Application Of Ultrasound Guided Mammotome Minimally Invasive Biopsy System In GYN Surgery

Objective The operations and biopsy for gynecomastia 30were performed by ultrasound guided Mammotome minimallyinvasive biopsy system in China-Japan Union Hospital betweenFebruary 2002 and April 2006.We gain a satisfactory effect,andmeantime it contrasted to the conventional operation.The purposeof this article is to evaluate result for diagnosis and treatment ofgynecomastia by Mammotome minimally invasive biopsy system.Methods Ninety patients were diagnosed gynecomastia byclinical physical examination,and these patients were not secondarygynecomastia .In the 90 patients ,60 patients were operated byconventional exairesis and 30 patients were operated by ultrasoundguided Mammotome minimally invasive biopsy system. Ifdiameter of hyperplasty Mammary gland ﹥1.5cm,we use needlewhich tipe is 8G,on the contrary , If diameter of hyperplastyMammary gland ≦ 1.5cm,we use needle which tipe is 11G.Result All the 29 lesions were completely removed byultrasound guided Mammotome minimally invasive biopsysystem ,but 13 lesion were not completely removed because itsdiameter is too long and experiments not very skillful. A mean of35 times(13-47) of excision per lesion and The operative timewas14-40min (mean,23min) with 11G needle for diameter≦ 1.5cm.A mean of 102 times(13-167) of excision per lesion and Theoperative time was15-160min (mean,60min) with 8G needle fordiameter﹥1.5cm.But by conventional surgery, the operative timewas7-28min (mean,20min) with conventional scalpel fordiameter ≦ 1.5cm. By the mean method the operative timewas30-165min (mean,50min) for diameter﹥1.5cm.The length ofincision was only 3-4mm.Slight subcutaneous ecchymosis andlocal hematom a were noted in 1 patients and 1 lesion were notcompletely removed because its diameter is too long andexperiments not very skillful.These patients after operation,respectively Clinical and B-ultrasonic examinations revealed nomalfindings in the 10 patients on the follow-up every 3-6months. 60patients by conventional surgery emerge cicatricle,serverecicatricle 1, capillary hemorrhage 3,hypo haematocele andfluidify 5, infection 1 , the colour of mammary papilla poor3,region palindromia 2 .Conclusion Gynecomastia can be cured successfully byultrasound guided Mammotome minimally invasive biopsysystem.We can integritilly ectomise mammary gland by it ifd ≦1.5cm and mammotome have much forte,such as handingsimply,ectomise integrity, minimally invasive,less complications.Ultrasound guided Mammotome minimally invasive biopsy systemis obviously much better than traditional surgery.With regard tothese patients no surgical contraindication,asking for facial canenforce Mammotome minimally invasive biopsy system.