Transaxillary endoscopic excision of benign breast lumps: a new technique.
BACKGROUND
Benign breast lumps affect 10% of women in their lifetimes. Despite a favorable natural history enabling surveillance as an option, surgical excision continues to be popular. Avoiding a scar on the breast is an inherent feminine desire. Because the breast is a part with a high charge in the culture, women seek to keep it away from the surgical knife. Numerous minimally invasive approaches have evolved as a result of this psychology. These leave much to be desired. Circumareolar incision at best camouflages the scar, which still is sited on the breast. This scar is subject to the same sequelae as any other breast scar. The axilla, an anatomically contiguous space, provides easy access for endoscopic breast surgery. The authors used this access to excise benign breast lumps endoscopically. This spared the breast from a scar.


METHODS
Between January 2002 and March 2005, 14 women with benign breast lumps underwent surgery. Transaxillary endoscopic excision of 18 such lumps was performed.


RESULTS
A total of 14 women with 18 benign breast lumps underwent surgery. The mean operative time per patient was 66.78 min (range, 40-110 min). No axillary injury, bleeding, technical difficulty, surgical emphysema, conversion, hematoma, or rehospitalization occurred. All the women expressed their satisfaction and happiness with the operation.


CONCLUSIONS
Endoscopic excision of benign breast lumps is a safe and patient-friendly procedure.
Agarwal
B B
BB
Department of General Surgery, Sir Ganga Ram Hospital, New Delhi, 110060, India. endosurgeon@gmail.com
Agarwal
B
B
Agarwal
S
S
Gupta
M
M
Mahajan
K
K
D000328:Adult; D001365:Axilla; D001941:Breast Diseases / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans