METHOD simultaneously breast reconstruction in limb-SURGICAL TREATMENT OF CANCER The outer quadrant

摘要

The method of one-stage breast reconstruction with organ-surgical treatment of cancer in the outer quadrants comprising preoperative markup resection mammary and axillary, subclavian-subscapular lymphadenectomy, characterized in that respectively markup midline marking breast meridian markings vertical breast axis submammary folds, the new position of the nipple, the median line by shifting the gland upwards and laterally, and the connection point of the new nipple position to the middle of submammary fold, marking the lateral line due to the displacement gland upwards and medially, and the connection point of the new nipple position to the middle of submammary sweet determining the upper edge the new location of the areola and accordingly calculations - the level of 5 cm above the upper edge of the new location of the areola delaying 6 cm down the lateral and medial lines and by point 6 cm midline after breast offset laterally carried horizontal line towards the midline to submammary folds and, accordingly, marking a new circle of the areola and glandular legs perform skin incisions along the lines of the markings on the breast and submammary crease, then perform deepidermizatsiyu of the site, access the outer quadrant of the breast - the tumor area, the sector with the tumor is removed along with the fascia large pectoral muscle, and from a single incision in the armpit performed a regional lymphadenectomy, to the pectoralis major muscle in the tumor bed set metal braces for marking