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  • Title: [Axillar-subclavian-subscapular area plasty after radical mastectomy for breast cancer].
    Author: Pak DD, Ermoshchenkova MV.
    Journal: Khirurgiia (Mosk); 2008; (10):43-8. PubMed ID: 19008814.
    Abstract:
    Indexes of lymphorrhea and rates of early and late complications of the radical mastectomy were studied in 153 patients with breast cancer. Axillar-subclavian-subscapular area plasty with latissimus dorsi muscle fragment is worked out and applied to prevent complications after mastectomy. The use of the method allowed reducing the volume and duration of postoperative lymphorrhea on 45.5% and to 7 days, respectively, after Madden procedure, on 46.8% and to 11 days, respectively, after modified radical mastectomies. It also allowed reducing the wound healing complication rates from 21.8 to 5.4% after Madden procedure and from 58.1 to 16.7% after modified radical mastectomies; rates of postmastectomy oedema of I-II stage from 48 to 18.5%, rates of pain syndrome from 32.7 to 7.4%.
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