METHOD FOR BREAST RECONSTRUCTION AFTER SUBCUTANEOUS MASTECTOMY Russian patent published in 2022 - IPC A61B17/00 A61F2/12 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely oncology. The marking lines of the excised skin are applied in a standing position, the skin is cut according to the intended marking. Subcutaneous radical mastectomy and the installation of a silicone implant with a pectoralis major muscle cover are performed. At the same time, only the lower, costal portion of the pectoralis major muscle is mobilized and cut off from the attachment site for 6 to 8 hours along the dial in the medial-lateral direction from the ribs and sternum, isolating the costal part of the pectoralis major muscle along the course of muscle fibers with preservation of trophism and innervation of the muscle, projected from the parasternal to the anterior axillary line. After that, a silicone implant is placed in the prepared bed. The selected rib portion of the pectoralis major muscle is moved to the postoperative wound and sutured to the subcutaneous fat of the upper and lower edges of the wound 2 cm deeper than the skin edge, additionally delineating the implant surface from the postoperative wound. Then the subcutaneous fat is sutured using nodular sutures and the skin is sutured with an intradermal suture. Next, a multi-block removal of the regional lymphatic collector from the additional incision is performed. Hemostasis is carried out. Active drains are installed from two points, the lymph dissection zone is sutured in layers.

EFFECT: method makes it possible to perform reliable prevention of silicone implant extrusion, reduce the duration of surgery, injury, volume of intraoperative blood loss, preserve the pre-pectoral location of the implant, improve the aesthetic result.

1 cl, 2 ex, 6 dwg