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METHOD FOR ONE-STAGE BREAST RECONSTRUCTION IN SURGICAL TREATMENT OF BREAST CANCER

机译：乳腺癌手术治疗中的一级乳腺癌重建方法

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FIELD: medicine.;SUBSTANCE: invention relates to oncology, surgery. First, in the standing patient's position, preoperative marking is performed, during which the outline of the excised skin is applied, as well as marking lines - median line, line of submammary fold, lines corresponding to upper and lower edges of incisions, as in Fig. 1, a section of intact skin is selected outside projection of breast tumour, which will be a donor dermal flap. Scalpel or dermatome is used to remove the epidermis on the marked skin area, and the flap is separated from the subcutaneous fat. Produced dermal flap is wound with a sterile tissue moistened in 0.9 % NaCl solution. That is followed by a mastectomy with an axillary-subclavicular lymphadenectomy. Expander bed is formed by cutting a lower edge of a greater pectoral muscle from the lateral border to a middle one-third of the sternum, a lower and lateral walls of the expander bed are formed with a dermal flap of the "hammock" type, wherein the lower edge of the dermal flap is anchored to the submammary fold. Tissue expander is installed. Then upper edge of dermal flap is fixed to lower edge of dissected large pectoral muscle, and lateral edges of dermal flap are fixed to serratus muscles and lateral edge of greater pectoral muscle. Separate drainage of tissue expander bed and axillary area is performed. Wound is sutured in layers.;EFFECT: method provides an effective one-stage breast reconstruction in surgical treatment of breast cancer, eliminates a flap rejection reaction, thereby improving engraftment, provides a good elasticity of the flap, considerably reduces the cost of the materials required for the surgical intervention.;1 cl, 2 ex, 7 dwg
机译：技术领域本发明涉及肿瘤学，外科手术。首先，在站立患者的位置上，进行术前标记，在此之前应用切除的皮肤的轮廓，以及标记线-正中线，乳房下折线，与切口上下边缘相对应的线，例如图1，从乳房肿瘤的外部投影中选择了一块完整的皮肤，这将是一个供体的皮瓣。手术刀或皮肤刀用于去除明显皮肤区域的表皮，并将皮瓣与皮下脂肪分开。产生的皮瓣用在0.9％NaCl溶液中润湿的无菌组织缠绕。随后进行乳腺切除术和腋下-锁骨下淋巴结清扫术。扩张床是通过将较大的胸肌的下边缘从外侧边界切开到胸骨的中部三分之一而形成的，扩张床的下部和外侧壁上都形成了“吊床”型皮瓣，其中真皮皮瓣的下边缘锚定至乳腺下折叠。已安装组织扩展器。然后将皮瓣的上边缘固定在解剖的大胸肌的下边缘，将皮瓣的侧边缘固定在锯肌和大胸肌的侧边缘。组织扩张器床和腋窝区域分开引流。分层缝合伤口;效果：该方法在乳腺癌的外科手术治疗中提供了有效的一阶段乳房再造，消除了皮瓣排斥反应，从而改善了植入，提供了良好的皮瓣弹性，大大降低了材料成本外科手术所需; 1 cl，2 ex，7 dwg

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