| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to surgery. Subcutaneous tissue is removed from breast tumour, subclavian-axillary-subcapular lymphadenectomy. Method includes closing armpit neurovascular bundle collagen plate series stacked in form of a rhombus so that axis of symmetry of rhomb is directed along armpit neurovascular bundle, mainly, along an axillary vein with location of proximal end of rhomb at small pectoral muscle, closing of neurovascular bundle and adjacent to it fibre from top and bottom angles opposite axis of symmetry of rhombus. Method includes performing one-step myoplasty with lateral edge of broadest muscle of back with preserved its fascia to front toothed muscle and layer wound closure. Two collagen plates are used to close neurovascular bundle. First is placed in proximal direction on axillary neurovascular bundle. Second is placed distally overlapping first, and a lateral edge of broadest muscle of back is anchored to front toothed muscle continuous double-row blanket suture. Further, lateral lower adipocutaneous flap chest wall is fixed with three interrupted sutures to lower surface of lateral edge of greater pectoral muscle and postoperative wound using non-drainage method.EFFECT: method does not affect motion in shoulder joint after operation, reduces formation of lymph in operative wound, reduces stay in hospital with 21 to 12-14 days, reduces consumption of dressing material.1 cl, 5 dwg, 1 ex |
