Prevention of T Junction Dehiscence in Reduction Mammoplasty - A prospective two method comparative view | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 16 January 2022 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2022.110663.1135 | ||||
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| Authors | ||||
Wessam Wahdan1; Yasmeen El Saloussy  2; Haytham El Malahy1; Ahmed Ragab Morsi1
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| 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. | ||||
| Keywords | ||||
| Reduction mammoplasty; inverted T; Wound dehiscence; inverted V flap; Zip line suture device | ||||
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