Tag Archives: Surgery

Surgical Treatment of Gynecomastia Combination of Liposuction and Gland Excision (Published)

Background: Gynecomastia (GM) is a benign condition with glandular tissue enlargement of the male breast. GM is classified into 4 grades of increasing severity. We describe a series of GM grade I-II, diagnosed, treated surgically and analyzed regarding feasibility, complication rate, and satisfaction. Methods: From 2015to 2016, a chart review was performed for 53 patients. Preoperative examination included endocrine and urological examination and exclusion of other pathological conditions. The surgical technique consisted of liposuction through an inframammarian-fold incision or lateral incision  and excision of the glandular tissue by a minimal periareolar approach. Results: A total number of 73 male patients . By liposuction, a median of 300 ml (range: 10-1000 ml) was aspirated from each breast and 25.1 g (range: 3-233 g) gland tissue was resected. Surgery lasted between 25 and 164 min per patient (median: 72 min). 2 postoperative hemorrhages occurred (n = 2, 3.8%). 2 patients underwent re-operation due to cosmetic reasons (n = 2, 3.8%). Conclusions: This analysis demonstrates that treatment of GM grade I-II can easily be performed by liposuction combined with subcutaneous resection of the glandular tissue as a minimally invasive and low-impact surgical treatment with a low rate of complications and excellent patient satisfaction. Preoperative workup is important to rule out specific diseases or malignancy causing the GM

Keywords: Combine Treatment, Gland Excision, Gynecomastia, Liposuction, Surgery

Comparison of Short-Term Outcomes between Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy (Published)

Background; laparoscopic sleeve gastrectomy (LSG) involves resection of a significant portion of the stomach. Laparoscopic greater curvature plication (LGCP) is a relatively new alternative procedure similar to LSG, but without the need for gastric resection.Patients and methods; one hundred  patients  included in our study in AL Jadria hospital in Baghdad  and were assigned randomly to receive either LGCP (n = 50) [35 women and 15 men; mean age 32.1 years (19-49 years) and mean BMI 44.8 kg/m 2 (40-50 kg/m 2 )] or LSG (n = 50) [34 women and16 men; mean age 34.8 years (18-58 years) and mean BMI 46.8 kg/m 2 (41-55 kg/m 2 )] by a block randomization method. Patients were studied in terms of postoperative weight loss, and postoperative complications. Results; All procedures were completed laparoscopically. Follow-up was 24 months. The mean hospital stay was 36 h (range 24-96 h) for both groups. No intraoperative complications occurred. Postoperatively, one case of minor leak was detected after LSG and two cases of stenosis following LGCP. All patients experienced postoperative excess weight loss. Conclusion; LGCP is feasible, safe, and effective, but has an inferior weight-loss effect compared to LSG for morbidly obese patients with BMI above 40 kg/m 2 .

Keywords: Laparoscopicsleeve Gastrectomy, Stomach, Surgery, Weight Loss

Comparison of Short-Term Outcomes between Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy. (Published)

Background; laparoscopic sleeve gastrectomy (LSG) involves resection of a significant portion of the stomach. Laparoscopic greater curvature plication (LGCP) is a relatively new alternative procedure similar to LSG, but without the need for gastric resection.
Patients and methods; one hundred patients included in our study in AL Jadria hospital in Baghdad and were assigned randomly to receive either LGCP (n = 50) [35 women and 15 men; mean age 32.1 years (19-49 years) and mean BMI 44.8 kg/m 2 (40-50 kg/m 2 )] or LSG (n = 50) [34 women and16 men; mean age 34.8 years (18-58 years) and mean BMI 46.8 kg/m 2 (41-55 kg/m 2 )] by a block randomization method. Patients were studied in terms of postoperative weight loss, and postoperative complications. Results; All procedures were completed laparoscopically. Follow-up was 24 months. The mean hospital stay was 36 h (range 24-96 h) for both groups. No intraoperative complications occurred. Postoperatively, one case of minor leak was detected after LSG and two cases of stenosis following LGCP. All patients experienced postoperative excess weight loss. Conclusion; LGCP is feasible, safe, and effective, but has an inferior weight-loss effect compared to LSG for morbidly obese patients with BMI above 40 kg/m 2 .

Keywords: Laparoscopicsleeve Gastrectomy, Stomach, Surgery, Weight Loss

Comparison of Short-Term Outcomes between Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy (Published)

Background; laparoscopic sleeve gastrectomy (LSG) involves resection of a significant portion of the stomach. Laparoscopic greater curvature plication (LGCP) is a relatively new alternative procedure similar to LSG, but without the need for gastric resection. Patients and methods; one hundred patients included in our study in AL Jadria hospital in Baghdad and were assigned randomly to receive either LGCP (n = 50) [35 women and 15 men; mean age 32.1 years (19-49 years) and mean BMI 44.8 kg/m 2 (40-50 kg/m 2 )] or LSG (n = 50) [34 women and16 men; mean age 34.8 years (18-58 years) and mean BMI 46.8 kg/m 2 (41-55 kg/m 2 )] by a block randomization method. Patients were studied in terms of postoperative weight loss, and postoperative complications. Results; All procedures were completed laparoscopically. Follow-up was 24 months. The mean hospital stay was 36 h (range 24-96 h) for both groups. No intraoperative complications occurred. Postoperatively, one case of minor leak was detected after LSG and two cases of stenosis following LGCP. All patients experienced postoperative excess weight loss. Conclusion; LGCP is feasible, safe, and effective, but has an inferior weight-loss effect compared to LSG for morbidly obese patients with BMI above 40 kg/m 2 .

Keywords: Laparoscopicsleeve Gastrectomy, Stomach, Surgery, Weight Loss