FIELD: medicine; oncology; reconstructive plastic surgery.
SUBSTANCE: subcutaneous removal of mammary gland tissue, cutting off the lower edge of the pectoralis major muscle and the serratus anterior muscle and creating a sub-sectorial pocket are performed. At the same time, after the creation of a sub-sectorial pocket, strengthening of the submammary fold is performed with separate non-absorbable nodal stitches with the capture of the fascia of the anterior chest wall. The xenopericardial plate BioLAB-PP/PA, in accordance with the area of the lower pole of the silicone endoprosthesis, is projected onto the lower zone of mammary gland reconstruction. The edge of the xenopericardial plate is sutured with separate nodal stitches with an atraumatic vicril 3/0 thread to the fascia of the anterior chest wall, corresponding to the submammary fold. The width of the pocket for the choice of endoprosthesis is measured and, after hemostasis, silicon endoprosthesis is placed in the formed sub-sectorial pocket. The edge of xenopericardial is sutured to the lower and side edges of the pectoralis major muscle. The upper edge of the xenopericardial plate is pulled to mobilized lower edge of the pectoralis major muscle, and a silicone endoprosthesis is closed by it. Next, the edges of the pectoralis major muscle, the xenopericardial plate, and the serratus anterior muscle are connected by a continuous seam with a vicril 3/0 thread, creating a sealed muscle-xenopericardial pocket.
EFFECT: method allows achieving several results: reducing the traumatic nature of surgical intervention during simultaneous reconstruction by eliminating the need for autologous transplants; reducing the operation time; reducing pain syndrome; optimizing the economic component of treatment of mammary gland cancer patients due to import substitution.
1 cl, 9 dwg, 1 ex
Title | Year | Author | Number |
---|---|---|---|
USE OF ALLO-IMPLANT BASED ON FASCIA LATA OF HUMAN FEMUR FOR SIMULTANEOUS RECONSTRUCTIONS USING SILICONE ENDOPROSTHESIS IN PATIENTS WITH BREAST CANCER | 2023 |
|
RU2809428C1 |
METHOD OF SINGLE-STAGE BREAST RECONSTRUCTION IN CANCER USING ACELLULAR DERMAL MATRIX AND SILICONE IMPLANT | 2015 |
|
RU2584133C2 |
METHOD OF ONE-STAGE BREAST RECONSTRUCTION IN CANCER USING AN ALLOIMPLANT BASED ON A DURA MATER AND A SILICONE ENDOPROSTHESIS | 2019 |
|
RU2705265C2 |
METHOD FOR PREPECTORAL RECONSTRUCTION WITH IMPLANT WITH TEXTURED COATING FOR SMALL AND MEDIUM-SIZED MAMMARY GLANDS, “PINCH TEST” MORE THAN 1 CM, II-III DEGREE PTOSIS | 2020 |
|
RU2756184C2 |
METHOD FOR A ONE-STAGE MAMMARY GLAND RECONSTRUCTION AFTER SUBCUTANEOUS RADICAL MASTECTOMY USING A POLYURETHANE IMPLANT PLACED PREPECTORALLY | 2019 |
|
RU2722350C2 |
METHOD FOR BREAST RECONSTRUCTION AFTER SUBCUTANEOUS MASTECTOMY | 2021 |
|
RU2779493C1 |
MAMMARY GLAND PLASTIC SURGERY METHOD | 2020 |
|
RU2749478C1 |
METHOD OF RECONSTRUCTING THE NIPPLE WHEN THE TUMOR IS LOCATED IN THE CENTRAL ZONE OF THE GLAND WITH THE USE OF AN ALLOIMPLANT BASED ON THE DURA MATER | 2020 |
|
RU2741205C2 |
METHOD FOR STRENGTHENING A LOWER SLOPE OF THE FORMED MAMMARY GLAND IN RECONSTRUCTIVE AND PLASTIC SURGERY IN BREAST CANCER PATIENTS | 2019 |
|
RU2722351C2 |
METHOD OF PERFORMING COVERING ENDOPROSTHESIS USING PECTORALIS MINOR MUSCLE IN BREAST RECONSTRUCTION | 2022 |
|
RU2800132C1 |
Authors
Dates
2021-02-16—Published
2020-06-01—Filed