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Gigantomastia Reduction Mammoplasty: The Pittsburgh Experience
Russell E Kling MD, Chika Agi BS, William D. Tober MD, Jeffrey A Gusenoff MD, J. Peter Rubin MD
University of Pittsburgh, Department of Plastic Surgery
2016-01-31
Presenter: Russell E Kling
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. All original work.
Director Name: Joseph Losee
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Introduction
Gigantomastia is a disabling condition for patients and presents unique challenges to the plastic surgeon. There are multiple surgical approaches to treat this complicated problem. However, to date, there are no reports comparing surgical technique and complication rates.
Methods
This is a retrospective review of 40 patients status post gigantomastia reduction mammoplasty. Inclusion criteria are resection mass greater than 1500gm in at least one breast. Surgical technique varied between patients and was determined by the attending surgeon. An analysis of variance was conducted to examine surgical technique and associated complications. In addition, a Pearson correlation was utilized to evaluate complication rates in relation to BMI.
Results
The average weight resected per breast was 1,886gm, with an average age of 42 years. Techniques included inferior pedicle (n=13), medial pedicle (n=4), superior-medial pedicle (n=5), free nipple grafting (n=11), and other (n=7). The most common post-operative complication was wound dehiscence at a rate of 25%; 90% of which were managed with local wound care. The soft tissue infection rate was 10%. The NAC partial necrosis rate was 7.5% and the full NAC necrosis was 2.5%. There was no correlation between specific technique and complication and no correlation between BMI and complication.
Conclusion
This is one of largest gigantomastia series to date. Our results demonstrate that technique and BMI are not significantly correlated with complication rates. The most frequent complications following gigantomastia reductions are related to wound healing problems that are self-limited and can be treated with local wound care.
