Carpelan A, Kauhanen S, Mattila K, Jahkola T, Tukiainen E
Department of Plastic and Reconstructive Surgery, Helsinki University Hospital Jorvi, Espoo, Finland Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland
Department of Plastic and Reconstructive Surgery, Helsinki University Hospital Jorvi, Espoo, Finland.
Scand J Surg. 2015 Jun;104(2):96-102. doi: 10.1177/1457496914526872. Epub 2014 May 7.
Reduction mammaplasty is an increasingly common plastic surgical procedure. In the United States, majority of breast reductions are performed as outpatient surgery. In European public health care, outpatient breast reductions have still been rare. Our aim was to retrospectively determine clinical outcome and the success rate of outpatient reduction mammaplasty.
A total of 110 consecutive patients underwent bilateral reduction mammaplasty with a minimum resection of 200 g per breast in an outpatient unit between 2006 and 2009. A comparison group consisted of 28 inpatients. Demographic data and pre-, intra-, and postoperative events as well as complications were recorded.
A total of 83 outpatients (75%) were successfully discharged on the day of operation. Reasons for unexpected overnight admission were lack of adult company for the first postoperative night (13 patients, 12%), surgeon's wish (4 patients, 4%), hematoma requiring evacuation (5 patients, 5%), nausea (3 patients, 3%), and pain (2 patients, 2%). Minor complications, especially delayed healing, were common (45 patients, 41%), but major complications were rare (18 patients, 16%). Complication rate was not increased in the outpatient group. Increased duration of operation correlated with increasing complications.
Reduction mammaplasty can be successfully and safely performed as an outpatient procedure in European public health care.
缩乳术是一种越来越常见的整形手术。在美国，大多数缩乳手术是作为门诊手术进行的。在欧洲公共卫生保健体系中，门诊缩乳手术仍然很少见。我们的目的是回顾性地确定门诊缩乳术的临床结果和成功率。
2006年至2009年期间，共有110例连续患者在门诊接受了双侧缩乳术，每侧乳房至少切除200克。一个对照组由28名住院患者组成。记录了人口统计学数据、术前、术中和术后事件以及并发症。
共有83名门诊患者（75%）在手术当天成功出院。意外过夜住院的原因包括术后第一晚缺乏成人陪伴（13例患者，12%）、外科医生的意愿（4例患者，4%）、需要引流的血肿（5例患者，5%）、恶心（3例患者，3%）和疼痛（2例患者，2%）。轻微并发症，尤其是延迟愈合很常见（45例患者，41%），但严重并发症很少见（18例患者，16%）。门诊组的并发症发生率没有增加。手术时间延长与并发症增加相关。
在欧洲公共卫生保健体系中，缩乳术可以作为门诊手术成功且安全地进行。
