.8 kg/m2, mean sternal-notch-to-nipple distance was 38.3 cm. A free NAC graft was necessary in four breasts. Overall complication rate was 14.5%; secondary surgical revision rate was 12.7%. 91% of the patients were “very satisfied” and “satisfied” with the aesthetic result. Nipple sensibility was rated “high” and “medium” in 83%. Conclusion The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is very effective to achieve volume reduction and aesthetically pleasing reproducible results with a low complication rate in cases with gigantomastia. Level of Evidence Level of Evidence This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Die Ribeiro-Technik bei Gigantomastie – Review von 294 Reduktionsplastiken in 8 Jahren

Cited by 7 publications

References 35 publications

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Features of the blood supply to the breast in the context of reduction mammoplasty

Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study

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