METHOD OF RECONSTRUCTIVE PLASTIC SURGERY OF BREAST CANCER PATIENTS USING XENOPERICARDIUM BIOLAB-PP/PA AND SILICONE ENDOPROSTHESIS Russian patent published in 2021 - IPC A61B17/00 

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