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the study compares two surgical techniques in excision of the central duct system of the breast. known also as major duct excision
first technique used is the original Hadfield techniques. the other technique is Almasad technique published in 1999. in this technique, de-epithelialization of a supraareolar area of nearly 2cm is done and elevation of the nipple areola complex is done to support the retroareolar area.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hadfield technique group | Active Comparator | central/mammary duct excision is done by the ordinary method described by Hadfield |
|
| Al Masad technique group | Active Comparator | same procedure with de-epithelization of the upper pararaeolar area |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| major duct excision | Procedure | 2 methods of major/central mammary duct excision are compared as regard the outcome |
|
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction and sensation of nipple areolar complex complications | cosmetic outcome assessed via score between non-satisfied -extremely satisfied sensation is assessed via acotton bad comaring both side or nearby skin | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| complications | eg nipple areolae complex (NAC) sensation, necrosis...etc | 6 months |
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Inclusion Criteria:
females with nipple discharge / recurrent peri-ductal mastitis
-
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mahmoud A. Alhussini, MD | Faculty of Medicine , Univeristy of Alexandria | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Main Univeristy Hospital | Alexandria | Egypt |
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| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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the assessment of the results as regard the complication and long term follow up is done by a person who is blind as regard the study group of the patient examined
| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |