METHOD FOR SUTURING AFTER BREAST ENDOPROSTHESIS REPLACEMENT Russian patent published in 2018 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to plastic surgery. Access is made in the sub-mammary fold region to the sub-pectoral space. Implant is installed and sutures are applied to the postoperative wound first at the deep leaf of the superficial fascia, sutured to own fascia of the breast, then to the subcutaneous fat and the subdermal layer. Sub-pectoral space is sealed by applying two divergent continuous semipurse-string sutures that are superimposed on top and bottom of the dissected sub-mammary fold. Sutures start from the middle of the postoperative incision, retreating 0.5 cm to the side, the needle and thread are inserted through the deep layer of the superficial fascia from the inside outwards. Further, the suture continues with exit to the surface sheet superficial fascia, two stitches are made on the surface sheet of the superficial fascia with a stitch length of 7–9 mm and distance between the stitches of 2–3 mm. Thread is drawn in the form of a loop along both the upper edge and the lower edge of the incision. Needle with the thread pierces in the direction from the outside to the inside where the suture begins. Step of forming a similar continuous semipurse-string suture on the opposite side of the incision is successively repeated, starting the piercing of needle with the thread from the middle of the postoperative incision, after which the semipurse-string sutures are tightened successively on both sides from the middle of the surgical incision with moderate tension to the corrugating state of the suture. Ends of the threads are tied, followed by formation of the cutaneous part of the suture until the surgical wound is completely closed.

EFFECT: method improves efficiency of surgical treatment due to the reduction of operation time, reduces the length of the postoperative scar and improves its aesthetic properties.

1 cl, 5 dwg