Ministerstvo nauki i vysshego obrazovaniya Rossijskoj Federatsii Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie zdravookhraneniya Tsentralnaya klinicheskaya bolnitsa Rossijskoj akademii nauk (TSK
发明人:
Kuzmina Irina Vladimirovna (RU),Кузьмина Ирина Владимировна (RU),Alekhin Aleksandr Ivanovich (RU),Алехин Александр Иванович (RU),Kazantsev Anton Anatolevich (RU),Казанцев Антон Анатольевич (RU)
申请号：
RU2019104843
公开号：
RU0002702142C1
申请日:
2019.02.20
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to reconstructive-plastic surgery. Method includes forming a cutting and a line of submammary fold, de-epidermisation of skin around nipple-areolar complex, excising excess volume of tissues by resection based on size of gland, shape and volume of excess tissues. Pocket extending from the submammary fold upwards to the third rib is formed. Mesh graft is placed under elevated breast tissue into pocket of mesh implant fixed to fascia of thoracic muscle at the level of the third intercostal space. Lower portion of intrinsic tissue of the gland is closed in the area of resection with separate sutures, tissues around the nip are anchored by a purse-blocking suture and the skin is intracutaneously sutured. Pocket is made in a retromammary space with the size of a "spot" of a mammary gland. Mesh implant is cut out of the same size, wherein material of mesh implant is "titanium silk", and fixing the implant to the fascia of the pectoral muscle is carried out along the anterior-axillary line laterally and medially along the parasternal line, the parenchyma of the mammary gland is placed above the line. Lower part of the implant is turned forward, freely laid on the lower slope of the breast without fixation.EFFECT: method enables achieving a stable therapeutic effect, reducing recurrence rate and improving patient satisfaction with quality of medical care.1 cl, 2 dwg, 1 exИзобретение относится к медицине, а именно к реконструктивно-пластической хирургии. Осуществляют формирование раскроя и линии субмаммарной складки, деэпидермизацию кожи вокруг сосково-ареолярного комплекса, иссечение избыточного объема тканей путем резекции исходя из величины железы, формы и объема лишних тканей. Формируют карман, распространяющийся от субмаммарной складки вверх до третьего ребра. Выполняют размещение под приподнятую ткань молочной железы в карман сетчатого имплантата, который фиксируют к фасции грудной мышцы на уровне третьег
