•  
  •  
 

Corresponding Author

Ahmed Abd-Elrahman El-Shaboury

Document Type

Meta Analysis

Abstract

Background: Macromastia or breast hypertrophy is a common problem in the general female population, leading to debilitating symptoms and poor quality of life. Breast reduction surgery relieves disabling symptoms with great satisfaction, even though postoperative complications regularly occur.

Objective: The present study aimed to examine the inferior pedicle technique's reliability, safety, and effectiveness in breast reduction for female patients with macromastia in Egyptian patients.

Methods: We performed a systematic literature search on MEDLINE, Scopus, and Google Scholar for prospective and retrospective studies evaluating the inferior pedicle technique for breast reduction in Egypt.

Results: A total of 431 patients from 14 articles were included in our systematic review and meta-analysis. The group who received inferior pedicle reduction mammoplasty had a higher likelihood of improvement than other techniques (RR=1.2) even though this relative superiority was not statistically significant (P=0.5). The overall prevalence of postoperative complications was 10% (95% CI: 7%, 15%). The lowest reported problem was nipple necrosis 4% (95% CI: 1%, 12%), while the most described complication was hypertrophic scars 33% (95% CI: 17%, 62%). However, the rate of patient satisfaction was considerably impressive 94% (95% CI: 90%, 98%).

Conclusion: Current evidence affirms the safety, reliability, and comparative efficacy of the inferior pedicle reduction mammoplasty for macromastia patients. The study highlighted the need for more robust postoperative follow-ups. It recommended a future investigation on revision mammoplasty rates and the long-term functional outcomes in younger and older populations.

Keywords

Breast Reduction, Inferior pedicle, Mammoplasty, Meta-analysis, Egypt.

Download

Share

COinS