лейкозы этиология патогенез терапия

Considering these data, in the beginning of 90th the first publications published by several surgeons which concerned changes of traditional cuts{sections} at modified radical мастэктомии with the purpose of improvement of results of one-stage reconstruction dairy железы have appeared. In particular, the first work on this theme has been published in magazine " Plastic and Reconstructive Surgery " in 1990 Toth et al. in section " Ideas and innovations " [28]. In this work the case of one-stage reconstruction of both dairy желез concerning a mucous cancer right dairy железы at the patient with risk of development of a cancer in another dairy iron has been submitted. In connection with that at the patient dairy железы were sizable in a combination with expressed птозом, it has been executed modified radical мастэктомия with cuts{sections} on type редукционной plastics and preventive мастэктомия at the left with one-stage reconstruction билатеральным completely деэпителизированным cross-section ректо-абдоминальным (TРAM) a rag c good aesthetic result. In one year, the same group of surgeons publishes the report on 17 patients with which one-stage reconstruction c has been executed by application of a similar technique which the author has named " Wise pattern " with use of various techniques of reconstruction. In this work the term " мастэктомия with preservation of a leather{skin} " for the first time has sounded, and also principles of performance of similar operative interventions have been sounded. These principles included: 1) Removal{Distance} of all fabric dairy железы 2) removal{distance} сосково-ареолярного a complex 3) removal{distance} of a leather{skin} in a projection preoperative биопсии 4) an opportunity to execute axillary лимфаденэктомию from the same access. Подробнее...

The question of preservation of a leather{skin} dairy железы with the purpose of improvement of results of reconstruction remains unresolved from the beginning of XX century. Variants of operations at which removal{distance} of a fabric dairy железы with preservation of a leather{skin} and сосково-ареолярного a complex was carried out with the purpose of the prevention{warning} of development of a cancer in opposite iron and one-stage reconstruction, have started to be developed since 1917 when Bartlett has executed the first hypodermic мастэктомию with one-stage replacement of the removed fabric dairy железы a free fatty fabric [12.] Rice and Strickler in 1951 publish the data on results hypodermic мастэктомии concerning good-quality diseases [13]. Also in this problem actively are engaged Freeman [14, 15] which uses эндопротезы for reconstruction dairy железы, Pennisi and Capozzi [16-18] and Woods [19]. All these surgeons carry out the same operation at which rather thick skin rags will be mobilized, and also the disk of a fabric dairy железы under сосково-ареолярным a complex for improvement of his{its} blood supply is left. The general{common} name of this operation - hypodermic мастэктомия. Подробнее...