Necessity of suction drains in gynecomastia surgery
Aesthetic Surgery Journal, cilt.34, sa.4, ss.538-544, 2014 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 4
- Basım Tarihi: 2014
- Doi Numarası: 10.1177/1090820x14526598
- Dergi Adı: Aesthetic Surgery Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.538-544
- Anahtar Kelimeler: breast surgery, gynecomastia, drains, suction, hematoma, complications
- İstanbul Medipol Üniversitesi Adresli: Evet
Özet
Background: The aim of gynecomastia surgery is to restore a normal chest contour with minimal signs of breast surgery. Objective: The authors examine the rate of complications in gynecomastia surgery when no closed-suction drains are placed. Methods: One hundred thirty-eight consecutive male patients who underwent gynecomastia surgery without drains were retrospectively analyzed to determine whether the absence of drains adversely affected patient outcomes. Patients were managed by ultrasonic-assisted liposuction both with and without the pull-through technique. Results: The mean age of the patients was 29 years, and the mean volume of breast tissue aspirated was 350 mL per beast. Pull-through was needed in 23 cases. There was only 1 postoperative hematoma. Conclusions: These results are comparable with previously published data for gynecomastia surgery in which drains were placed, suggesting that the absence of drains does not adversely affect postoperative recovery. Routine closed-suction drainage after gynecomastia surgery is unnecessary, and it may be appropriate to omit drains after gynecomastia surgery. © 2014 The American Society for Aesthetic Plastic Surgery, Inc.