Endoscopic balloon dissection for removal of lipomas via transaxillary route

Citation
A. Saray et al., Endoscopic balloon dissection for removal of lipomas via transaxillary route, AES PLAS SU, 25(6), 2001, pp. 463-467
Citations number
6
Categorie Soggetti
Surgery
Journal title
AESTHETIC PLASTIC SURGERY
ISSN journal
0364216X → ACNP
Volume
25
Issue
6
Year of publication
2001
Pages
463 - 467
Database
ISI
SICI code
0364-216X(200111/12)25:6<463:EBDFRO>2.0.ZU;2-2
Abstract
Minimally invasive techniques and newer endoscopic surgical techniques are being introduced to aesthetic and reconstructive procedures at an accelerat ing pace. A new and modified technique of endoscopic excision of large enca psulated lipomas is presented and the versatility of creation of an optical cavity and incorporation of balloon dissection is discussed in two cases. Large encapsulated lipomas were removed endoscopically via transaxillary in cisions and no immediate or late complication was observed. Endoscopic remo val of lipomas offers several advantages over conventional direct excision and liposuction such as avoiding blind manipulation and fragmentation of li poma mass, and unsightly scars. One drawback of this technique can be lengt hy operation times, which have been near two hours for the presented cases. We conclude that endoscopic removal of tumors from a relatively remote sit e is beneficial in treating such encapsulated tumors and we speculate that endoscopy will prevent unsightly scarring in important areas while decreasi ng the operating time as experience is gained.