{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:58:46Z","timestamp":1785506326834,"version":"3.56.0"},"reference-count":3,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Standard endoscopic gynecomastia surgery, while offering better cosmetic outcomes than open procedures, is often hindered by suboptimal visualization of the glandular-adipose interface, instrument clashing due to multiple concealed ports, and the risk of nipple-areolar complex (NAC) ischemia. This paper describes a technical modification using a single-incision platform and advanced imaging to overcome these limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The authors utilize the GelPOINT Mini platform for single-site access through a concealed 3-cm incision behind the anterior axillary fold. To enhance visualization, the VISERA ELITE III Yellow Enhancement (YE) imaging system is employed. This technology brightens fat-rich yellow tissues, allowing for a clearer distinction between the glandular tissue and overlying fat. This technique is specifically indicated for Simon Grade IIa-IIb patients with firm glandular tissue and minimal skin excess.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The single-incision approach eliminates instrument clashing and poor triangulation associated with multi-port techniques. The use of YE imaging facilitates a more precise dissection in the plane beneath the NAC, reducing the risk of vascular compromise, residual pathology, and contour irregularities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The integration of a single-port platform with Yellow Enhancement imaging offers a refined approach to endoscopic gynecomastia surgery. By improving visualization and ergonomics, this modification enhances surgical precision and aesthetic outcomes while minimizing visible scarring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_560_25","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:01:10Z","timestamp":1785502870000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["GelPOINT single-incision access with yellow enhancement imaging for endoscopic gynecomastia surgery"],"prefix":"10.4103","author":[{"given":"Subhash","family":"Khanna","sequence":"first","affiliation":[{"name":"Department of Minimal Access, Gastrointestinal and Robotic Surgery, Swagat Super Speciality Surgical Institute and NH, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areendam","family":"Barua","sequence":"additional","affiliation":[{"name":"Department of Minimal Access and Robotic Surgical Oncology, Swagat Super Speciality Surgical Institute and NH, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swagata","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Otorhynolaryngology and Head and Neck Surgery, Swagat Super Speciality Surgical Institute and NH, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"R1-20260731","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1097\/01.prs.0000299907.04502.2f","article-title":"Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia","volume":"121","author":"Lista","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"R2-20260731","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0007-1226(03)00111-5","article-title":"A systematic approach to the surgical treatment of gynaecomastia","volume":"56","author":"Fruhstorfer","year":"2003","journal-title":"Br J Plast Surg"},{"key":"R3-20260731","doi-asserted-by":"crossref","first-page":"61e","DOI":"10.1097\/PRS.0b013e3181aa2dc7","article-title":"Surgical correction of gynecomastia","volume":"124","author":"Hammond","year":"2009","journal-title":"Plast Reconstr Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_560_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:01:11Z","timestamp":1785502871000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_560_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":3,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_560_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2025-12-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}