Bille Camilla, Dalaei Farima, Thomsen Jørn Bo
Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Department of Plastic Surgery, Odense University Hospital and Lillebaelt Hospital, Vejle, Denmark.
Gland Surg. 2019 Oct;8(Suppl 4):S276-S280. doi: 10.21037/gs.2019.05.04.
In this visualized surgery paper, we present our experience identifying the optimal dissection plane in nipple-sparing mastectomy using hydrodissection through an inframammary incision. The surgical technique comprises of preoperative magnetic resonance imaging (MRI) aiming to assess the thickness and expected quality of the mastectomy flaps, an inframammary incision, and hydrodissection to assist the surgeon in identifying the optimal dissection plane. This surgical method results in an adequate resection of breast parenchyma to obtain the best oncological outcome, while retaining the maximum amount of subcutaneous adipose tissue on the skin flaps to achieve a superior aesthetic result resembling the natural breast. The mastectomy flap thickness and quality can then be assessed prior to an immediate reconstruction.
在这篇可视化手术论文中，我们介绍了我们的经验，即通过乳房下皱襞切口进行水分离法，在保留乳头的乳房切除术中确定最佳分离平面。手术技术包括术前磁共振成像（MRI），旨在评估乳房切除皮瓣的厚度和预期质量、乳房下皱襞切口以及水分离法，以协助外科医生确定最佳分离平面。这种手术方法能充分切除乳腺实质以获得最佳肿瘤学结果，同时在皮瓣上保留最大量的皮下脂肪组织，以实现类似自然乳房的卓越美学效果。然后可在即刻重建前评估乳房切除皮瓣的厚度和质量。
