Wahdan, W., El Saloussy, Y., El Malahy, H., Morsi, A. (2022). Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view. The Egyptian Journal of Plastic and Reconstructive Surgery, (), -. doi: 10.21608/ejprs.2022.110663.1135
Wessam Wahdan; Yasmeen El Saloussy; Haytham El Malahy; Ahmed Ragab Morsi. "Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view". The Egyptian Journal of Plastic and Reconstructive Surgery, , , 2022, -. doi: 10.21608/ejprs.2022.110663.1135
Wahdan, W., El Saloussy, Y., El Malahy, H., Morsi, A. (2022). 'Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view', The Egyptian Journal of Plastic and Reconstructive Surgery, (), pp. -. doi: 10.21608/ejprs.2022.110663.1135
Wahdan, W., El Saloussy, Y., El Malahy, H., Morsi, A. Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; (): -. doi: 10.21608/ejprs.2022.110663.1135
Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view
Articles in Press, Accepted Manuscript, Available Online from 16 January 2022
1Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt
2The Royal College of Surgeons of Edinburgh
Abstract
Background
Postoperative wound healing plays a noteworthy part in facilitating a patient's recovery, rehabilitation and overall surgical experience. The aim of this study was to compare between 2 methods for prevention of T-junction dehiscence post reduction mammoplasty while using the inferior pedicle inverted T technique. The sample population was divided randomly into 2 equal groups, arranged by alternate sequential manner starting with group V. Both groups were operated upon using the inverted T inferior pedicle reduction mammoplasty technique. In the first group an inverted V flap was used between the vertical and horizontal lines of the inverted T, whilst the second group was operated upon using a non-invasive zip line suture device applied after standard closure of the inverted T technique. Materials and methods
Prospective review of 30 patients (60 breasts) with a confirmed diagnosis of breast hypertrophy who underwent inverted T inferior pedicle bilateral reduction mammoplasty. The patients operated upon between the periods of January 2019 to January 2020. The first group was comprised of fifteen patients in which an inverted V Flap in the infra-mammary fold (IMF) region was used. This group was named Group V. In the second group a non-invasive zip line suture device was used in the IMF region over the standard inverted T closure. This group was designated Group Z. Unpaired t-test was performed for both reduction populations using SPSS software package. Statistical significance was defined as P < 0.05.
Results
Wound dehiscence was divided into major dehiscence and minor dehiscence. Two cases performed with the inverted V flap technique showed major wound dehiscence, three cases showed minimal wound dehiscence and 10 cases had no wound dehiscence at all. In the zip line suture device group; no cases showed major wound dehiscence and only 2 cases showed minor wound dehiscence. Thirteen cases in group z showed no wound dehiscence at all. There was no statistical significance between wound dehiscence in both groups. Conclusion
The compared methods herein have both demonstrated effectiveness in minimizing T junction dehiscence with inferior pedicle inverted T technique reduction mammoplasties.