METHOD FOR SINGLE-STAGE BREAST RECONSTRUCTION BY ORGAN-PRESERVING SURGICAL TREATMENT OF CANCER I AND II STAGES OF INTERNAL QUADRANTS Russian patent published in 2016 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to oncology and surgery. Method includes preforming preoperative marking, resection of mammary gland and subclavian-axillary-subcapular lymphadenectomy. In accordance with marking, method includes circular incision, half-moon-shaped skin incision, upper boundary of which is 18-19 cm from level along midclavicular line 1-2 cm to reference point of a new location of nipple. Further, from medial and lateral edges of formed semicircle, making vertical cuts down to middle of lower slope, from where at angle of 60° to submammary fold, and section of submammary fold. Further, method includes de-epidermisation of marked zone and subcutaneously accessing inner quadrant of breast area of localisation of tumour. Sector with tumour is removed together with greater pectoral muscle fascia. From a separate incision in axillary region is regional lymphadenectomy. In zone of de-epidermisation, forming a lower glandular leg with depth to greater pectoral muscle fascia, leg is separated from fascia to periareolar zone and is turned out to area of remote sector internal quadrants of mammary gland, where fixed with separate interrupted sutures non-traumatic suture to nearest sections of glandular tissue. Areola is moved to level of upper section, where it is fixed. Cutaneo-subcutaneous flaps of lower quadrants are sutured in layers, with one-step mastopexy, then wound is sutured in layers leaving vacuum drainage.

EFFECT: method provides one-step operation to remove cancer stages I-II and performing reconstructive operation with single-step mastopexy, which significantly improves cosmetic result of operation.

1 cl, 1 ex, 4 dwg