Clinical Application Of Endoscopy For Treating Sagging Breast By Subaxillary Approach

Background: Breast sagging is a common clinical defect of the breast shape,often due to aging,or caused by breast-feeding,breast sagging make chest be flat after surgery,lost the beauty of female.Clinically,there are different surgical approaches for different degrees of sagging of the breast.However,there are no surgical procedures that are satisfactory to both the patient and the doctor.After the application of the endoscope in plastic surgery,the endoscope is used to treat sagging breasts.There is a greater possibility of application.Objective: In this study,a clinical study of endoscopic subaxillary approach incision surgery was performed to focus on the observation of clinical indicators,postoperative complications,and recent changes in the comparison of endoscopic approach and conventional double-loop breast sagging surgery in correcting sagging breasts,Long-term efficacy and patient satisfaction,evaluation of the advantages of endoscopic subaxillary incision and its feasibility,safety and the impact on the life quality of patients.Methods: From January 2015 to January 2017,statistics were obtained from clinical data and follow-up results of 60 cases of sagging patients with plastic surgery at Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine.Randomized digital tables were used to randomize 60 patients with breast sagging using a random number table.30 patients underwent endoscopic subaxillary incision breast sagging and 30 patients underwent conventional dual-ring breast sagging surgery.Comparisons of methods were conducted and comparative studies were conducted after approval by the Hospital Medical Ethics Committee.Patients are all healthy women.All patients were required to correct the sagging of the breast for natural reasons.For the sagging breasts,the blood loss(calculated according to the blood volume of 15 ml per gauze),the operation time,the postoperative drainage volume,the postoperative bedtime and Hospital stay.Follow-up was performed to observe the postoperative complications of both groups,and a comprehensive evaluation was performed using the combination of surgeon evaluation and patient survey satisfaction.Results: The operative time of the experimental group was not significantly different from that of the control group(104.23 ±12.61 min vs.111.07 ±14.09 min),and the difference was not significant(P=0.523).The intraoperative bleeding volume was 21.02 ±3.29 ml vs.40.09 ±4.63 ml,the postoperative drainage volume was 33.28 ±4.93 ml vs.55.06 ±2.57 ml,the time to get out of bed was 9.27 ±1.04 h vs.18.06 ±2.53 h,and the hospitalization time was 3.52 ±0.98 days.5.23 ±1.93 d)were significantly lower than those in the control group.The control group was significantly higher than the experimental group,and the difference was very significant(P < 0.05).In the control group,there were 11 patients with lactation dysfunction,postoperative hematoma,infection,nipple area sensory disorder,skin necrosis,breast asymmetry which accounted for 36.7% of all the patients,and 30 patients in the experimental group were complicated with lactation dysfunction,postoperative hematoma,infection,nipple area sensory disorder,skin necrosis were found in 4 patients,accounting for 13.3% of all the patients.There was a significant difference between the two groups(P < 0.05).The excellent rate of the surgeons in the experimental group and the control group was 96.7% and 77.3% respectively.P<0.05,means statistically significant.The movement of breast was 90.0% and 66.7%,P<0.05,which was statistically significant.Scars were 96.7% and 70.0%,P<0.05,statistically significant.Postoperative wound healing was 93.3% and 83.3%,P<0.05,with statistical significance.Postoperative breast uplift was 100%,80.0%,P<0.05,with statistical significance.It can be seen that many excellent and good rates such as breast appearance,breast movement,scar,and post-operative breast uplifting rate were better in the experimental group than in the control group.The satisfaction rate of the experimental group was 90.0% and that of the control group was 66.67%.The total satisfaction of the two groups was 100% in the experimental group and 93.33% in the control group(P < 0.05).Conclusion: Endoscopic subaxillary incision breast sagging surgery is safe and feasible;in the correction of breast sagging can be achieved at the same time,increase the size of the upper breast;make the breast surface without scars,to achieve the purpose of correcting the sagging breasts.Compared with the traditional double-loop breast suspension surgery,it has the advantages of small scars,less trauma,beautiful appearance,and quick postoperative recovery.Reduces and avoids many complications of traditional double-loop breast sagging.The complications of endoscopic subaxillary incision breast sagging surgery were lower than those of traditional double-loop way,and the rate of excellent evaluation of the surgeons was higher than that of the traditional group.Therefore,the use of endoscopic subaxillary incision to correct the sagging of the breast has a better surgical effect,a higher degree of satisfaction,is a reasonable surgical method,and worthy of clinical application.