CN108309372A - A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing - Google Patents
A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing Download PDFInfo
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- CN108309372A CN108309372A CN201810220656.2A CN201810220656A CN108309372A CN 108309372 A CN108309372 A CN 108309372A CN 201810220656 A CN201810220656 A CN 201810220656A CN 108309372 A CN108309372 A CN 108309372A
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- Prior art keywords
- nipple
- notch
- bandage
- innervation
- seamless
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00792—Plastic surgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Prostheses (AREA)
Abstract
A kind of method the invention discloses no blood bag, without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches, by centered on nipple, crossing around the nipple by operator, position that the position of scribing line is intersected in the root of nipple with mammary areola；Nipple notch is carried out along the direction of scribing line using scalpel, skin and subcutaneous tissue are cut to mammary gland surface along notch, radial incision mammary gland is done around lactiferous ducts and is removed to pectoralis major surface or along mammary gland surface；Form Using prosthesis lacuna；Then it fills in prosthese, sew up the incision；The present invention reduces wound face during surgery without using blood bag, bandage, without taking out stitches, and keeps the scar of notch more hidden.
Description
Technical field
The invention belongs to medical shaping field, more particularly to a kind of no blood bag, the seamless chest enlarge of innervation taken out stitches without bandage, nothing
The method of operation.
Background technology
Common notch has axillary incision, subareolar incision and inframammary fold incision in breast enlargement；Axillary incision position
After skin, subcutaneous tissue and appearing pectoralis major lateral border, anatomical position is shallow, and easy damaged important blood vessels, neural scar be not apparent,
It wears swimsuit or cannot be covered with brassiere, because armpit incision or the manufacture of mamaplasty blister cavities are bad, prosthese position is easy upward implantation prosthese
Fang Yiwei；The notch of newborn lower cut is more hidden, almost the same with dermatoglyph, incisional scar unobvious, but the position is stress
Maximum, drainage most bottom position, each layer tissue thinnest part can cause exposed, disruption of wound of prosthese etc. such as not Hematoma Complicated, infection；Breast
Dizzy notch, the notch is small, and skin of areola is covered up at brown, nodosity shape mammary areola sebaceous glands, scar unobvious, but may be damaged
Mammary areola sense of touch, and positioned at the front of mammary areola, beauty is influenced, the mode for mostly using mammary areola opening greatly at present carries out Augmentation Mammaplasty；
Three of the above modus operandi is required to carry out auxiliary operation using blood bag, bandage etc. in the course of surgery.
Invention content
Goal of the invention：In order to overcome the deficiencies in the prior art, the present invention provides a kind of no blood bag, without bandage, nothing
The method for the seamless Augmentation Mammaplasty of innervation taken out stitches, reduces wound face, keeps the scar of notch more hidden.
Technical solution：To achieve the above object, technical scheme is as follows：
A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing include the following steps：
S1：Pre-operative preparation；Carry out disinfection to medical instrument, to by operator apply general anaesthetic or half body anaesthetize；
S2：Centered on nipple, cross around the nipple by operator, the position of scribing line the root of nipple with
The position of mammary areola intersection；
S3：Nipple notch is carried out along the direction of scribing line using scalpel, skin and subcutaneous tissue are cut to mammary gland along notch
Surface is done radial incision mammary gland around lactiferous ducts and is removed to pectoralis major surface or along mammary gland surface；Form Using prosthesis
Lacuna；
S4：Fill in prosthese；It assists prosthese being tucked into Using prosthesis lacuna by instrument, and the two sides of prosthese is made to distinguish
Fitting is contacted with breast tissue and pectoralis major；
S5：It sews up the incision；
S6：Pressure dressing is carried out to breast using elastic band.
Further, the nipple notch is the semi-circular cut-out around teat base, and the both ends of semi-circular cut-out are divided
Do not extend outwardly radially, form the notch of " Ω " shape, the incision length of outwardly extending straight line portion is no more than mammary areola
Range.
Further, two nipple notch are located at the outside of two breast, and the nipple notch depends on person of modern times
The direction of the side of body arm, two outwardly extending straight line portions in the nipple notch is respectively upper and lower extends.
Further, the maximum vector length of the nipple notch is less than or equal to the maximum gauge length of nipple.
Further, the arc sections of the nipple notch are located in the perspective plane that nipple is projected towards breast.
Further, when suture, using round needle head and the absorbable medical trigonocephalia suture of 3-0 models or 5-0 models
It is sutured, and in suture, is sutured successively to the straight line portion of the other end from the straight line portion of nipple notch one end of " Ω " shape,
Suture be smaller than or equal to suture diameter.
Further, then after nipple notch, the root that submammary fold or breast are separated to along mammary gland surface enters mammary gland
Under lower or pectoral fascia.
Further, there are following relationships for the bust size after the prosthesis size filled in and shaping：
M=M0+2πK(H+d)；
In above-mentioned formula：
M indicates the bust size after shaping；
M0Indicate the bust size before shaping；
K indicates the Shape Coefficient of different height and weight classification；
H indicates nipple to the height on breast chassis；
D indicates the maximum gauge of silicone.
Advantageous effect：The present invention in the root that nipple intersects with mammary areola by carrying out notch so that in identical vector length
Notch under, the straight length of Ω shaped cutouts is longer, it is easier to the implantation for carrying out prosthese facilitates surgical procedure, meanwhile, in phase
With under the notch state of length, the vector length smaller of nipple notch, notch area smaller, after surgery, the scar after healing is more
Small and unobvious, and scar is blocked by nipple so that notch scar is more hidden, is not easy to find.
Description of the drawings
Attached drawing 1 is the human breast front schematic view of the present invention；
Attached drawing 2 is the human breast side schematic view of the present invention.
Specific implementation mode
The present invention is further described below in conjunction with the accompanying drawings.
As shown in Fig. 1, a method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing, including it is following
Step：
S1：Pre-operative preparation；Carry out disinfection to medical instrument, to by operator apply general anaesthetic or half body anaesthetize；
S2：It centered on nipple 1, crosses around the nipple by operator, the position of scribing line is in the root of nipple
The position intersected with mammary areola 2；It is crossed in advance with medical coloured pencil to the skin site of notch to be carried out, doctor is facilitated to cut
Mouth operation, ensures accuracy when notch；
S3：Nipple notch 3 is carried out along the direction of scribing line using scalpel, skin and subcutaneous tissue are cut to mammary gland along notch
Surface is done radial incision mammary gland around lactiferous ducts and is removed to pectoralis major surface or along mammary gland surface；Form Using prosthesis
Lacuna；Mammary gland is cut to certain depth along notch, and by removing instrument or directly being removed to mammary gland by finger,
It when stripping, is removed to the side and below of breast, avoids lactiferous ducts, by way of nipple notch, not only there is periareolar incision
All advantageous effects, also efficiently avoid the damage of breast tissue.Moreover, by carrying out notch in the root of nipple, it is whole
During a, blood flow is smaller, does not have to add using blood bag and bandage, facilitates entire surgical procedure.
S4：Fill in prosthese；It assists prosthese being tucked into Using prosthesis lacuna by instrument, and the two sides of prosthese is made to distinguish
Fitting is contacted with breast tissue and pectoralis major；According to by the body structure of operator and selection demand, select pectoralis major under or chest
Prosthese is crimped or is squeezed into strips with hand, facilitate the plug of prosthese when filling in prosthese by the Using prosthesis mode on big flesh
Enter, after filling in prosthese, smooth prosthese with hand, it is made to be fitted on pectoralis major, the silicone used is graceful support silicone.
S5：It sews up the incision；When suture, stitched using round needle head and the absorbable medical trigonocephalia of 3-0 models or 5-0 models
Zygonema is sutured, and in suture, successively from the straight line portion of nipple notch one end of " Ω " shape to the straight line portion of the other end
Suture, suture be smaller than or equal to suture diameter.Do not have to tear open after can guarantee wound healing using absorbable suture
Line can guarantee in suture there is preferable sewing effect using trigonocephalic suture, ensure that wound suture is close, reduce sense
Dye.
S6：Pressure dressing is carried out to breast using elastic band, the lacuna between mammary gland and pectoralis major is reduced, ensures implantation
The stability of prosthese can restore normal for usual one week or so, and the convalescence than the type of incision of the prior art is shorter.
The nipple notch 3 is the semi-circular cut-out around teat base, and the both ends difference of semi-circular cut-out is radially
Direction extends outwardly, and forms the notch of " Ω " shape, and the incision length of outwardly extending straight line portion is no more than the range of mammary areola.It is logical
It crosses and carries out notch in the root that nipple intersects with mammary areola so that under the notch of identical vector length, the straight line of Ω shaped cutouts
Length is longer, it is easier to and the implantation for carrying out prosthese facilitates surgical procedure, meanwhile, under the notch state of equal length, nipple is cut
The vector length smaller of mouth, notch area smaller, after surgery, the scar smaller after healing and unobvious.
Two nipple notch are located at the outside of two breast, and the nipple notch is close to the one of human body arm
The direction of side, two outwardly extending straight line portions in the nipple notch is respectively upper and lower extends.Due to the shape one of breast
As be biased to both sides, the notch of Ω shapes is cut on the outside, scar can be made effectively to be blocked, it is more hidden, it is not easy to see.
The maximum vector length of the nipple notch 3 is less than or equal to the maximum gauge length of nipple, i.e. nipple notch
The length of two straight line portion lines is less than the maximum gauge of nipple 1, keeps the notch of two straight line portions shorter, keeps scar more hidden
It covers, is not easy to find.
As shown in Fig. 2, the arc sections of the nipple notch are located in the perspective plane 4 that nipple is projected towards breast.It is described
Nipple notch 3 is located in the view field of nipple, after wound healing, is blocked to root by nipple so that not from front
Easily find the scar position of notch.
Again after nipple notch, the root that submammary fold or breast are separated to along mammary gland surface enters under mammary gland or chest muscle muscle
Under film.In order to further prevent damage lactiferous ducts, or the postoperative feeling that can influence nipple is prevented, then after nipple notch, along breast
Gland surface is separated to submammary fold, and nature can prevent lactiferous ducts and breast in the case where lower pleat area enters mammary gland or under pectoral fascia
The damage that head smooth muscle nurve dominates.
By according to by the stature build of operator, selecting suitable silicone to be implanted into, after ensureing shaping in the preoperative
Visual sense is best；There are following relationships for bust size after the prosthesis size filled in and shaping：
M=M0+2πK(H+d)；
In above-mentioned formula：
M indicates the bust size after shaping；
M0Indicate the bust size before shaping；
K indicates the Shape Coefficient of different height and weight classification；
H indicates nipple to the height on breast chassis；
D indicates the maximum gauge of silicone.
Shaping crowd is divided into different builds according to height and weight and degree of enclosing, and each build corresponds to different coefficients, the coefficient
For empirical data, substantially, inclined ectomorphic type coefficient is 0.8~0.9；Normal type is 1.0~1.2；Inclined off-body line is 1.2~
1.3, after ensureing shaping, stature seems more coordination, nature；Other sizes can measure.
The above is only a preferred embodiment of the present invention, it should be pointed out that：For the ordinary skill people of the art
For member, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also answered
It is considered as protection scope of the present invention.
Claims (8)
1. a kind of no blood bag, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches, it is characterised in that：Including following step
Suddenly：
S1：Pre-operative preparation；Carry out disinfection to medical instrument, to by operator apply general anaesthetic or half body anaesthetize；
S2：It centered on nipple, crosses around the nipple by operator, the position of scribing line is in the root of nipple and mammary areola
The position of intersection；
S3：Nipple notch is carried out along the direction of scribing line using scalpel, skin and subcutaneous tissue are cut to mammary gland surface along notch,
Radial incision mammary gland is done around lactiferous ducts to be removed to pectoralis major surface or along mammary gland surface；Form Using prosthesis lacuna；
S4：Fill in prosthese；Assist prosthese being tucked into Using prosthesis lacuna by instrument, and make the two sides of prosthese respectively with breast
Glandular tissue and pectoralis major contact fitting；
S5：It sews up the incision；
S6：Pressure dressing is carried out to breast using elastic band.
2. a kind of no blood bag according to claim 1, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：The nipple notch is the semi-circular cut-out around teat base, and the both ends difference of semi-circular cut-out is radially
Direction extends outwardly, and forms the notch of " Ω " shape, and the incision length of outwardly extending straight line portion is no more than the range of mammary areola.
3. a kind of no blood bag according to claim 2, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：Two nipple notch are located at the outside of two breast, and the nipple notch is close to human body arm
The direction of side, two outwardly extending straight line portions in the nipple notch is respectively upper and lower extends.
4. a kind of no blood bag according to claim 2, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：The maximum vector length of the nipple notch is less than or equal to the maximum gauge length of nipple.
5. a kind of no blood bag according to claim 2, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：The arc sections of the nipple notch are located in the perspective plane that nipple is projected towards breast.
6. a kind of no blood bag according to claim 2, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：When suture, stitched using the absorbable medical trigonocephalia suture of round needle head and 3-0 models or 5-0 models
It closes, and in suture, is sutured successively to the straight line portion of the other end from the straight line portion of nipple notch one end of " Ω " shape, between suture
Away from the diameter less than or equal to suture.
7. a kind of no blood bag according to claim 2, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：Again after nipple notch, the root that submammary fold or breast are separated to along mammary gland surface enters under mammary gland or chest muscle
Under fascia.
8. a kind of no blood bag according to claim 1, the method without bandage, without the seamless Augmentation Mammaplasty of innervation taken out stitches,
It is characterized in that：There are following relationships for bust size after the prosthesis size filled in and shaping：
M=M0+2πK(H+d)；
In above-mentioned formula：
M indicates the bust size after shaping；
M0Indicate the bust size before shaping；
K indicates the Shape Coefficient of different height and weight classification；
H indicates nipple to the height on breast chassis；
D indicates the maximum gauge of silicone.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810220656.2A CN108309372A (en) | 2018-03-16 | 2018-03-16 | A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810220656.2A CN108309372A (en) | 2018-03-16 | 2018-03-16 | A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108309372A true CN108309372A (en) | 2018-07-24 |
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ID=62898371
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810220656.2A Pending CN108309372A (en) | 2018-03-16 | 2018-03-16 | A method of no blood bag, the seamless Augmentation Mammaplasty of innervation taken out stitches without bandage, nothing |
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| CN (1) | CN108309372A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110285A (en) * | 2018-11-01 | 2020-05-08 | 黄惠铭 | Native biplanar breast augmentation method |
| CN113208743A (en) * | 2021-04-29 | 2021-08-06 | 中国医学科学院整形外科医院 | Method for determining optimal skin excision amount of double-ring breast augmentation and breast lifting |
-
2018
- 2018-03-16 CN CN201810220656.2A patent/CN108309372A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110285A (en) * | 2018-11-01 | 2020-05-08 | 黄惠铭 | Native biplanar breast augmentation method |
| CN113208743A (en) * | 2021-04-29 | 2021-08-06 | 中国医学科学院整形外科医院 | Method for determining optimal skin excision amount of double-ring breast augmentation and breast lifting |
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| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20180724 |
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| RJ01 | Rejection of invention patent application after publication |