Étude rétrospective des complications et imperfections : à propos de 100 cas de mammoplastie de réduction à pédicule supérieur

Abstract

A retrospective study was made to assess complications of superior pedicle breast reduction, in the Besançon hospital plastic surgery ward. One hundred patients operated between 2003 and 2007 were reexamined. In every case, the intervention was performed by the same operator (Pr Tropet) using the same technique. The average postoperation time range was 2 years (from 8 months to 5 years). The interview's minutes were formalized via a revisions sheet, including medical files, photos, and pre- and postoperative measures. Complications (hematoma, infection, necrosis, suture disunion, thromboembolic disease) were reported in 16 % of the cases. These lead to three emergency reoperations for drainage, and six delayed reoperations. Result imperfections were related to areola and nipple, and to scars. Two patients requested a scar revision. The results match reported data. Technical modifications are suggested to reduce complications or imperfections.