Fibroadenoma excision with Vaccum Assisted Breast System( VAE)

A fibroadenoma excision with Vacuum-Assisted Excision Biopsy (VAE) is a minimally invasive technique used to remove a fibroadenoma without surgery. It is done using the same technology as a vacuum-assisted biopsy (VABB) but with a larger sampling volume, allowing the entire lump to be removed.

What Is Vacuum-Assisted Excision (VAE)?

VAE is a scarless, outpatient procedure where a fibroadenoma is removed using a vacuum device through a tiny 3–6 mm skin incision under local anesthesia.
It’s an alternative to traditional surgery (lumpectomy) for benign, biopsy-
proven fibroadenomas.

When VAE Is Recommended?

VAE is used when:

• The fibroadenoma is bothersome, painful, or growing.
• Size is usually up to 3–4 cm.
• It has been confirmed benign on a prior core needle biopsy.
• The patient prefers no surgical scar.

How the Procedure Is Performed ?

1. Imaging guidance

Usually done under ultrasound guidance so the fibroadenoma is visible during removal.

2. Local anesthesia

The area is numbed completely—no general anaesthesia is required.

3. Small skin incision

A tiny opening (3–6 mm) is made; stitches are not required at all.

4. Insertion of the VAE probe

The vacuum-assisted device is inserted into the fibroadenoma.

5. Suction + cutting to remove the entire lesion

The vacuum pulls tissue into the probe while a rotating cutter removes the fibroadenoma in small pieces. The radiologist continues until the entire lump is gone on ultrasound.

6. Confirmation

After removal, ultrasound is used to ensure no visible residual tissue.

7. Clip placement

A marker clip is placed at the excision site (optional but usually done).

8. Compression + dressing

Pressure is applied to prevent bleeding, then a small bandage is placed.

What are the benefits of VAE ?

• Minimally invasive
• No surgical scar (just a tiny puncture)
• Local anesthesia only
• Short procedure (20–40 minutes)
• Quick recovery
• Minimal distortion of the breast
• Removes entire fibroadenoma without sutures

How much is the recovery time after VABB excision?

Most people return to normal activities within 24–48 hours.

What are the complications or side effects of Vaccum Assisted excison?

• Bruising (1–2 weeks)
• Mild soreness
• Small lump of bruised tissue that settles with time

Wear a supportive bra and avoid heavy exercise for 2–5 days.

Possible Risks (Rare)

• Bruising or hematoma
• Minor bleeding
• Infection (rare)
• Incomplete removal (occasionally a small remnant)
• Temporary breast shape change due to swelling

Overall, VAE is considered very safe.

Effectiveness of Fibroadenoma excision with VABB:

• Success rates for complete removal: 90–98%
• Recurrence: very rare
• Excellent cosmetic results