METHOD OF INFRAMAMMARY ACCESS IN SKIN-PRESERVING MASTECTOMY WITH SIMULTANEOUS SILICONE IMPLANT RECONSTRUCTION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to oncology and reconstructive-plastic surgery, and can be used after the radical ablation of a malignant tumour of the mammary gland in the course of skin-preserving mastectomy with simultaneous reconstruction of the gland with a silicone implant. For this purpose after the dissection of skin and the surface layer of the cellular tissue in the inframammary fold the superficial (Scarpa's) fascia is identified, separation of the cellular tissue above it to the place of the fascia splitting into anterior and posterior leaves is performed, after that the anterior leaf is dissected, the mammary gland tissue is exposed, the posterior leaf is dissected horizontally 2 cm higher than the place of splitting, skin-preserving radical mastectomy with the ablation of the regional lymphatic collector as a single block is performed, anatomical silicone implant is inserted into the obtained cavity, oriented in the wound by the lower mark, with the following sewing of the cellular tissue by a two-row interrupted suture, with the skin being sewn by an intradermal suture.;EFFECT: method makes it possible to maximally isolate the implant from the surface and reliably prevent its displacement downwards after the radical ablation of a malignant tumour of the mammary gland in the course of skin-preserving mastectomy.;6 dwg