METHOD FOR STRENGTHENING A LOWER SLOPE OF THE FORMED MAMMARY GLAND IN RECONSTRUCTIVE AND PLASTIC SURGERY IN BREAST CANCER PATIENTS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery. After formation of the lower de-epithelised flap, a silicone implant is placed on a greater pectoral muscle, and a de-epithelised graft is placed on top of it in the area of the lower slope, after which lateral and medial cutaneous flaps are fixed to the central part of the de-epithelised flap and brought down in the region of the submammary fold, and in the area of the upper slope, the silicone endoprosthesis remains covered only with lateral and medial cutaneous flaps; after that, the de-epithelised derma of the flap is sutured together with the lateral and medial skin flap edges and a cosmetic suture is applied.;EFFECT: method enables to strengthen the lower slope of the formed mammary gland without injuring the greater pectoral muscle, reducing the rate of necrosis in the area of comparison of lateral and medial skin flaps, besides, reducing pain syndrome and risk of implant rotation, as well as reducing operation time.;1 cl, 1 ex, 11 dwg