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Przhedetskaya V.Yu.

National Medical Oncology Research Center

Kit O.I.

National Medical Oncology Research Center

Przhedetsky Yu.V.

National Medical Research Center of Oncology

Original inframammary approach for alloplastic skin-sparing mastectomy

Authors:

Przhedetskaya V.Yu., Kit O.I., Przhedetsky Yu.V.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2020;(4): 11‑16

DOI: 10.17116/plast.hirurgia202004111

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Table of contents

ORIGINAL INFRAMAMMARY APPROACH FOR ALLOPLASTIC SKIN-SPARING MASTECTOMY
ORIGINAL INFRAMAMMARY APPROACH FOR ALLOPLASTIC SKIN-SPARING MASTECTOMY

To cite this article:

Przhedetskaya VYu, Kit OI, Przhedetsky YuV. Original inframammary approach for alloplastic skin-sparing mastectomy. Plastic Surgery and Aesthetic Medicine. 2020;(4):11‑16. (In Russ.)
https://doi.org/10.17116/plast.hirurgia202004111

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To develop the method for tissue isolation of an implant from a skin wound and a deep layer of subcutaneous tissue for prevention of its extrusion through the wound or downward displacement.

MATERIAL AND METHODS

The study included 66 patients divided into 3 groups: the main group (n=26) and two control groups by 18 and 22 patients, respectively. All patients underwent skin-sparing mastectomy for breast cancer followed by simultaneous reconstruction with a silicone implant. In the main group, we used an original surgical approach through the inframammary sulcus, breast tissue resection and wound closure with preserving of submammary fascial anatomy. In the 1st control group, inframammary wound was sutured using Taylor technique, in the 2nd control group — Freeman and Wiemer procedures.

RESULTS

We found the advantages of the proposed method of skin-sparing mastectomy with preservation of inframammary fascial anatomy.

CONCLUSION

The proposed method of inframammary surgical approach for skin-sparing mastectomy followed by simultaneous reconstruction with an implant is an effective for prevention of implant extrusion and its displacement downward.

Keywords:

breast cancer
skin-sparing mastectomy
breast reconstruction
inframammary sulcus
fascia of Scarpa
breast fascial system

Authors:

Przhedetskaya V.Yu.

National Medical Oncology Research Center

Kit O.I.

National Medical Oncology Research Center

Przhedetsky Yu.V.

National Medical Research Center of Oncology

Received:

28.05.2020

Accepted:

20.06.2020

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References:

  1. Przhedeckij YuV, Kachanov IV. K voprosu o kozhesohranyayushchih operaciyah pri rake molochnoj zhelezy. Izvestiya vysshikh uchebnykh zavedenii. Severo-Kavkazskii region. Seriya: Estestvennye nauki. 2011;S:77-82. (In Russ.).
  2. Galimberti V, Vicini E, Corso G. Nipple-sparing and Skin-Sparing Mastectomy: Review of Aims, Oncological Safety and Contraindications. Breast. 2017;34(suppl 1):82-84.  https://doi.org/10.1016/j.breast.2017.06.034
  3. González EG, Rancati AO. Skin-sparing mastectomy. Gland Surg. 2015; 4(6):541-553.  https://doi.org/10.3978/j.issn.2227-684X.2015.04.21
  4. Tousimis E, Haslinger M. Overview of indications for nipple sparing mastectomy. Gland Surg. 2018;7(3):288-300.  https://doi.org/10.21037/gs.2017.11.11
  5. Agha RA, Omran YA, Wellstead G, Sagoo H, Barai I, Rajmohan S, Borrelli MR, Vella-Baldacchino M, Orgill DP, Rusby JE. Systematic review of therapeutic nipple‐sparing versus skin‐sparing mastectomy. BJS Open. 2019; 3(2):135-145.  https://doi.org/10.1002/bjs5.50119
  6. Headon HL, Kasem A, Mokbel K. The Oncological Safety of Nipple-Sparing Mastectomy: A Systematic Review of the Literature with a Pooled Analysis of 12,358 Procedures. Arch Plast Surg. 2016;43(4):328-338.  https://doi.org/10.5999/aps.2016.43.4.328
  7. Przhedeckij YuV, Kachanov IV. Kozhesohranyayushchaya mastektomiya s odnomomentnoj rekonstrukciej organa. Annaly rekonstruktivnoj, plasticheskoj i esteticheskoj hirurgii. 2011;2:31-43. (In Russ.).
  8. Taylor BW. Prosthetic replacement following subcutaneous mastectomy for benign breast disease. Sanvenero-Rosselli; 1969.
  9. Freeman BS, Wiemer DR. Total glandular mastectomy. Plast Reconstr Surg. 1978;62(2):167-172. 
  10. Freeman BS. Technique of subcutaneous mastectomy with replacement: Immediate and delayed. Br J Plast Surg. 1969;22(2):161-166.  https://doi.org/10.1016/s0007-1226(69)80059-7
  11. Hammond DC. Atlas of aesthetic breast surgery. 1st ed. Saunders; 2008.
  12. Zoltan Ya. Rekonstrukciya zhenskoj molochnoj zhelezy. Budapesht; 1989. (In Russ.).
  13. Beer GM, Varga Z, Budi S, Seifert B, Meyer VE. Incidence of the superficial fascia and its relevance in skin-sparing mastectomy. Cancer. 2002;94(6): 1619-1625. https://doi.org/10.1002/cncr.10429
  14. Atiyeh B, Ibrahim A, Saba S, Karamanoukian R, Chahine F, Papazian N. The Inframammary Fold (IMF): A Poorly Appreciated Landmark in Prosthetic/Alloplastic Breast Aesthetic and Reconstructive Surgery-Personal Experience. Aesthetic Plast Surg. 2017;41(4):806-814.  https://doi.org/10.1007/s00266-017-0854-7
  15. Patent RF na izobretenie No. 2545431/27.03.2015. Byul. No. 9. Przhedetskii YuV., Khokhlova OV, Przhedetskaya VYu. Sposob inframammarnogo dostupa pri kozhesokhranyayushchei mastektomii s odnomomentnoi rekonstruktsiei silikonovym implantatom. Accessed Sep 12, 2020. (In Russ.). https://yandex.ru/patents/doc/RU2545431C2_20150327
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