MAMMARY GLAND PLASTIC SURGERY METHOD Russian patent published in 2021 - IPC A61B17/00 A61F2/12 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to reconstructive plastic surgery of the breast. In a standing position, marking lines are applied. The midline dividing the chest into two equal parts is marked from the jugular notch to the xiphoid appendix. The line denoting the medial border of the mammary gland is marked. For this, the gland is pressed against the chest and displaced medially. The line of the medial border is marked, which continues up and down. The median meridian down the midclavicular line is marked. A line indicating the lateral border of the mammary gland is marked. This line runs along the anterior axillary line. A line indicating the level of the "spot" is marked. For this, the mammary gland is captured and pulled up, a mark is made. A line indicating the position of the submammary fold is applied, focusing on the contralateral side. The surgical access line is then marked in the subareolar region, as in Fig. 2. Next, along the intended access line, a skin incision is made, the mammary gland and regional tissue with lymph nodes are removed in one block, a silicone endoprosthesis of the mammary gland coated with polyurethane foam is placed in the pre-tectoral position, a polypropylene mesh implant is placed on the anterior surface of the endoprosthesis, filling with excess mesh implant possible defects in filling the bed of the removed mammary gland, a mesh polypropylene implant is fixed with interrupted non-resorbable sutures to the pectoralis major muscle along the periphery of the prosthesis at 3, 4, 5, 6, 7, 8 and 9 o'clock on the dial, a vacuum drainage is installed through the counterperture and the skin wound is sutured continuous cosmetic intradermal suture.

EFFECT: method makes it possible to achieve an optimal and stable aesthetic result during breast reconstruction after therapeutic or prophylactic subcutaneous mastectomy, both in the case of the second stage after radical removal of the breast, and in simultaneous operations with simultaneous radical removal of the breast and immediate reconstruction, to stabilize the shape of the reconstructed breast, to reduce the invasiveness of the operation, the duration of general anesthesia, to reduce intraoperative blood loss, to prevent the formation of seromas, rotation of the breast endoprosthesis in different directions, skin pressure ulcers, prolapse of the breast endoprosthesis.

1 cl, 9 dwg, 1 ex