Tsur H, Lieberman Y, Heim M
Ann Plast Surg. 1984 Sep;13(3):234-8. doi: 10.1097/00000637-198409000-00011.
Locally disseminated breast carcinoma after a simple or radical mastectomy and radiotherapy causes serious surgical problems. Excision of the chest wall obliterates the negative intrapleural pressure, and wound healing within a previously irradiated area is notoriously poor. A new method is described in which the diaphragm is mobilized and reinserted into the defect to allow final resurfacing with a skin graft or locally rotated skin flap. This simple surgical method is advocated when the prognosis is poor and breast reconstruction is not being considered.
单纯或根治性乳房切除术后局部播散性乳腺癌以及放疗会引发严重的外科问题。胸壁切除会消除胸膜腔内的负压，而在先前接受过放疗的区域伤口愈合情况向来不佳。本文描述了一种新方法，即游离膈肌并将其重新植入缺损处，以便最终用皮肤移植或局部旋转皮瓣进行覆盖。当预后较差且不考虑乳房重建时，提倡采用这种简单的手术方法。
