Mastectomy with Y-Shaped Incision a Technique Designed for Women with Obesity

Abstract

Background: Traditional transverse incision for mastectomy in women with large breasts or obesity can result in a persistent fold of skin  at the lateral end of the scar, causing a dog ear deformity, which is unsightly, interferes with wearing external breast prosthesis, can be  an annoying problem for patients, and can be a source of a long-term complaint requiring surgical correction. Evaluate the access to  axilla and prevention of lateral dog-ear deformity after mastectomy with a Y-shaped incision and wound closure specially designed for  women with obesity in Zagazig university hospitals.

Method: This Clinical study was held in the surgery department at Zagazig University  Hospital from March 2020 to Oct 2021. Included sixty females (BMI of equal to and more than 35) with breast cancer. Undergoes Y- shaped incision modified mastectomy.

Results: There were two cases of hematoma and one case for each of surgical site infection, axillary triangle marginal necrosis, and apex necrosis.

Conclusions: According to our research, the operator and all patients were  cosmetically satisfied at the end of the surgical fear, with a better outcome, less complications, and a shorter hospital stay. In obese  women, a Y-shaped incision can solve cosmetic surgery challenges by providing excellent axilla accessibility, a pleasing scar, and less  complications.