CHIRURGIA ENDOSCOPICA DEI TESSUTI MOLLI: TRATTAMENTO FIBROADENOMI MAMMARI CON ACCESSO TRANS-ASCELLARE

We believe that the current widespread use of endoscopic surgical techniques can find new applications in Plastic Surgery. After the good results obtained with endoscopic breast reconstruction, we now propose this technique in the treatment of breast fibradenomas. This study comprehends ten patients aged 24 to 42 years, who underwent surgical treatment for fibradenomas of the breast upper quadrants, measuring 1 to 3 cm in diameter. We used the axillary approach, the advantages of which include good vision field, good bleeding control, reduced invasivity and therefore reduced post-operative pain and complications and absence of unsightly scarring in the breasts. The fibradenomas can be easily detected without damaging vessels by passing a Visiport in the first stage of the operation. A suitable trocar is then passed through that same access. This leaves the patient with just a 1.5 cm long and not very visible scar. We can thus obtain the same curative effects of traditional surgery with less invasivity, less post-operative complications, better cosmetic outcome and less psychological problems on the patient's part. In our opinion, despite the high cost of the equipment, the comparitive difficulty of the technique and the necessity of adequate training of the surgeon, endoscopic surgery should be used whenever the appropriate equipment is available. Its effectiveness is comparable to that of traditional surgery but it is less invasive and patients are happier because the treated breast has no scars.