METHOD FOR SILICONE IMPLANT FIXATION AND STABILIZATION AFTER SKIN-PRESERVING MASTECTOMY

摘要

FIELD: medicine.;SUBSTANCE: perforated sheet of acellular matrix is used and active drainage is installed. A silicone implant of the appropriate size and shape is installed in the prepared bed under the mobilized large pectoral muscle. A sheet of acellular matrix is pre-perforated by linear perforations in a staggered order, so that the sheet becomes a grid with a possibility of stretching in only one direction, sewed to the lower edge of the large pectoral muscle, aponeurosis of the rectus abdominis muscle in the projection of the submammary sulcus, and laterally - to the serratus anterior. The cellular tissue is sutured with separate sutures and skin is sutured with an intradermal suture.;EFFECT: prevention of the silicone implant displacement, excluding the formation of pressure sores over the implant, palpable seals and unevenness under the breast skin, reduced likelihood of resistant seroma formation.;1 ex, 10 dwg