METHOD OF MYOPLASTY AFTER RADICAL ORGAN-PRESERVING OPERATIONS ON MAMMARY GLAND

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine and is intended for prevention of lymphorea after radical organ-preserving operations on mammary gland. After tumour resection, sector or quadrant of mammary gland with tumour and subclavicular-axillary-subscapular lymphadenectomy, on axillary neurovascular fascicle collagen plate is applied by rhombus-like method. For this purpose plate is laid in such a way that axis of rhombus symmetry is directed along axillary neurovascular fascicle, mainly, along axillary vein, proximal end is located under smaller pectoral muscle, angles opposite to rhombus symmetry axis cover neurovascular fascicle and adjacent cellular tissue. After that, performed is one-stage myoplasty of latissimus dorsi muscle to anterior serratus muscle by uninterrupted double-row suture with overlap. Wound is sutured layer-by-layer with fixation of mammary gland tissue and subcutaneous adipose cellular tissue to greater pectoral muscle and broadest muscle of back. In postoperative period wound is treated without drainage.;EFFECT: method makes it possible to reduce formation of lymph in operation wound, ensure obstacle-free sliding of greater and smaller pectoral muscles during contraction, reduce total stay in hospital.;6 dwg, 1 ex