Study on the application of immediate laparoscopic pedicled greater omental breast reconstruction after total mastectomy for non-puerperal mastitis

ObjectiveTo investigate the clinical application value of immediate laparoscopic pedicled greater omental breast reconstruction after total mastectomy for non-puerperal mastitis.

MethodsA total of 52 patients with refractory non-puerperal mastitis were divided into the observation group(35 cases) and control group(17 cases).The observation group was treated with laparoscopic pedicled greater omental breast reconstruction immediately after total mastectomy, and the control group was treated with glandular suture after breast segmentectomy.The postoperative indexes, recurrence rate, complication rate and cosmetic effects were observed and recorded in two groups.

ResultsThe operation time in the observation group was significantly longer than that in control group, and the indwelling time of the postoperative drainage tube in the observation group was significantly shorter than that in control group (P < 0.01).After 6 months of postoperative follow-up, the postoperative inflammation recurred in 3 cases in the control group, and the recurrence rate of which was 17.65%.No case in the observation group recurred after operation.The differences of the ostoperative aesthetic effects and satisfaction were staistically significant between two groups(P < 0.01).

ConclusionsThe immediate laparoscopic pedicled greater omental breast reconstruction after total mastectomy is safe, reliable, has low recurrence rate and good cosmetic effects in the treatment of complex and refractory non-puerperal mastitis, which is worthy of promotion.