FIELD: medicine.
SUBSTANCE: application: medicine, surgery, oncology. Substance: three sections bordering a breast segment to be extracted are made; two of them extends from a single point from an internal-inferior quadrant and go around an upper edge of an areola, diverge in the radial direction to an outer contour of the breast, and the third one connects outer ends of the first two sections at the base of the triangle. After the breast segment has been removed, the section extends upwards towards an axillary cavity and downwards along a retromammary space. The breast flaps formed thereby are separated: an inferior one - along the full length of the skin section; a superior one - up to an infraclavicular region from a greater pectoral muscle to be brought inwards; that is followed by a subclavian-axillary-subcapular lymphadenectomy. The mobilised flaps are displaced onto a defect area, and the breast is connected by layered sutures to be shaped; the areola is fixed in a new position by bringing it upwards and inwards in relation to its previous position.
EFFECT: improving cosmetic effect of the radical resection, reducing a defect of tissues and external quadrants of the breast with no radicality loss, creating a mastopexy effect when removing the tissues above the areola.
4 dwg, 2 ex
Authors
Dates
2014-03-20—Published
2012-07-13—Filed