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Early experience with 'fish-shaped' incision for mastectomy
M P Nowacki1, E Towpik, H Tchórzewska
1Department of Surgical Oncology, Maria Skłodowska-Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland.
Summary
A modified
Area of Science:
- Surgical Oncology
- Plastic Surgery
Background:
- Mastectomy requires careful skin management to avoid deformities.
- Standard transverse incisions can lead to excess skin and 'dog ear' deformities.
Purpose of the Study:
- To present early experience with a modified transverse incision for mastectomy.
- To evaluate the efficacy of a 'fish-shaped' incision in improving surgical outcomes.
Main Methods:
- A novel 'fish-shaped' incision was developed by adding triangular flaps to a standard transverse incision.
- This modification was applied in mastectomy procedures.
Main Results:
- The 'fish-shaped' incision effectively reduced excess skin.
- Prevention of the 'dog ear' deformity was observed.
- The incision accommodated variations in transverse edge length based on tumor location.
- Improved access to the axilla was achieved.
Conclusions:
- The modified 'fish-shaped' transverse incision is a promising technique for mastectomy.
- It offers advantages in skin management, deformity prevention, and surgical access.