| Background and Purpose:The twenty-first century, the trends and characteristics of human breast disease stillcovers the breast cancer cause illness to death of women; clear the human breast is the bull’seye of many diseases, and multiple types of breast lesions and the number of points ill at thesame time both in the clinical features of unilateral breast has become another highlightfeatures of breast disease of high incidence trends. Lost their lives due to breast cancer orbreast female; women have become the treatment of disease and breast deformity humanityto save the breast, care, women’s health care groups. The aesthetics of the breast applicationof rigorous combination of high-end technology of human breast aesthetics and surgicalclinical. According to the patient’s own anatomical characteristics and ill-locus distributionof preoperative cases by100cases with breast multilocus, multi-type lesions, follow thearmpit minimally invasive surgical principles, and in one armpit Vice-mastectomy breastmultilocus benign tumor lesion, sagging breasts suspension corrective surgery, wereretrospectively analyzed to explore the scope to complete the scheduled surgery under thepremise of local surgical trauma is reduced to the lowest point, breast visual aesthetic effectand breast tactile aesthetic effect preservation of the degree of the ideal.Clinical study:Choose breast surgery in December2006March2012the third Bethune hospital of JilinUniversity suffering from breast multilocus cases of multiple types of lesions, that is, the:armpit vice breast, breast, multiple benign tumor lesions, sagging breasts side by side of the100cases, the implementation of the axillary incision, minimally invasive in one armpit vicebreast removal, breast multilocus benign tumor lesion, sagging breasts suspended thesurgical correction of typical clinical data, lesion characteristics, surgical operatingprocedures, operative techniques and surgical Note analysis and appraisal.Methods and Results:1.Select a the armpit vice breast cases of100cases (59people), including bilateralarmpit vice breast in82cases (41people)18cases of unilateral vice breast;24cases ofcomplete sub breast, not vice breast55cases; plot Vice breast milk cyst in6cases, Deputybreast sweat gland cyst in nine cases, vice breast cystadenoma, vice breast lipoma cases; all surgical resection.2.Breast multi-type multi-locus100cases of breast lumps (212ill)(62people), bilateralbreast disease Change of76cases (135ill)(38trips), unilateral breast lesions in24cases (77ill); multiple fibroadenoma of the breast18cases (52ill)(12people), breast old plot ofbreast cysts66cases (109ill)(40people), mixed cystadenoma in3cases (19ill)(3people),old hematoma after trauma one cases (ill1)(a person), breast cysts12cases (31ill)(6people). All surgical resection.3.Different types of breast sagging100cases (50people), including38cases of truesagging breasts (22cases of moderate)(Severe16cases); gland type moderate saggingbreasts of28cases of breast parenchyma, the uneven distribution of34cases; choose simplesagging breasts (glandular hypertrophy),suspension fixed correction was performed in52cases; preoperative sagging breasts (surgery in breast glands shrink the tumor resection), thenipple suspension shift correction of14cases; select preoperative sagging breasts (surgeryafter the removal of the breast tumor), mammary gland folded suture correction of14cases;choose a wedge resection of the mammary glands of the axilla. The body and breast skin andcorrection effect of20cases.4.Choose to anesthesia, surgical incision, wound healing, postoperative complications:100cases of surgical anesthesia; incision select armpit arc incision4-6cm long; screening of100cases of standard surgical cases incision healed, the incision and axillary nocomplications occurred.Conclusion:Aesthetic concepts of minimally invasive breast surgery, breast application mustcomply with the law of the development of breast disease, only minimal aesthetic minimallyinvasive removal of the ill, and will minimize the extent of the damage of the breast tissue tominimize scar. In view of the particularity of the breast for women, many of the breastsurgery patients, hoping to get just a simple cure disease, and restore a balanced,symmetrical disease milk health beauty, female beauty, harmony and unified is sick theirpursuit of the goal.1. Expandability: Select axillary incision and in one breast more than points, theexpansion of many types of surgical procedures: the large incision, multi-incision into asingle minimally invasive small incision; a one-time completion of a number of points, andmore type of surgery; shorten the cycle of the patient’s surgery and early postoperativerehabilitation period. 2. Viability: preoperative cases screened calculated in accordance with the data from thebreast application of aesthetic principles, to complete the scheduled surgery the scope of thepremise, local surgical trauma, reduced to the lowest point of the breasts visual aestheticeffect and breast tactile aesthetic effect preservation in the best level.3. Select a bit harsh surgical indications, the nature of surgical procedures for theintegration of minimally invasive surgery, integration of the surgery can not be a littlereluctantly factors, the surgery there is a certain percentage of probability of failure.4. Surgery is the harmonic scalpel cutting, without the advantage of the suture is theregeneration of the lower suture foreign body caused by foreign body scar breast lumpsoccur.5. The hemostatic effect of harmonic scalpel, less postoperative hematomaopportunities, high safety factor to reduce postoperative infection.6. Armpit small hidden incision, the upper limbs drooping naturally can be obscuredand upper limb elevation when not exposed to the incision, and incision tension conducive tohealing.Perfect surgical results, fully prove the feasibility of expansion of minimally invasivesurgery for breast multilocus, multi-disease one-time small incision surgery, patients canmaintain the original curve of the armpit and breast, and to maintain its functional, and thescar is hidden. Promotion of practical value. |