title: Utility of video-assisted endoscopy in transaxillary breast augmentation.
abstract: BACKGROUND
  Breast augmentation through incisions in the axillae is an option for patients who wish to avoid scars on the breasts. The axillary approach also preserves the mammary parenchyma and lactiferous ducts. The utility of video-assisted endoscopy during this procedure as a means to improve safety and aesthetic outcomes remains debatable.
  
  
  OBJECTIVE
  The authors compared outcomes of transaxillary breast augmentation with and without video-assisted endoscopy.
  
  
  METHODS
  Thirty-four women who underwent transaxillary breast augmentation with or without video-assisted endoscopy were evaluated in a prospective, randomized study. Patients received high-profile silicone implants in the subglandular plane and were monitored for an average of 25 months. Operating time, complication rates, postoperative pain, patient satisfaction, and aesthetic parameters were evaluated.
  
  
  RESULTS
  Operative time were significantly longer for patients who underwent transaxillary breast augmentation with video-assisted endoscopy compared with patients who underwent nonendoscopic surgery.
  
  
  CONCLUSIONS
  Video-assisted endoscopy increased operating time but did not improve the safety of transaxillary breast augmentation or yield better aesthetic outcomes.
  
  
  METHODS
  3 Therapeutic.
authors: From Rio de Janeiro State University in Brazil.
authors: Ana Claudia Weck
authors: AC
authors: Roxo
authors: From Rio de Janeiro State University in Brazil.
authors: Ruy Garcia
authors: RG
authors: Marques
authors: From Rio de Janeiro State University in Brazil.
authors: Claudio Cardoso
authors: CC
authors: De Castro
authors: From Rio de Janeiro State University in Brazil.
authors: Jose Horácio
authors: JH
authors: Aboudib
mesh_terms: D000328:Adult; D001365:Axilla; D019928:Breast Implantation / Q000379:methods*; D018427:Breast Implants; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D020034:Silicone Gels; D020535:Video-Assisted Surgery; D055815:Young Adult
chemical_list: D020034:Silicone Gels