Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients (Q32862)

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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	Factors influencing intraoperative conversion from double- to single-incision mastectomy with free nipple grafts in 352 transgender and non-binary patients.

Statements

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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. (English)

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stated in

PubMed

abstract

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)

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BACKGROUND (English)

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1

2024

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Intraoperatively, the surgeon may opt for a single-incision mastectomy (SIM) along the inframammary folds (IMF) to optimize aesthetic outcomes. (English)

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BACKGROUND (English)

subsection NLM category

2

2024

1 reference

This study sought to identify factors predictive of intraoperative conversion. (English)

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BACKGROUND (English)

subsection NLM category

3

2024

1 reference

From February 2018 to November 2022, TGNB patients who underwent GAM at a single institution were retrospectively reviewed. (English)

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METHODS (English)

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4

2024

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Data regarding patient characteristics, perioperative details, postoperative complications, and aesthetic satisfaction were collected. (English)

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METHODS (English)

subsection NLM category

5

2024

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A total of 352 patients were identified. (English)

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RESULTS (English)

subsection NLM category

6

2024

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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)

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RESULTS (English)

subsection NLM category

7

2024

1 reference

Most patients received IMF incisions (n = 331, 94.0%); of whom, 66 (19.9%) underwent intraoperative conversion from DIM to SIM with FNG. (English)

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RESULTS (English)

subsection NLM category

8

2024

1 reference

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)

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RESULTS (English)

subsection NLM category

9

2024

1 reference

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)

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RESULTS (English)

subsection NLM category

10

2024

1 reference

Overall complication rates were significantly higher among patients with diabetes mellitus (p = 0.015) and a greater degree of ptosis (p = 0.018). (English)

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RESULTS (English)

subsection NLM category

11

2024

1 reference

77.8% (n = 274) of patients were satisfied with their aesthetic outcome. (English)

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RESULTS (English)

subsection NLM category

12

2024

1 reference

NPWT usage was associated with higher rates of aesthetic satisfaction (83.6% vs. 77.8%; p = 0.005). (English)

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RESULTS (English)

subsection NLM category

13

2024

1 reference

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)

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CONCLUSION (English)

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14

2024