METHOD FOR RADICAL MASTECTOMY FOR BREAST CANCER IN OBESE PATIENTS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery and oncology. A bordering incision is performed to excise and mobilize the mammary gland and soft tissues of the armpit. In this case, the lower incision for cutting out the lower flap is carried out linearly along the submammary groove, up to the middle axillary line. Further, the incision at right angles is continued along the middle axillary line to the apex of the armpit. Then an upper semi-oval incision is made from the edge of the sternum to the lower outer edge of the pectoralis major muscle, as in Fig. 2, and connected at an angle of 45 degrees to the lower incision at the apex of the armpit.;EFFECT: invention allows eliminating the conical defect "dog's ear", during the operation, the operating angle for axillary lymphadenectomy increases, reducing the "dead space" of the axillary fossa after axillary lymphadenectomy, achieving a good cosmetic result in the axillary region, the method allows for subsequent reconstruction of the mammary gland.;1 cl, 3 dwg, 1 tbl, 2 ex