Single incision endoscopic surgery for gynaecomastia

Area of Science:

• Plastic Surgery
• Minimally Invasive Surgery

Background:

• Surgical excision is a standard treatment for gynecomastia.
• There is a growing trend towards minimally invasive surgical techniques.

Purpose of the Study:

• To describe a novel technique for endoscopic excision and/or liposuction of gynecomastia.
• To evaluate the safety and efficacy of this minimally invasive approach.

Main Methods:

• 12 patients with gynecomastia underwent treatment via liposuction and/or endoscopic excision through a single lateral chest wall incision.
• Patients were categorized into three groups based on the procedure: liposuction only, endoscopic excision plus liposuction, or endoscopic excision only.
• Procedures involved vacuum-assisted liposuction followed by endoscopic excision of fibroglandular tissue under direct vision.

Main Results:

• 92% of patients reported satisfaction with the surgical outcomes.
• The mean operative time was 58 minutes per side, with a mean hospital stay of 1.4 days.
• Complications included infection and seroma; however, long-term results were stable with no revisions needed.

Conclusions:

• Endoscopic excision via a single lateral incision is a safe and effective minimally invasive method for gynecomastia management.
• This technique yields excellent aesthetic results with an acceptable complication rate.
• The procedure offers a viable alternative to traditional open surgery for gynecomastia.