The ICAN Breast Reconstruction Project
List of Surgeons and Publications 2023-2024
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Temporary external skin plication: a helpful new technique in gynecomastia surgery
**Authors:** Cologlu H.; Eyuboglu A.A.
**DOI:** 10.26355/eurrev_202401_35076
**Abstract:** – OBJECTIVE: The aim of this study was to elucidate the external temporary skin plication (ETSP) technique in gynecomastia surgery and evaluate its role in mitigating complications and enhancing cosmetic outcomes. PATIENTS AND METHODS: This study was conducted on patients diagnosed with gynecomastia, explicitly falling under Rohrich Grades IIB and III, with dermal quality being a crucial determinant. Between September 2018 and November 2021, surgical interventions were performed on 96 qualifying patients by the senior author. The operative protocol consisted of ultrasonic and suction-assisted liposuction, supplemented by lateral periareolar piecemeal gland excision. Within the cohort, 42 patients were subjected to the novel ETSP technique. In contrast, the remaining 54 patients underwent standard treatment, serving as the control group for subsequent comparative assessment. RESULTS: One patient required revisions for contour irregularities, while partial nipple necrosis was observed in two patients but healed without surgical intervention. However, saucer-like deformity and total nipple necrosis were not observed in our series. The overall complication rate in our series was 19%, with 9.5% of cases requiring revision. In our control group, the overall complication rate in our series was found to be 22%, with 13% of cases requiring revision. CONCLUSIONS: ETSP provides a homogeneous spread of the excess skin and greatly reduces or eliminates the amount of skin fold formation. ETSP reduces the need for possible skin excision and reduces visible scars and incisions, and it helps improve the results of skin-protective surgeries that are widespread today. © 2024 Verduci Editore s.r.l. All rights reserved.
**Link:** https://www.scopus.com/inward/record.uri?eid=2-s2.0- 85184344895&doi=10.26355%2feurrev_202401_35076&partnerID=40&md5=9968075a9
543d224e814c736f31e8398
Quality of Life after Mastectomy with or without Breast Reconstruction and Breast-Conserving Surgery in Breast Cancer Survivors: A Cross- Sectional Study at a Tertiary Hospital in Ghana
**Authors:** Nsaful J.; Nartey E.T.; Dedey F.; Bediako-Bowan A.; Appiah-Danquah R.; Darko K.; Ankrah L.N.A.; Akli-Nartey C.; Annan J.Y.; Dei-Asamoa J.; Ahene-Amanquanor G.A.; Clegg- Lamptey J.-N.
**DOI:** 10.3390/curroncol31060224 **Abstract:** (1) Background: Breast cancer is the leading malignancy worldwide, and in Ghana, it has a poor overall survival rate. However, approximately 50% of cases are cases of early-stage disease, and with advances in breast cancer treatment and improvements in survival, quality of life (QOL) is becoming as important as the treatment of the disease. (2) Methodology: This was a cross-sectional study of survivors who had breast-conserving surgery (BCS), mastectomy only (M) and mastectomy with breast reconstruction (BRS) from 2016 to 2020 at a tertiary hospital in Ghana, comparatively assessing their QOL using EORTC QLQ C-30 and EORTC QLQ BR-23. (3) Results: The study participants had an overall global health status (GHS) median score of 83.3 [IQR: 66.7–91.7] with no signiϐicant differences between the surgery types. The BRS group had statistically signiϐicant lower median scores for the functional scale (82.8 and 51.0) and the highest scores for the symptomatic scale (15.7 and 16.5). Body image was signiϐicantly lowest for the BRS group (83.3) [68.8–91.7] and highest (100) [91.7–100] for the BCS group (p 0.001). (4) Conclusion: There is a need to develop support systems tailored at improving the QOL of breast cancer survivors taking into consideration the type of surgery performed. © 2024 by the authors. **Link:** https://www.scopus.com/inward/record.uri?eid=2-s2.0- 85197041697&doi=10.3390%2fcurroncol31060224&partnerID=40&md5=0a17c2f108aecf da2c39630c6e379988 ... To read more Download Publications
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