Abstract
Background
Benign breast lumps affect 10% of women in their lifetimes. Despite a favorable natural history enabling surveillance as an option, surgical excision continues to be popular. Avoiding a scar on the breast is an inherent feminine desire. Because the breast is a part with a high charge in the culture, women seek to keep it away from the surgical knife. Numerous minimally invasive approaches have evolved as a result of this psychology. These leave much to be desired. Circumareolar incision at best camouflages the scar, which still is sited on the breast. This scar is subject to the same sequelae as any other breast scar. The axilla, an anatomically contiguous space, provides easy access for endoscopic breast surgery. The authors used this access to excise benign breast lumps endoscopically. This spared the breast from a scar.
Methods
Between January 2002 and March 2005, 14 women with benign breast lumps underwent surgery. Transaxillary endoscopic excision of 18 such lumps was performed.
Results
A total of 14 women with 18 benign breast lumps underwent surgery. The mean operative time per patient was 66.78 min (range, 40–110 min). No axillary injury, bleeding, technical difficulty, surgical emphysema, conversion, hematoma, or rehospitalization occurred. All the women expressed their satisfaction and happiness with the operation.
Conclusion
Endoscopic excision of benign breast lumps is a safe and patient-friendly procedure.
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References
Agarwal BB (2007) Are energy sources required in laparoscopic cholecystectomy? Or they should be standby. Surg Endosc, Manuscript ID SEND-06-0858 (ahead of publication)
Agarwal BB, Gupta MK, Agarwal S, Mahajan KC (2007) Anatomical footprint for safe laparoscopic cholecystectomy without using any energy source: a modified technique. Surg Endosc, Manuscript ID Send-06-0784.R1 (ahead of publication)
Biodermis breast areola scar reduction silicone 3” circles. Accessed February 12, 2007 at http://www.makemeheal.com/mmh/product.do?id=15701
Elmore JG, Gigerenzer G (2005) Benign breast disease: the risks of communicating risk. N Engl J Med 353:297–299
Fayman MS, Potgieter E, Becker PJ (2003) Outcome study: periareolar mammaplasty patients’ perspective. Plast Reconstr Surg 111:676–684
Fine RE, Staren ED (2006) Percutaneous radiofrequency: assisted excision of fibroadenomas. Am J Surg 192:545–547
Hatfield AS, Gryskiewicz JM (2002) “Zigzag” wavy-line periareolar incision. Plast Reconstr Surg 110:1778–1783
Iwuagwu OC (2004) Ultrasound-guided minimally invasive surgery for fibroadenomas. Arch Surg 139:564
Jacobs TW, Byrine C, Colditz G, Conolly JL, Schnitt SJ (1999) Radial scars in benign breast-biopsy specimens and the risk of breast cancer. N Engl J Med 340:430–436
Kaufman CS, Littrup PJ, Freeman-Gibb LA, Smith JS, Francescatti D, Simmons R, Stocks LH, Bailey L, Harness JK, Bachman BA, Henry CA (2005) Office-based cryoablation of breast fibroadenomas with long-term follow-up. Breast J 11:344–350
Kitamura K, Hashizume M, Kataoka A, Ohno S, Kuwano H, Maehara Y, Sugimachi K (1998) Transaxillary approach for the endoscopic extirpation of benign breast tumors. Surg Laparos and Endosc 8:277–279
Osanai T, Nihei Z, Ichikawa W, Sugihara K (2002) Endoscopic resection of benign breast tumors. Surg Laparos and Endosc Perctan Tech 12:100–103
Rojananin S, Ratanawichitrasin A (2002) Limited incision with plastic bag removal of a large fibroadenoma. Br J Surg 89:787–788
Swanstrom LL (2006) Current technology development for natural orifice transluminal endoscopic surgery. Cir Esp 80:283–288
Acknowledgment
We are grateful to Ms. Pooja Pant, Krishna Adit, and Nayan Agarwal, for their help in manuscript preparation.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00464-009-0717-7
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Agarwal, B., Agarwal, S., Gupta, M. et al. Transaxillary endoscopic excision of benign breast lumps: a new technique. Surg Endosc 22, 407–410 (2008). https://doi.org/10.1007/s00464-007-9435-1
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DOI: https://doi.org/10.1007/s00464-007-9435-1