REDUCTION MAMMOPLASTY AND OBESITY: IS THERE AN INTERCHANGEABLE INFLUENCE
https://doi.org/10.35266/2949-3447-2024-1-8
Abstract
According to the studies, there is a high probability of gigantomastia development in juvenile with obesity, and mammary gland reduction may help decrease weight in such patients due to the improvement of hormones level in the organism. The article presents the results of a comparative analysis of reduction mammoplasty in patients with and without obesity. The study aims to examine the influence of obesity on short- and long-term results of performing a standard surgery with an author’s modification of reduction mammoplasty from 2010 to 2023 in 32 female patients with gigantomastia. The patients from 19 to 62 y. o. (34.5 ± 1.8) were divided into two groups: 23 women with obesity and 9 without. Performing reduction mammoplasty contributed to weight loss in the long-term postoperative period, while the recovery process itself after surgery in patients with obesity was much more difficult than in those without it. Obesity is an aggravating factor when performing reduction mammoplasty. The presence of excess body weight not only increases the severity of pain and blood loss, but can have a negative impact on the aesthetic result of surgery.
About the Author
Makhmadullo S. SaidovTajikistan
Researcher
References
1. Алфёрова В. И., Мустафина С. В. Распространенность ожирения во взрослой популяции Российской Федерации (обзор литературы) // Ожирение и метаболизм. 2022. Т. 19, № 1. С. 96–105.
2. Божок А. А., Кораблева Н. П., Побережная А. В. и др. Оптимальная лечебная тактика при ювенильной гигантомастии // Детская медицина Северо-Запада. 2020. Т. 8, № 1. С. 62–63.
3. Ahammed B., Haque R., Rahman S. M. et al. Frequency of watching television, owning a mobile phone and risk of being overweight/obese among reproductive-aged women in low- and lower-middle-income countries: A pooled analysis from Demographic and Health Survey data // Journal of Biosocial Science. 2023. Vol. 55, no. 3. P. 509–522.
4. Negara C. K., Yunita A. P. H., Yuliyanti A. P. H. Relationship between characteristic, hypertension and obesity factors with the incidence of diabetes mellitus in Banjarmasin hospital // Journal of Health. 2023. Vol. 2, no. 1. P. 53–55.
5. Демидова Т. Ю., Волкова Е. В., Грицкевич Е. Ю. Ожирение и COVID-19: фатальная связь // Инфекционные болезни: новости, мнения, обучение. 2020. Т. 9, № S3. С. 25–32. DOI 10.33029/2305-3496-2020-9-3S-25-32.
6. Kasielska-Trojan A., Pietrusiński M., Bugaj-Tobiasz M. et al. Genetic factors of idiopathic gigantomastia: Clinical implications of aromatase and progesterone receptor polymorphisms // J Clin Med. 2022. Vol. 11, no. 3. P. 642.
7. Bilgen F., Ural A., Bekerecioğlu M. Inferior and central mound pedicle breast reduction in gigantomastia: A safe alternative? // Journal of Investigative Surgery. 2021. Vol. 34, no. 4. P. 401–407.
8. Ivić J., Dunjić M., Tamindžić I. et al. Juvenile gigantomastia: Subcutaneous mastectomy with primary reconstruction // Vojnosanitetski pregled. 2023. Vol. 80, no. 4. P. 368–376.
9. Rooi A., Botha A., Ndobe E. et al. Severe gestational gigantomastia: Management challenges // S Afr J Surg. 2021. Vol. 59, no. 4. P. 195a–195c.
10. Орлов А. А., Седышев С. Х., Абрамкина В. С. и др. Особенности кровоснабжения молочной железы в контексте редукционной маммопластики // Вопросы реконструктивной и пластической хирургии. 2021. Т. 24, № 3–4. С. 40–48. DOI 10.52581/1814-1471/78/03.
11. Саидов М. С. Применение шкалы Розенберга после операций на молочных железах в пластической хирургии // Евразийский научно-медицинский журнал «Сино». 2021. Т. 2, № 3. С. 15–18. DOI 10.54538/27075265_2021_2_3_15.
12. Kasielska-Trojan A., Zawadzki T., Antoszewski B. Breast fluctuating asymmetry in women with macromastia/gigantomastia // Int J Environ Res Public Health. 2022. Vol. 19, no. 24. P. 16895.
13. Rutherford C. L., Hsieh M. K., Tan H. M. et al. A rare case of persistent unilateral gestational gigantomastia // Plast Reconstr Surg Glob Open. 2019. Vol. 7, no. 8. P. e2372.
14. Одинаева М. С., Курбанов У. А., Файзуллоева М. Ф. и др. Редукционная маммопластика при гипертрофии молочных желез // Известия Академии наук Республики Таджикистан. Отделение биологических и медицинских наук. 2020. № 2. С. 97–105.
15. Talwar A. A., Copeland-Halperin L. R., Walsh L. R. et al. Outcomes of extended pedicle technique vs free nipple graft reduction mammoplasty for patients with gigantomastia // Aesthet Surg J. 2023. Vol. 43, no. 2. P. NP91–NP99.
Review
For citations:
Saidov M.S. REDUCTION MAMMOPLASTY AND OBESITY: IS THERE AN INTERCHANGEABLE INFLUENCE. Vestnik SurGU. Meditsina. 2024;17(1):58-61. (In Russ.) https://doi.org/10.35266/2949-3447-2024-1-8