Compare the Efficacy of Mammotome-assisted Minimally Invasive Resection and Surgery with Minimal Periareolar Incision Respectively Combined with Hydrodynamic Liposuction in the Treatment of Gynecomastia
Objective The aim of this study was to investigate the clinical efficacy and aesthetic effects of Mammotome-assisted minimally invasive resection and surgery with minimal periareolar incision respectively combined with hydrodynamic liposuction in the treatment of gynecomastia(GYN).Methods A total of 80 patients with grade Ⅱa gynecomastia admitted to author's department from October 2021 to July 2022 were selected.According to the random number table method,the patients were divided into study group and control group,with 40 cases in each group.The study group was treated with Mammotome-assisted minimally invasive resection combined with hydrodynamic liposuction,while the control group was treated with surgery with minimal periareolar incision combined with hydrodynamic liposuction.The operation related indicators,clinical efficacy,complications,recurrence and patient satisfaction were compared between the two groups.Results There was no significant difference in hospitalization time and intraoperative blood loss between the two groups(P＞0.05).The incision length,operation time and wound healing time of the study group were shorter than those of the control group(P＜0.05),but the medical cost was higher than that of the control group(P＜0.05).There was no recurrence and nipple and skin necrosis in the two groups.The incidence of complications in the study group was 20.00%,which was lower than 42.50%in the control group(P＜0.05).The total effective rate of the study group was 97.50%,which was higher than 85.00%of the control group(P＜0.05).The satisfaction scores of patients in the study group on chest flatness,bilateral symmetry,incision scar hyperplasia,skin and nipple areola sensation were higher than those in the control group(P＜0.05).Conclusion Compared with surgery with minimal periareolar incision combined with hydrodynamic liposuction,Mammotome-assisted minimally invasive resection combined with hydrodynamic liposuction is more effective in the treatment of GYN,with a lower incidence of postoperative complications.In addition,the postoperative aesthetic effect is more ideal,and patients are more satisfied with the appearance,but the medical expenses is higher.
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