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CN-122005013-A - Circular areola beautifying incision operation method for retaining excision of nipple areola complex mammary tumor

CN122005013ACN 122005013 ACN122005013 ACN 122005013ACN-122005013-A

Abstract

The invention relates to the technical field of mammary gland surgery, and discloses a method for performing circular areola beautifying incision operation for reserving mammilla areola complex mammary gland tumor excision, which comprises the steps of preoperative evaluation, imaging positioning, incision design, preoperative preparation, tumor exposure excision, incision suturing and the like, wherein the steps of precise positioning are performed through ultrasonic or molybdenum targets; then based on the positioning result, designing a circular areola incision along the skin pigment boundary line of the areola edge, separating tissues in the operation to protect the mammary gland function, completely cutting away the tumor along the safety edge, and finally using absorbable suture to suture in a layering way to realize intradermal cosmetic suture. The invention covers scars by utilizing chromatic aberration through the areola incision, combines multiple layers of fine suturing to reduce postoperative traces, ensures complete excision of the tumor, and gives consideration to the treatment effect and the attractive appearance of the breast, is suitable for breast tumor, mastitis focus and total mastectomy patients needing to retain the areola nipple complex, and especially meets the requirements of young women on postoperative appearance.

Inventors

  • Geng Fengyong

Assignees

  • 航空总医院

Dates

Publication Date
20260512
Application Date
20260410

Claims (7)

  1. 1. A method of cyclic areola cosmetic incision surgery for preserving excision of mammary gland tumor complex mammary gland, comprising the steps of: Step S1, preoperative evaluation, including the property, the size, the position and the number of breast tumor; S2, performing imaging positioning, namely performing ultrasonic positioning or molybdenum-palladium positioning; Step S3, designing an incision, namely taking a sitting position or a supine position of a patient, and designing a proper incision position and length based on a mammary tumor positioning mark; step S4, preoperative preparation, namely selecting proper anesthesia and conventional skin disinfection according to the size, the position and the tolerance of a patient of the tumor; S5, accurately cutting the skin along the position of the preoperative marked tumor, performing careful blunt separation in gland tissues around the tumor, and gradually exposing the tumor; And S6, gently clamping and fixing the tumor by using a surgical instrument, taking out the whole resected specimen, closing the surgical cavity, and suturing the incision.
  2. 2. The method for performing circular areola beautifying incision operation on mammilla and areola complex mammary gland tumor resection according to claim 1, wherein the method for marking the body surface position is characterized in that the relationship between the position, the size and the depth of the tumor and areola is marked on the body surface under the guidance of ultrasonic or molybdenum targets by an operator before operation, or a guide wire is placed near or at the center of the tumor by needle insertion on the body surface, and the resection direction in operation is guided.
  3. 3. The method of claim 1, wherein the surgical incision is designed by selecting the route and orientation to reach the tumor directly and conveniently, and the principle is to take out the tumor completely.
  4. 4. The method of claim 1, wherein the skin is accurately incised along the boundary line of skin pigment at the edge of areola, based on the principle of effective operation and complete removal of the tumor.
  5. 5. The method according to claim 1, wherein the tissue is separated by surgical operation in combination with tumor position, and the optimal opening direction is selected for blunt separation parallel to the direction of the milk duct, especially without crossing the main milk duct in the area directly under the nipple.
  6. 6. A method of performing a cosmetic incision procedure for the removal of a mammary tumor with a reserved nipple areola complex as defined in claim 1, wherein a safe removal margin is defined along the tumor envelope, and the tumor and surrounding glandular tissue are completely removed.
  7. 7. The method for performing a cosmetic incision of cyclic areola, which is characterized in that the absorbable suture is used for finely and tightly suturing gland layers and subcutaneous dermis layers, so that the skin is folded and flattened, and the thread ends are hidden at the two ends of the incision by using the extremely fine absorbable thread for intradermal cosmetic suture, so that the slight scar effect is achieved.

Description

Circular areola beautifying incision operation method for retaining excision of nipple areola complex mammary tumor Technical Field The invention belongs to the technical field of mammary gland surgery, and particularly relates to a method for performing circular areola beauty incision operation for retaining excision of mammary gland tumor of a nipple areola complex. Background Mammary gland swelling is a common condition in mammary gland surgery, and surgical excision is one of the main modes of treating mammary gland swelling. In mastectomy procedures, it is desirable to both ensure complete and thorough removal of the lesion and minimize post-operative impact on the appearance of the breast, especially in young female patients where the integrity of the breast appearance is closely related to post-operative self-confidence. In the prior art, the mastectomy procedure mostly adopts a straight upper incision of the mastoma, and the incision needs to fully expose the operative field to ensure smooth operation, so that incisions with different lengths need to be designed according to the size of the mastoma. The incision mode has obvious defects that on one hand, the probability of scar formation and hyperplasia after operation is high, the scar obviously influences the appearance of the breast, and on the other hand, the large incision and tissue traction during operation easily lead to the deformation of the breast after operation, so that the requirement of a patient on the appearance attractiveness of the breast is difficult to meet. In view of the defects of the prior art in the aspect of postoperative appearance recovery of mammary gland tumor excision operation, the invention provides a cyclic areola beautifying incision operation method for retaining the excision of nipple areola complex mammary gland tumor, so as to solve the technical problems. The present invention has been made in view of this. Disclosure of Invention In order to solve the technical problems, the invention adopts the basic conception of the technical scheme that: A method of cyclic areola cosmetic incision surgery for preserving excision of mammary gland tumor of nipple areola complex, comprising the steps of: Step S1, preoperative evaluation, including the property, the size, the position and the number of breast tumor; S2, performing imaging positioning, namely performing ultrasonic positioning or molybdenum-palladium positioning; Step S3, designing an incision, namely taking a sitting position or a supine position of a patient, and designing a proper incision position and length based on a mammary tumor positioning mark; step S4, preoperative preparation, namely selecting proper anesthesia and conventional skin disinfection according to the size, the position and the tolerance of a patient of the tumor; S5, accurately cutting the skin along the position of the preoperative marked tumor, performing careful blunt separation in gland tissues around the tumor, and gradually exposing the tumor; S6, gently clamping and fixing the tumor by using a surgical instrument, and taking out the whole resected specimen; And S7, closing the operation cavity, and suturing the incision. As a preferred embodiment of the invention, the method for marking the body surface position is that the relationship between the position, the size and the depth of a tumor and areola is marked on the body surface by an operator under the guidance of ultrasonic or molybdenum targets before the operation, or a guide wire is placed near or at the center of the tumor by needle insertion on the body surface, so as to guide the excision direction during the operation. As a preferred embodiment of the invention, the route and the direction of the surgical incision for the areola can be selected to directly and conveniently reach the tumor, and the principle is that the tumor can be completely taken out. As a preferred embodiment of the present invention, the skin is accurately incised along the boundary line of skin pigment at the edge of areola, on the principle that the tumor can be effectively handled and completely removed. As a preferred embodiment of the invention, the tissue should be surgically isolated in combination with the tumor site, with the optimal opening direction being selected for blunt dissection parallel to the milk duct direction, especially against the area directly below the nipple crossing the main milk duct. As a preferred embodiment of the present invention, a safe resection margin is predetermined along the envelope of the tumor, and the tumor and surrounding glandular tissue is resected intact. As a preferred embodiment of the invention, the gland layer and the subcutaneous dermis layer are finely and tightly sutured by using absorbable suture lines, so that the skin is matched and leveled, and the thread ends are hidden at the two ends of the incision by using ultra-fine absorbable intra-intradermal cosmetic suture, so as to achieve the e