UA48783U - Method for re-endoprosthetics of mammary glands after subpectoral enlargement mammoplasty - Google Patents

Abstract

A method for re-endoprosthetics of the mammary glands after subpectoral enlargement mammoplasty provides for covering the lower part of the implants with the posterior layer of the capsule transferred to the anterior surface of the implant. The upper part of the implant is placed into the new subpectoral pouch between the greater pectoral muscle and the dublicature of internal and external layers of the capsule in thorax. The lower part of the cavity is corrected by selecting the required site of fixation of the capsular flap to the pectoral fascia.

Description

The method is explained with the help of illustrations: chest fascia in the area of the inframammary fold

Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. b. (5 in Fig. 4). Thus, the upper part of the implant

Fig. 1 - the initial stage of the operation, Fig. 2 - the dissection is located in the neosubpectoral cavity of the capsule and removal of the implant, Fig. 3 - limited: from above - by the pectoralis major muscle (1 at the time of implantation of the prosthesis, Fig. 4 - the final Fig. 4) and duplicating the leaves of the capsule fixed at the stage of the operation, Fig. 5 - the patient before the operation, Fig. b - on the chest wall (3 in Fig. 4). The lower part of the im- 1 year after the operation. the plant is covered with a duplication of the capsule (2 na

They are marked: 1 - pectoralis major muscle, 2 - Fig. 4) fixed on one side to the pectoralis major, the lower duplication of the capsule on the front internal pectoralis muscle (6 in Fig. 4), on the other side to the pectoral surface glands, C - upper duplication of the capsule on the fascia (5 in Fig. 4). The cavity is drained by the chest system, 4 - the implant, 5 - the place of fixation by lower vacuum aspiration. A layer-by-layer duplication of the capsule is applied to the chest fascia, 6 - suture of the wound. Antiseptics. Aseptic bandage. Comp- place of fixation of the lower duplication of the capsule to version underwear. pectoralis major muscle, 7 - dissection along the posterior po- Technical result, which is achieved posterior capsule to the level of the nipple. the proposed solution is the prevention of ptosis

The method is performed as follows: mammary glands, prevention of capsule

After tissue infiltration, infrared contracture is performed, as well as reduction of "visual mammary access. Without removing the implant, dosing" and palpating the implants, especially in patients with a small amount of covering tissue. tissues to the level of the lower edge of the areola (Fig. 1). You- Clinical example: Patient N., 36 years old, in 1998, an implant was removed from a cavity without a capsule. The existing capsule is crossed at the level of the mammary glands with the help of silicone implants. In the lower part of the capsule, the back sheet is sewn up, placed partially under the pectoralis major muscle, is folded to the front (2 in Fig. 3), this duplicate turned with the desire to change the shape and size at the top is fixed with a suture to the pectoralis major muscle - mammary glands. Reendoprosthesis was performed (6 in Fig. 4). In the upper part of the mammary gland cavity, the capsule is separated from the surrounding implants with the help of a silicone sheet according to the proposed model (Fig. 5, tissues to the upper border of the cavity and Fig. b). is sewn to the back sheet located Literature: on the chest (Z in Fig. 3). The cavity is washed- 1. Mogptap M. Knives. Te ashoioidoiv ipetai)! is treated with solutions of antiseptics. In the cavity under Bgeavi zriipi. And spills! Tiesppidne og She (heaytepi oi large pectoral muscle install an implant roziashdtepiayop ryosis / Nozhe Mogtap, VRobeigi (Fig. 3). The free edge of the duplication of the lower part of Egetspa // Aezipeiis Zygdegu doshgpai. - 2005. - Mointe capsules on the front chest wall are fixed to 25, Mob. - pp. 587-592. !

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Ministry of Education and Science of Ukraine

State Department of Intellectual Property, str. Urytskogo, 45, Kyiv, MSP, 03680, Ukraine

SE "Ukrainian Institute of Industrial Property", str. Glazunova, 1, Kyiv - 42, 01601