FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to surgery. Breast tissues are excised with subsequent replacement of the volume with native tissues on the feeding pedicle. Mammary gland is accessed from an arc-shaped incision passing along the inner border of the areola in sector for 1 to 7 hours. Breast tissue is removed in amount of 1 cm from the tumor boundary. Arcuate skin incision is made along the lateral edge of the mammary gland on the border with the axillary region, continuing into the epigastric region to the midline of the abdomen. Then in the upper part of the incision subcutaneous fat is dissected for 6 cm, axillary lymph node dissection is performed, an angiosomal thoraco-epigastric skin-subcutaneous flap directed to the blade area is formed. Produced flap is de-epidermised, a retromammary tunnel is created between a cavity of a mammary gland wound and a skin incision on the border with an axilla through which the de-epidermised thoraco-epigastric flap is moved into the mammary wound cavity. Lower edge of the epigastric portion of the skin incision is mobilized to the umbilicus.
EFFECT: method enables minimizing the risk of cosmetic formation (incisions are made in natural folds and the boundary line of the areola transition into the skin of the anterior surface of the breast, the breast is formed one time and subject to cicatrical deformation) and functional (congestion in the lymphatic system is minimized due to features of angiosomal thoraco-epigastric skin-subcutaneous flap formation) postoperative complications.
1 cl, 2 ex, 1 tbl, 9 dwg
