The double S technique to achieve aesthetic flat closure after conventional mastectomy
Abstract Background Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-02-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-022-02515-3 |
| _version_ | 1818981903023210496 |
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| author | Daniel Steffens Elisabeth A. Kappos Alexander Lunger Fabienne D. Schwab Lea Zehnpfennig Walter Paul Weber Martin Haug Viola Heinzelmann-Schwarz Christian Kurzeder |
| author_facet | Daniel Steffens Elisabeth A. Kappos Alexander Lunger Fabienne D. Schwab Lea Zehnpfennig Walter Paul Weber Martin Haug Viola Heinzelmann-Schwarz Christian Kurzeder |
| author_sort | Daniel Steffens |
| collection | DOAJ |
| description | Abstract Background Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above mentioned. Methods Surgical technique Two small horizontal lines are drawn, one line above and one line below the Nipple Areola Complex. These lines should represent the possible skin excision and allow tight skin closure. Consecutively, two ending points of the incision are planned, one close to the xyphoid area and the other one in the anterior axillary line. These points are then interconnected in an s-shaped manner to form a double s-shaped skin excision. Results The double S-shaped technique is an easy reproducible technique which not only allows good access to the lateral side of the mastectomy, but also and mainly the reduction of lateral fat and skin. Conclusion The double S mastectomy allows for simultaneous removal of access in the axillary region, eliminating skin, and fat as needed and preventing the lateral dog ear |
| first_indexed | 2024-12-20T17:38:42Z |
| format | Article |
| id | doaj.art-8b215d87c1be4ddca229fb4fde542874 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-20T17:38:42Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-8b215d87c1be4ddca229fb4fde5428742022-12-21T19:31:10ZengBMCWorld Journal of Surgical Oncology1477-78192022-02-012011510.1186/s12957-022-02515-3The double S technique to achieve aesthetic flat closure after conventional mastectomyDaniel Steffens0Elisabeth A. Kappos1Alexander Lunger2Fabienne D. Schwab3Lea Zehnpfennig4Walter Paul Weber5Martin Haug6Viola Heinzelmann-Schwarz7Christian Kurzeder8Department of Gynecology and Gyn Oncology, Hospital for Women, University Hospital BaselBreast Centre, University of BaselDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University of BaselDepartment of Gynecology and Gyn Oncology, Hospital for Women, University Hospital BaselDepartment of Gynecology and Gyn Oncology, Hospital for Women, University Hospital BaselBreast Centre, University of BaselBreast Centre, University of BaselDepartment of Gynecology and Gyn Oncology, Hospital for Women, University Hospital BaselDepartment of Gynecology and Gyn Oncology, Hospital for Women, University Hospital BaselAbstract Background Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above mentioned. Methods Surgical technique Two small horizontal lines are drawn, one line above and one line below the Nipple Areola Complex. These lines should represent the possible skin excision and allow tight skin closure. Consecutively, two ending points of the incision are planned, one close to the xyphoid area and the other one in the anterior axillary line. These points are then interconnected in an s-shaped manner to form a double s-shaped skin excision. Results The double S-shaped technique is an easy reproducible technique which not only allows good access to the lateral side of the mastectomy, but also and mainly the reduction of lateral fat and skin. Conclusion The double S mastectomy allows for simultaneous removal of access in the axillary region, eliminating skin, and fat as needed and preventing the lateral dog earhttps://doi.org/10.1186/s12957-022-02515-3MastectomyDog earAxillary skin flapsFlat closure |
| spellingShingle | Daniel Steffens Elisabeth A. Kappos Alexander Lunger Fabienne D. Schwab Lea Zehnpfennig Walter Paul Weber Martin Haug Viola Heinzelmann-Schwarz Christian Kurzeder The double S technique to achieve aesthetic flat closure after conventional mastectomy World Journal of Surgical Oncology Mastectomy Dog ear Axillary skin flaps Flat closure |
| title | The double S technique to achieve aesthetic flat closure after conventional mastectomy |
| title_full | The double S technique to achieve aesthetic flat closure after conventional mastectomy |
| title_fullStr | The double S technique to achieve aesthetic flat closure after conventional mastectomy |
| title_full_unstemmed | The double S technique to achieve aesthetic flat closure after conventional mastectomy |
| title_short | The double S technique to achieve aesthetic flat closure after conventional mastectomy |
| title_sort | double s technique to achieve aesthetic flat closure after conventional mastectomy |
| topic | Mastectomy Dog ear Axillary skin flaps Flat closure |
| url | https://doi.org/10.1186/s12957-022-02515-3 |
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