OUTCOME OF PERIAREOLAR INCISION FOR THE EXCISION OF MULTIPLE AND RECURRENT FIBROADENOMAS AT LIAQUAT UNIVERSITY HOSPITAL
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Keywords
Multiple, recurrent, Fibro-Adenoma, Peri-Areolar Incision, complications
Abstract
Background: Fibroadenomas are benign tumors commonly found in the breast tissue of young women. While most fibroadenomas do not require immediate surgical intervention, some cases may necessitate excision due to rapid growth, multiple occurrences, or recurrence. In such instances, surgeons may opt for a peri areolar incision as an effective approach for removing multiple and recurrent fibroadenomas.
Objective: To assess the surgical consequences after employing the peri-areolar incision technique for removing multiple and recurrent fibro-adenomas.
Methodology: This cross-sectional study was conducted on a specific group of 80 female individuals, aged 15 to 35 years, diagnosed with multiple and/or recurrent fibroadenomas, and scheduled for surgical intervention who visited the surgical department at Liaquat University Hospital, Hyderabad, during a period of four years from 2017 to 2020. The periareolar incision was made along the outer border of the areola. An arc-shaped or semi-circular incision was carefully placed to ensure optimal access to the breast tissue containing the fibroadenomas. Dissection was carried out to remove the tumors while preserving the surrounding healthy breast tissue. Following successful tumor removal, meticulous wound closure was performed using absorbable sutures. Adequate pain management was provided and postoperatively, patients were closely monitored for complications, including wound healing issues, infection, and hematoma formation. The data obtained was analyzed using SPSS version 20.0.
Results: The study included patients with a mean age of 26.45 ± 5.22 years. The average size of excised lesions was 5.7±2.1 cm, with most cases being unilateral (72.5%). In 16.3% of patients, the incision needed to be extended, On the first follow-up, 9.2% of patients presented with a hematoma and surgical site infection in 11.2% of patients. Numbness or loss of nipple sensation was reported by 6.3% patients and areolar necrosis was noted in 5.75% of patients.
Conclusion: The peri-areolar incision is a valuable surgical technique for the excision of multiple and recurrent fibroadenomas. With its lower rate of complications, this approach offers a minimally invasive solution for patients requiring breast surgery.
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Shahida Khatoon
Professor of surgery LUMHS/Jamshoro
Iqra Khanzada
Senior registrar of surgery, Indus Medical College Tando Mohamad Khan
Shahnawaz Khatti
Assistant Professor of surgery, LUMHS/ Jamshoro
Sheeren Taj
Senior Registrar, Indus Medical College Tando Muhammad Khan
Musarat Nazeer
Consultant surgeon, LUMHS/ Jamshoro
Zareen Tarique
Consultant surgeon, LUMHS/ Jamshoro