FIELD: medicine, oncology.
SUBSTANCE: in case of radical mastectomy because of cancer followed by mammary reconstruction. For this purpose, it is necessary to separate and dissect glandular tissue of median, superior, inferior and central mammary departments out of the first para-areolar incision. Removal of mammary tissue, subclavicular, axillary and subscapular fiber and separation of the broadest muscle of the back should be carried out of the second arch-shaped incision in axillary area coming along anterior axillary line in longitudinal direction, then - in cross-sectional direction, achieving the median axillary line. While reconstructing mammary gland one should suture up the broadest muscle of the back to the great thoracic muscle by applying two incisions. In peculiar case, while reconstructing mammary gland it is necessary to subcutaneously isolate the broadest muscle of the back up to paravertebral line to dissect it against the site of fixation and subcutaneously replace into the channel of removed mammary tissue. In peculiar case, mammary reconstruction should be fulfilled with the help of additional application of endoprosthesis. The innovation enables to carry out radical removal of mammary glandular tissue, adequate circulation of "skin sheath" and mamillary-areolar complex.
EFFECT: improved cosmetic effect achieved.
2 cl, 1 dwg, 2 ex
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Authors
Dates
2006-01-10—Published
2004-06-15—Filed