Background:The actual cause of Gestational gigantomastia (Gg) remains a dilemma. Its
treatment has ideally been surgical, employing most commonly the different pedicle
techniques in the last decade. Aim: This paper reviews the literature on
the management of Gg using the inferior pedicle technique (IPT) and supports it
with a successful case presentation using the IPT. Method: Using the PubMed
search engine and Google scholar, literature search was done for Gg treated with
the inferior pedicle reduction method. Published literature from other sources was also included. Data obtained
was cleaned and analysed. The inferior pedicle breast reduction technique was employed
without any modification in the normal procedure for the case presented. Results: Thirty-one literature addressing Gg and IPT were identified. Most surgeons use this
technique with very good outcomes. Our patient confirmed reduced breast mould, firm
and adolescent looking breast with no back, shoulder, neck and rib pains. She also
experienced with time increased nipple areolar sensation, ability to undertake all
tasks with ease and a new sense of confidence. Conclusion: The inferior pedicle
breast reduction technique can be the standard treatment for gestational gigantomastia
with the length from suprasternal notch to the nipple ≤ 50 cm that present without
any anatomical complications.
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