SHORT TERM OUTCOME AND SATISFACTION RATE FOR THIN LEAN VERSUS OBESE PATIENTS FOLLOWING SUBCUTANEOUS MASTECTOMY FOR GYNECOMASTIA PERFORMED BY GENERAL SURGEONS

Abstract

Introduction: Benign enlargement of breast in male is labelled as Gynecomastia. This condition is source of cosmetic embarrassment in males and this is why most males are eager to get rid of it as early as possible. All focus is made on cosmesis. Extremes of age are mostly affected by this pathology. Its prevalence varies from 30% to 35% globally. It is mainly idiopathic however, drugs, hormonal disorders, liver cirrhosis, pulmonary & renal diseases are other causative agents. Liposuction and surgical excision are two main modalities to deal with it. The aim of our study was to determine the short-term Outcome and Satisfaction Rate for thin lean versus obese Patients following subcutaneous mastectomy for Gynecomastia performed by General Surgeons.

Material & Methods: This retrospective study was conducted at Government THQ Hospital Sabzazar, Lahore and Rasheed Hospital, Lahore form June 01, 2018, to April 30, 2021 and included 80 male patients with Gynecomastia those divided in two groups (Group A: thin lean, Group B; obese patients). Subcutaneous mastectomy for Gynecomastia was performed. Outcome and Satisfaction rate were recorded and compared between groups.

Results: Mean age, BMI and Serum testosterone level were 24.07±1.94 vs. 31.81±3.06 years (p=0.131), 18.63±2.54 vs. 28.91±0.62 Kg/m2 (p=0.540) and 564.57±100.32 vs. 381.08±63.74 ng/dL (p=1.983) in group A and B, respectively. History of intake of steroid was reported in 15.0% thin lean patients. Mean Operative time and hospital stay were 50.97±9.01 vs. 63.98±26.87 min. (p=1.405) and 2.31±1.04 vs. 2.98±1.63 days (p=0.092) in group A and B, respectively. Mean Durations of wound drainage were 7.68±1.47 and 8.43±0.96 days (p=0.531) in group A and B, respectively. Postoperative bleeding, seroma formation and SSI were reported in 1 (2.5%), 2 (5.0%) and 1 (2.5%) obese patients, respectively. Satisfaction rate was high in thin lean patients as compared to obese patients (100.0% vs. 52.5%; p=0.0001).

Conclusion: Subcutaneous mastectomy yields appreciable short-term outcome and significantly higher satisfaction rate in thin lean patients as compared to in obese patients.