Department of Gynecology and Gyn Oncology, Hospital for Women, University Hospital Basel, Basel, Switzerland.
Breast Centre, University of Basel, Basel, Switzerland.
World J Surg Oncol. 2022 Feb 21;20(1):42. doi: 10.1186/s12957-022-02515-3.
Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above mentioned.
Surgical technique Two small horizontal lines are drawn, one line above and one line below the Nipple Areola Complex. These lines should represent the possible skin excision and allow tight skin closure. Consecutively, two ending points of the incision are planned, one close to the xyphoid area and the other one in the anterior axillary line. These points are then interconnected in an s-shaped manner to form a double s-shaped skin excision.
The double S-shaped technique is an easy reproducible technique which not only allows good access to the lateral side of the mastectomy, but also and mainly the reduction of lateral fat and skin.
The double S mastectomy allows for simultaneous removal of access in the axillary region, eliminating skin, and fat as needed and preventing the lateral dog ear.
乳房切除术后的外侧多余组织是一个常见的问题，应包含在术前计划中。外侧组织丰富的女性在美容和功能上经常受到影响。我们建议采用一种新的肿瘤整形乳房切除术技术来消除上述问题。
手术技术在乳晕复合体的上方和下方画两条小的水平线。这些线应代表可能的皮肤切除，并允许皮肤紧密闭合。然后，计划两个切口的终点，一个靠近剑突区域，另一个在前腋线。然后，这些点以 S 形方式相互连接，形成双 S 形皮肤切除。
双 S 形技术是一种易于复制的技术，不仅可以很好地进入乳房切除术的外侧，而且主要可以减少外侧的脂肪和皮肤。
双 S 乳房切除术允许同时清除腋窝区域的通道，根据需要去除皮肤和脂肪，并防止外侧狗耳。
