The possibility of using thoracodorsal flap in mammary gland reconstruction

A. V. Kcheuso; V. O. Sharov; S. V. Mulendeev; V. A. Skvortsov; T. E. Koshelev; O. V. Vlas’eva; S. G. Shapovalov; I. A. Soloviev

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (1) :72 -74.

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The possibility of using thoracodorsal flap in mammary gland reconstruction

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Abstract

This example describes a clinical case of successful treatment of patients with mammary cancer: surgery carried out in which the defect was successfully closed postoperative mammary defect by moving the latissimus dorsi muscle. Namely, the first stage performed removing the upper inner quadrant of the right mammary gland, in which the malignant tumor of the projection was located. From a single incision in the right axillary region performed the removal of lymph nodes. The second stage mobilized latissimus dorsi with cutaneous island, formed through a subcutaneous tunnel flap is moved into a recipient zone in accordance with the optimal rotation arc. Operation is finished by draining of right axillary area and recipient area. Cosmetic effect is fully achieved. Postoperative period proceeded without complications. Drains have been removed on day 4. Adjuvant radiotherapy on the right mammary gland, with subsequent hormone therapy with tamoxifen 20 mg per day was implemented. Currently, the patient feels well, physical activity in the right upper limb retained in full.

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breast cancer / oncoplastic surgery / quadrantectomy / lymphodissection / drainage / postoperative defect / latissimus dorsi

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A. V. Kcheuso, V. O. Sharov, S. V. Mulendeev, V. A. Skvortsov, T. E. Koshelev, O. V. Vlas’eva, S. G. Shapovalov, I. A. Soloviev. The possibility of using thoracodorsal flap in mammary gland reconstruction. Bulletin of the Russian Military Medical Academy, 2017, 19(1): 72-74 DOI:

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