Evidence map›Paper›PMID 37957390›Full record

ArticleAesthetic plastic surgery2024

Single Axillary Incision Reverse Sequence Endoscopic Nipple-Sparing Mastectomy in the Management of Gynecomastia: Short-Term Cosmetic Outcomes, Surgical Safety, and Learning Curve of the Preliminary 156 Consecutive Procedures from a Prospective Cohort Study.

Huanzuo Yang, Faqing Liang, Yu Feng, Mengxue Qiu, Kawun Chung, Qing Zhang, Zhenggui Du

Abstract read
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Huanzuo YangBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Faqing LiangBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Yu FengBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Mengxue QiuBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Kawun ChungBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Qing ZhangBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China.
Zhenggui DuBreast Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu, 610041, China. docduzg@163.com.ORCID 0000-0002-7412-0270

Funding

Department of Science and Technology of Sichuan Province 2021YFS0104Health Commission of Sichuan Province 21PJ042Natural Science Foundation of Sichuan Province 22NSFSC2361West China Hospital, Sichuan University 2022HXFH004
6 · The paper itself

Abstract

backgroundCurrently, a standard, optimal surgical procedure is still lacking for gynecomastia. Despite the development of a variety of surgical interventions, these techniques were often limited to patients with Simon I and II. The present study aimed to introduce a novel technique for all types and grades of gynecomastia, and reported the preliminary results.

methodsPatients who received single axillary incision reverse sequence endoscopic nipple-sparing mastectomy (R-E-NSM) from March 2021 to March 2023 were enrolled at a single institution. The data from 3-month follow-up cut-off were collected prospectively and analyzed to determine the short-term esthetic and safety results of this technique, as well as the learning curve.

resultsA total of 159 single axillary incision reverse sequence endoscopic nipple-sparing mastectomy procedures were performed in 81 gynecomastia patients. Among these 81 patients, 7 patients (8.6%) were classified as Simon grade I, 29 patients (35.8%) as grade IIa, 24 patients (29.6%) as grade IIb, and 21 patients (25.9%) as grade III. In the patient-reported cosmetic results, the overall satisfaction score was 8.4 ± 1.4. A total of 74.1% of patients were highly satisfied, and 25.9% were satisfied. The overall complication rate was 10.1%, and only 1 patient had a major complication. According to the cumulative sum plot analysis, approximately 12 cases were needed for surgeon B and 11 cases for surgeon C to decrease their operation time significantly.

conclusionsR-E-NSM is safe and effective for all Simon grade gynecomastia patients, with excellent cosmetic results and a short learning curve. However, a long-term follow-up assessment is still needed. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AxillaEndoscopyEstheticsGynecomastiaLearning CurveMastectomy, SubcutaneousNipplesAdolescentAdultCohort StudiesFollow-Up StudiesHumansMaleMammaplastyMiddle AgedOrgan Sparing TreatmentsCosmetic outcomeGynecomastiaLearning curveR-E-NSMSurgical safety

Identifiers

PMID37957390

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.