Abstract
Objective: To explore the inverted T-shaped flap nursing after breast-conserving surgery combined with the reverse double V-shaped mastoconstriction suspension for breast cancer, and summarizes the nursing methods and experience. Method: 5 patients who underwent reverse double V-shaped mastoconstriction suspension and formed inverted T-shaped flap incision were selected from the same medical group in the Department of Breast Cancer of Sun Yat-sen University’s Cancer Center from February 1, 2019 to April 30, 2019, and they were evaluated for the recovery of blood supply of skin flap, sensory function of nipple and areola, breast satisfaction, etc. Results: Among the 5 patients in this group, the flaps of them all survived smoothly. The one-year follow-up after the operation showed that they were satisfied with the appearance of the breast after the operation, with normal sensory function, and no secondary sagging. Conclusion: The most important thing about the inverted T-shaped flap after the reverse double V-shaped mastoconstriction suspension for breast cancer is the blood supply. Close observation of the condition of the skin flap after the operation, strengthening the care of the skin flap, and preventing infection are the keys to the success of the operation.
Highlights
5 patients who underwent reverse double V-shaped mastoconstriction suspension and formed inverted T-shaped flap incision were selected from the same medical group in the Department of Breast Cancer of Sun Yat-sen University’s Cancer Center from February 1, 2019 to April 30, 2019, and they were evaluated for the recovery of blood supply of skin flap, sensory function of nipple and areola, breast satisfaction, etc
Most of the glands need to be removed during the operation, which will damage some small arteries and veins, and pull the flap at the incision edge for a long time and a wide range of reasons, which will lead to ischemic necrosis of the flap [6] [7] [8]
Partial mastectomy and axillary lymph node dissection were performed on the affected side, mastoconstriction suspension was performed on the contralateral side
Summary
Surgery is an important part of the comprehensive treatment of breast cancer. The traditional treatment will cause breast loss, change the shape, and some patients will suffer self-image disorder, low self-esteem and so on. Patients who meet the conditions for breast conservation can choose partial mastectomy and tumor resection, remove local lesions, and retain most of the breasts. Breast-sparing surgery has fewer traumas, and preserves the appearance of the breast to the maximum extent, and improves the quality of life and satisfaction of patients after operation [2]. The incision of an inverted T-shaped flap can shrink the breast longitudinally and horizontally. The incision of an inverted Tshaped flap can remove the lesion, and achieve the effect of mastoconstriction suspension and obtain the satisfactory appearance of the breast [3]. We summarize 5 successful cases of flap care after inverted V surgery in our department, and share them as follows
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