Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients (Q32862): Difference between revisions
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Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients | |||
Latest revision as of 00:33, 18 November 2024
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- Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients |
No description defined |
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Statements
Double-incision mastectomy (DIM) with free nipple grafts (FNG) is a common technique employed in gender-affirming mastectomy (GAM), but is associated with a high scar burden. (English)
BACKGROUND (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Intraoperatively, the surgeon may opt for a single-incision mastectomy (SIM) along the inframammary folds (IMF) to optimize aesthetic outcomes. (English)
BACKGROUND (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
This study sought to identify factors predictive of intraoperative conversion. (English)
BACKGROUND (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
From February 2018 to November 2022, TGNB patients who underwent GAM at a single institution were retrospectively reviewed. (English)
METHODS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Data regarding patient characteristics, perioperative details, postoperative complications, and aesthetic satisfaction were collected. (English)
METHODS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
A total of 352 patients were identified. (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Median age and body mass index (BMI) were 25.0 years (IQR: 9.0) and 28.5 kg/m<sup>2</sup> (IQR: 8.5), respectively. (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Most patients received IMF incisions (n = 331, 94.0%); of whom, 66 (19.9%) underwent intraoperative conversion from DIM to SIM with FNG. (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Larger breast cup-size (p < 0.001) and a greater degree of ptosis (p = 0.002) preoperatively were significantly associated with intraoperative conversion to SIM. (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
There was no significant association between intraoperative conversion and the ratio of intermammary distance to the width of the chest wall (p = 0.086). (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Overall complication rates were significantly higher among patients with diabetes mellitus (p = 0.015) and a greater degree of ptosis (p = 0.018). (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
77.8% (n = 274) of patients were satisfied with their aesthetic outcome. (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
NPWT usage was associated with higher rates of aesthetic satisfaction (83.6% vs. 77.8%; p = 0.005). (English)
RESULTS (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Patients with larger breast cup size and greater degree of ptosis should be counseled preoperatively that they may be at a higher risk of conversion to a singular incision. (English)
CONCLUSION (English)
Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. (English)
2024
Christian X (English)
Lava (English)
CX
Lauren E (English)
Berger (English)
LE
Karen R (English)
Li (English)
KR
Julian K (English)
Marable (English)
JK
Holly D (English)
Shan (English)
HD
Jacob R (English)
Hum (English)
JR
Robert P (English)
Slamin (English)
RP
Kenneth L (English)
Fan (English)
KL
Gabriel A (English)
Del Corral (English)
GA
1 August 2024
1 August 2024