[Retrospective study of 184 superior pedicle breast reductions without drainage]

BACKGROUND

The safety of non-drainage has already been proven on inferior pedicle breast reduction techniques while other authors said that the superior pedicle breast reduction techniques increase the risk of postoperative drainage. We want to prove that non-drainage of superior pedicle breast reduction techniques is as safe as the non-drainage of inferior pedicle breast reduction techniques.

METHODS

We made a retrospective study of 184 superior pedicle breast reductions in the last 5 years at the hospital of Lille. The complications were compared with the review of inferior pedicle breast reduction on the previous studies.

RESULTS

We observed: 1.35% of hematomas, 0.54% of fat necrosis, 0.27% of infections, 4.1% of wounds dehisences, 0.81% of nipple loss and no seroma. No significant statistical difference between the complication rate of these two breast reductions techniques was found.

CONCLUSION

Non-drainage in superior pedicle breast reduction techniques is as safe as the non-drainage in inferior pedicle breast reduction techniques and can be considered as reliable.

[Study of the benefits after body contouring surgery at the university hospital in Lille]

BACKGROUND

Cutting the excess of skin body contouring surgery in post-massive weight loss patients seems to only improve functional and aesthetic disorders. But other benefits can be determinated such as psychosocial effects. The first two are usually evaluated. The last two are rarely researched. The goal of this study is to evaluate the benefits of body contouring surgery by comparing patient satisfaction on these different aspects.

METHODS

One hundred thirty-four patients with more that 30 kg's weight loss had body contouring surgery at the university hospital in Lille between June 2004 and June 2008. Seventy-eight patients agreed to respond to a study on quality-of-life improvements after body contouring surgery which evaluated aesthetic, functional, and psychosocial aspects. The data were compared before and after the surgery to assess the benefits of the surgery in these areas.

RESULTS

All the aforementioned aspects were clearly improved with the body contouring surgery. However, the improvement in the physical aspects seems to be somehow disappointing, not living up to the patients expectations. Exactly 52.5 % of the patients wanted morphologic alteration, while the scars were well tolerated in 78.2 % of the cases. On the other hand, psychosocial discomfort was improved in ways not expected by the patients. Two new findings were remarkable: a decrease of 56.7 % in the sense of feeling depressed and an improvement in finding a job after body contouring surgery.

CONCLUSION

The psychosocial improvements represent the true benefits of body contouring surgery.

Test prédictif de Manktelow appliqué à l'utilisation de la toxine botulique

We are reporting the use of a xylocain test before the injection of botulinal toxin within the "facial paralysis and botulinal toxin" multidisciplinary consultation of the Caen regional hospital. Our assessment is about 16 patients tested. This test is based on a digital film and a questionnaire. It is often proposed when toxin is first used. It influences the patient's choice. It permits a better understanding of the toxin action by the patient, it reassures. It is reliable for the practitioner even though we do not have a mathematical correlation between the xylocain volume and the botulinal toxin volume. Simple and far, it is a help for the patient and the practitioner before a delicate injection of botulinal toxin.