FIELD: medicine; surgery and oncology.
SUBSTANCE: skin incision, a wide subcutaneous dissection of the parenchyma surrounding the malignant tumor tissue are performed. A segment of the mammary gland with underlying fascia is excised, lymphadenectomy of the axillary lymph nodes is performed. Then the wound is sutured in layers. Moreover, the skin incision, having the shape, as shown in figure 1, starts in the upper outer quadrant, stepping back 3 cm from the border of the malignant tumor towards the nipple, and continues towards the axillary region 5 cm long, then turning the scalpel at an angle of 45° downwards, a 3 cm long skin incision is made along the lateral edge of the pectoralis major muscle, then, turning the scalpel at an angle of 45°, perform a skin incision 3 cm long towards the anterior edge of the latissimus dorsi muscle.
EFFECT: method allows to more effectively bypass the anatomical structures of the axillary region, preventing their damage and the development of postoperative complications; helps to prevent the formation of a skin-subcutaneous pocket in the axillary region when reducing the wound edges without tension, which reduces trauma; provide anatomically favorable conditions for performing organ-preserving surgery for breast cancer in compliance with all oncological safety criteria, as well as provide favorable conditions for the course of the wound process.
1 cl, 1 dwg, 2 ex
