Utilization of liposuction-assisted endoscopic surgery for the management of gynecomastia in primary healthcare facilities
Objective To explore the clinical effect and safety of liposuction in endoscopic surgery via the axillary approach for the treatment of gynecomastia in males.Methods A retrospective analysis was performed on the clinical data of 36 patients diagnosed with gynecomastia in our department from January 2017 to December 2023.They were divided into the control group(n=18)and the experimental group(n=18).The control group underwent endoscopic surgery via the axillary approach,while the experimental group underwent liposuction-assisted endoscopic surgery via the axillary approach to resect the developed glands.The perioperative clinical indicators,postoperative complications,breast shape evaluation,and patient satisfaction evaluation were compared between the two groups.Results There was no significant difference in intraoperative blood loss,extubation time and total hospital stay between the two groups(P＞0.05);The unilateral operation time of the experimental group was slightly longer than that of the control group,but the difference was not statistically significant(P＞0.05);At 6 months after operation,the breast shape evaluation and patient satisfaction evaluation were better than those of the control group,and the difference was statistically significant(P＜0.05)Conclusions Although the operation time is slightly longer,liposuction-assisted endoscopic surgery via the axillary approach for the treatment of gynecomastia in males has good feasibility,high safety,few complications,moderate overall cost,good breast shape evaluation,and high patient satisfaction.It is more suitable for active promotion and application in hospitals with the necessary conditions.
万方数据
维普
