Javascript er ikke aktivert i din nettleser. Dette er nødvendig for å bruke Oncolex. Kontakt din systemadministrator for å aktivere JavaScript.

Prophylactic Mastectomy with Primary Expander Implants

Implementation

Bilateral skin-sparing mastectomy

  • The surgery is initiated on one side.
  • A boat-shaped incision is made including normally the areola, but it can be preserved when the patient wants it.
  • After suturing, the scar should be horizontal and not askew into the axilla.
  • The skin is spared as much as possible.
  • The breast with surrounding tissue is removed down to the pectoralis muscle, sparing the fascia.
  • The same procedure is carried out on the contralateral side.

Reconstruction with expander prosthesis

A plastic surgeon performs the reconstructive part of the operation.

  • A sub-muscular pocket is made in the midline deep to the pectoral muscle and the serratus fascia.
  • Thorough hemostasis is performed.
  • One or two vacuum drains are positioned and fixed.
  • The expander prosthesis is inserted.
  • The muscle is sutured.
  • The skin is closed in two layers.
  • The procedure is repeated on the remaining side.
  • Both expanders are filled with saline (the volume depends on skin circulation).
  • Dry bandages are applied.
  • The drains are activated.

Oslo University Hospital shall not be liable for any loss whether direct, indirect, incidental or consequential, arising out of access to, use of, or reliance upon any of the content on this website. Oslo University Hospital© 2018