A Comparison of Complication Rates in Large and Small Inferior Pedicle Reduction Mammaplasty
- 1 March 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Plastic and Reconstructive Surgery
- Vol. 115 (3), 736-742
- https://doi.org/10.1097/01.prs.0000152428.43300.19
Abstract
The main objective of this retrospective study was to determine whether the rates of complications are higher in large reductions (≥1000 g per breast) as compared with smaller reductions (≤999 g per breast) using the inferior pedicle technique. A retrospective chart review of 133 consecutive patients operated on between October of 2000 and March of 2002 was undertaken. Complication data were recorded and analyzed on a per-breast basis. Two hundred sixteen breasts had reductions of 999 g or less, whereas 50 breasts had reductions of 1000 g or more. The overall mean follow-up period was 152 days (range, 20 to 522 days). There were no statistically significant differences in the rates of nipple necrosis, hematoma formation, seroma, delayed healing, culture-positive wound infection, fat necrosis, cyst formation, nipple sensation, or hypertrophic scarring between the large and small reductions. However, the rate of wound dehiscence was significantly lower in the smaller reduction group. The rates of wound dehiscence and hypertrophic scarring were also significantly lower in patients who had received at least 5 days of postoperative antibiotics. A statistically significant difference was also reported for clinical wound infection (pKeywords
This publication has 25 references indexed in Scilit:
- Current Trends in Breast ReductionPlastic and Reconstructive Surgery, 1999
- Reduction MammaplastyAnnals of Plastic Surgery, 1996
- Reduction MammaplastyAnnals of Plastic Surgery, 1995
- The Inferior Dermal-pyramidal Type Breast Reduction: Long-term EvaluationAnnals of Plastic Surgery, 1989
- Reduction Mammaplasty Using the Inferior Glandular “Pyramid” PediclePlastic and Reconstructive Surgery, 1987
- Inferior Flap Reduction Mammaplasty with Pedicled NippleAnnals of Plastic Surgery, 1983
- REDUCTION MAMMAPLASTY Nipple-Areola Survival on a Single Breast QuadrantPlastic and Reconstructive Surgery, 1978
- REDUCTION MAMMAPLASTY BY THE INFERIOR PEDICLE TECHNIQUEPlastic and Reconstructive Surgery, 1977
- A REDUCTION MAMMAPLASTY WITH THE AREOLA-NIPPLE BASED ON AN INFERIOR DERMAL PEDICLEPlastic and Reconstructive Surgery, 1977
- A NEW TECHNIQUE FOR REDUCTION MAMMAPLASTYPlastic and Reconstructive Surgery, 1975