Original ArticleUltrasound Guided Minimally Invasive Breast Surgery (UMIBS) A Superior Technique for GynecomastiaIwuagwu, Obi C. MBBS, FRCS; Calvey, T. A. John MB, ChB, FRCS (Gen Surg); Ilsley, David MB, BS, FRCS; Drew, Philip J. BSc, MD (Hons), MS, FRCS (Ed Eng & Glas), FRCS (Gen)Author Information From the Academic Surgical Unit, University of Hull, Castle Hill Hospital, Castle Road, Cottingham, Hull, U.K. Received April 24, 2003, and in revised form July 15, 2003. Accepted for publication July 15, 2003. Reprints: Phillip J. Drew, BSc, MD(Hons), MS, FRCS(Ed Eng & Glas), FRCS(Gen), Academic Surgical Unit, Castle Hill Hospital, Castle Road, Cottingham, Hull, HU16 5JQ, U.K. E-mail:[email protected] Annals of Plastic Surgery: February 2004 - Volume 52 - Issue 2 - p 131-133 doi: 10.1097/01.sap.0000095441.40759.1f Buy Metrics AbstractIn Brief The last 30 years has seen a shift in surgical treatment of breast diseases to less invasive, more conservative treatment options. The mammotome equipment was originally introduced as a diagnostic tool, but advances in technology have extended its role to therapeutic procedures. The mammotome device (8-gauge) is inserted through a cosmetically placed 4-mm scar and breast tissue is resected sequentially using a suction facility without the need to remove the biopsy device. This is done under ultrasound guidance. Operative morbidity and postoperative score for cosmesis and patient satisfaction were recorded prospectively. Patients were reviewed in the clinic after 6 to 8 weeks. Five patients (4 unilateral, 1 bilateral) with idiopathic gynecomastia were treated. Mean age was 41.8 years (range, 16–88 years) with a median procedural time of 32 minutes. No postoperative morbidity was noted and mean cosmetic score was 9/10. The mammotome is an emerging minimal invasive tool that is safe and ensures excellent cosmesis and very high patient satisfaction rates. Five patients with idiopathic gynecomastia underwent ultrasound-guided resection with an 8-mm diagnostic mammotome device and liposuction. There were no complications, and the aesthetic result was satisfactory. © 2004 Lippincott Williams & Wilkins, Inc.