METHOD OF RECONSTRUCTION OF THE BREAST AFTER SUBCUTANEOUS MASTECTOMY Russian patent published in 2018 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to reconstructive-plastic surgery of the breast. In standing position, lines are placed on the excised skin in the following order: a straight line separating the lower and upper MF quadrants, the contour along the radius of the areola in the upper quadrants, from the point of connection of the straight line and the contour of the areola in the inner quadrants, is laid aside to the sternum 6–7 cm and put a point. From it at an angle of 30° in the direction of the upper-inner quadrant, put the next point and connect it to the original point. Further from the pivoted point at an angle of 30° to the center of the upper slope, draw a straight horizontal line of 2 cm and put the next point from the middle of the radius of the areola (nipple point) put a point and lay it upwards 4–5 cm, put a point and arc-shaped parallel to the contour line of the areola connect it with a point of 2 cm. All points and lines are transferred in the mirror image to the opposite side of the mammary gland in the upper-outer quadrant. Then according to the planned layout, a skin incision is made. Skin with subcutaneous fat is cut off with an electron knife all the way through the dome of the breast, separating the gland parenchyma and removing it, and the endoprosthesis wrapped in the form of a “cap” with a mesh implant is placed in the resulting “skin cover”. Mesh is tightened at the upper pole of the endoprosthesis until it is in close contact with the endoprosthesis and the mesh implant is hemmed with nodular sutures at three points – the middle of the medial contour of the endoprosthesis, the lateral and the upper – to the large pectoral muscle. Surgery is completed by draining the “pocket” of the endoprosthesis and layer-by-layer suturing of the wound.

EFFECT: method allows to improve aesthetic result of the reconstructive-plastic surgery, to achieve a stable form of the reconstructed breast, reduce the duration of anesthesia, blood loss, traumatism due to the lack of need for the use of donor tissues in the formation of the walls of the endoprosthesis bed, to prevent possible complications in different terms of the postoperative period – seroma, rotation of the endoprosthesis in different directions, skin ulcers, prolapse.

1 cl, 1 ex, 6 dwg