Annular mammary areola beauty incision operation method for mammary gland mass excision by reserving nipple and mammary areola complex

Abstract

The invention relates to the technical field of breast surgery, and discloses a breast areola beautifying incision surgery method for breast mass resection by reserving a nipple areola complex, which comprises the steps of preoperative evaluation, iconography positioning, incision design, preoperative preparation, mass exposure resection, incision suture and the like: accurate positioning is carried out through ultrasound or a molybdenum target; based on a positioning result, designing an annular mammary areola incision along a mammary areola edge skin pigment boundary line; the tissue is bluntly separated in the operation to protect the mammary gland function, and the tumor is completely cut off along the safe edge; and finally, performing layered sewing by using an absorbable suture to realize intradermal beauty sewing. According to the invention, scars are covered by chromatic aberration through surrounding the mammary areola incision, postoperative traces are reduced in combination with multi-layer fine suture, meanwhile, complete resection of mastitis is ensured, the treatment effect and the appearance attractiveness of breasts are considered, and the mammary gland resection device is suitable for mammary gland mastitis, mastitis focus and total mammary gland resection patients needing to retain nipple and mammary areola complexes. And particularly, the requirements of young women on postoperative appearance are met.

Description

Technical Field

[0001] This invention belongs to the field of breast surgery technology, specifically, it relates to a cosmetic incision method for removing breast tumors while preserving the nipple-areola complex. Background Technology

[0002] Breast lumps are a common condition in breast surgery, and surgical removal is one of the main treatment methods. During breast lump removal surgery, it is essential to ensure complete and thorough removal of the lesion while minimizing the impact on the postoperative appearance of the breast. This is especially important for young female patients, as the integrity of the breast's appearance is closely related to their postoperative self-confidence.

[0003] In current techniques, breast tumor resection surgery often employs a direct incision above the breast tumor. This incision requires ample exposure of the surgical field to ensure smooth operation; therefore, incision lengths must be designed according to the size of the breast tumor. This incision method has significant drawbacks: firstly, the probability of postoperative scar formation and hyperplasia is relatively high, and the scar significantly affects the appearance of the breast; secondly, a larger incision and intraoperative tissue traction can easily lead to postoperative breast deformation, making it difficult to meet patients' aesthetic requirements for breast appearance.

[0004] In view of the shortcomings of existing breast tumor excision surgery in terms of postoperative appearance recovery, this invention proposes a cosmetic incision method for breast tumor excision that preserves the nipple-areola complex, in order to solve the above-mentioned technical problems.

[0005] In view of this, the present invention is proposed. Summary of the Invention

[0006] To solve the above-mentioned technical problems, the basic concept of the technical solution adopted by the present invention is as follows:

[0007] A surgical method for removing breast tumors while preserving the nipple-areola complex via a circumareolar cosmetic incision includes the following steps:

[0008] Step S1: Preoperative assessment: including the nature, size, location, and number of breast masses;

[0009] Step S2: Imaging localization: ultrasound localization or mammography localization;

[0010] Step S3: Incision design: The patient is placed in a sitting or supine position. The appropriate incision location and length are designed based on the localization markers of the breast mass.

[0011] Step S4: Preoperative preparation: Select appropriate anesthesia and perform routine skin disinfection according to the size and location of the tumor and the patient's tolerance;

[0012] Step S5: Accurately incise the skin along the pre-marked location of the mass, and carefully perform blunt dissection within the glandular tissue surrounding the mass to gradually expose the mass;

[0013] Step S6: Gently hold and fix the tumor with surgical instruments, and remove the excised specimen in one piece;

[0014] Step S7: Close the surgical cavity and suture the incision.

[0015] As a preferred embodiment of the present invention, the method for marking the location on the body surface is as follows: before the operation, the surgeon marks the location, size, depth and relationship of the tumor to the areola on the body surface under the guidance of ultrasound or mammography, or a positioning guidewire is placed near or in the center of the tumor by inserting a needle on the body surface to guide the direction of resection during the operation.

[0016] As a preferred embodiment of the present invention, the surgical incision around the areola is designed to select a path and orientation that can directly and conveniently reach the tumor, with the principle of being able to completely remove the tumor.

[0017] In a preferred embodiment of the present invention, the skin is accurately cut along the skin pigmentation boundary at the edge of the areola, with the principle of effective operation and complete removal of the mass.

[0018] As a preferred embodiment of the present invention, when surgically separating tissue, the optimal opening direction should be selected based on the location of the tumor, and blunt dissection should be performed parallel to the direction of the lactiferous ducts, especially avoiding transverse severing of the main lactiferous ducts in the area directly below the nipple.

[0019] In a preferred embodiment of the present invention, a predetermined safe excision margin is drawn along the tumor capsule to completely remove the tumor and the surrounding glandular tissue.

[0020] In a preferred embodiment of the present invention, absorbable sutures are used to finely and tightly suture the glandular layer and the subcutaneous dermis to make the skin apex smooth. Ultra-fine absorbable sutures are used for intradermal cosmetic suturing, and the suture ends are hidden at both ends of the incision to achieve the effect of minimal scarring.

[0021] Compared with the prior art, the present invention has the following advantages:

[0022] This invention employs a circumareolar incision, positioned at the pigmentary boundary between the areola and normal skin. The color difference between the areola and the surrounding skin naturally conceals postoperative scars, making them less noticeable. Simultaneously, it avoids the obvious scarring and breast deformation problems caused by existing straight incisions, preserving the natural appearance of the breast to the greatest extent possible. It is especially suitable for young female patients with high aesthetic requirements.

[0023] During the procedure, precise imaging localization and safe resection margin design ensure complete removal of the breast mass, reducing the risk of recurrence. At the same time, blunt dissection parallel to the direction of the lactiferous ducts and protection of the main lactiferous ducts directly below the nipple minimize damage to normal breast tissue and function, which is beneficial for postoperative breast function recovery.

[0024] The surgical steps of this invention are clear and the process is standardized. It does not require special or complicated instruments, making it easy to promote and apply in clinical practice. Furthermore, the anesthesia method, incision length, and separation strategy can be flexibly adjusted according to the size, location, number of tumors, and individual patient conditions. It is suitable for most patients who need to have breast tumors removed and who need to preserve the nipple-areola complex.

[0025] Using absorbable sutures for multi-layer suturing, especially intradermal cosmetic suturing techniques, not only reduces the pain of postoperative suture removal but also lowers the probability of incision infection and scar hyperplasia. At the same time, the areola area has a rich blood supply, resulting in rapid incision healing and a shorter postoperative recovery period, allowing patients to return to normal life more quickly.

[0026] The specific embodiments of the present invention will now be described in further detail with reference to the accompanying drawings. Attached Figure Description

[0027] In the attached diagram:

[0028] Figure 1 This is a flowchart of a cosmetic circumareolar incision surgical procedure for the resection of a breast tumor while preserving the nipple-areola complex. Detailed Implementation

[0029] To make the objectives, technical solutions, and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments will be clearly and completely described below with reference to the accompanying drawings. The following embodiments are used to illustrate the present invention.

[0030] A surgical method for removing breast tumors while preserving the nipple-areola complex via a circumareolar cosmetic incision includes the following steps:

[0031] Step 1, Preoperative assessment: Through clinical examination and preliminary imaging diagnosis, the nature, maximum diameter and volume of the breast mass, its relative position to the nipple-areola complex, depth from the skin and number are determined, providing a basis for the subsequent surgical plan.

[0032] Step 2, Imaging localization: Using ultrasound or mammography, the three-dimensional coordinates of the breast mass within the breast are accurately determined. Ultrasound localization is suitable for most breast masses, especially cystic masses and masses close to the skin, with high localization accuracy. Mammography localization is more suitable for locating lesions with low breast density and microcalcifications.

[0033] Step 3, Incision Design: The patient is placed in a sitting or supine position (chosen according to the location of the mass and the surgeon's operating habits; sitting makes it easier to observe the location of the mass under the natural shape of the breast, while supine position facilitates stable operation during the operation). Based on the breast mass localization results obtained in Step 2, the projection range of the mass is marked by drawing lines on the body surface, or a positioning guidewire is placed near or in the center of the mass to guide the direction of resection during the operation, and then the position and length of the areolar incision are designed. The incision design follows the principle of "being able to directly and conveniently reach the mass and completely remove the mass", and the incision should be set along the skin pigmentation boundary line at the edge of the areola.

[0034] Step 4, Preoperative preparation: Select an appropriate anesthesia method based on the size of the tumor (general anesthesia can be chosen for larger tumors to ensure intraoperative comfort and stability of the surgical field, while local infiltration anesthesia can be chosen for smaller tumors), location (deep tumors may require a wider anesthesia area), and patient tolerance (the ratio of anesthetic drugs can be adjusted for patients who are sensitive to pain); then perform routine skin disinfection on the surgical area (including the entire breast, the areola, and the corresponding area of ​​the chest), drape with sterile surgical towels, and prepare surgical instruments;

[0035] Step 5, Exposure and Resection of the Tumor: Following the incision marks made in Step 3, accurately incise the skin along the pigmented boundary of the areola. Within the glandular tissue surrounding the tumor, carefully dissect using a blunt dissection technique, parallel to the direction of the lactiferous ducts, especially avoiding severing the main lactiferous ducts directly below the nipple to prevent affecting postoperative breast function. After gradually exposing the tumor, gently hold and fix it with surgical instruments. Along the predetermined safe resection margin outside the tumor capsule (approximately 2-3 mm of normal glandular tissue), remove the tumor and surrounding glandular tissue as a whole, ensuring complete removal of the lesion.

[0036] Step 6, incision suturing and cavity closure: After removing the tumor specimen, check for bleeding points in the surgical cavity, and close the surgical cavity after thorough hemostasis; use absorbable sutures to first perform fine and tight suturing on the glandular layer to restore the continuity of the glandular tissue; then suture the subcutaneous dermis layer to ensure smooth skin tissue alignment; finally, use ultra-fine absorbable sutures for intradermal cosmetic suturing, hiding the suture ends at both ends of the incision to reduce postoperative scar formation.

[0037] Furthermore, the method for marking the location on the body surface in step 3 is as follows: Before the operation, the surgeon, under the guidance of ultrasound or mammography, observes in real time with an ultrasound probe or mammography locator, and accurately marks the location (center and edge projection), size (marking the outline of the tumor proportionally), depth (indicated by annotations or specific symbols beside the marking lines), and relationship with the areola (such as the distance from the edge of the areola) of the tumor on the body surface using a special puncture needle. If the tumor is located deep or small, a surface needle insertion method can be used, placing the positioning guidewire near the tumor (1-2 mm from the edge of the tumor) or in the center through a special puncture needle, with the end of the guidewire remaining outside the body surface to facilitate guidance of the resection direction during the operation.

[0038] Furthermore, the specific principles of incision design in step 3 are as follows: under the core premise of "being able to completely remove the tumor", the shortest and most direct path is selected to design the circumferential incision around the areola; the length of the incision should be such that surgical instruments can pass smoothly and the tumor can be removed, usually not exceeding 1 / 3 of the areola circumference, to avoid affecting the blood supply to the areola and the postoperative appearance due to an excessively long incision.

[0039] Furthermore, during blunt dissection of tissue in step 5, tissue dissection forceps or fingers (wearing sterile gloves) should be used. The dissection force should be moderate to avoid excessive traction that could damage the glandular tissue. Dissection parallel to the direction of the lactiferous ducts can reduce the probability of lactiferous duct injury. In particular, the main lactiferous ducts in the area directly below the nipple are the key channels for milk drainage. Transverse severance may lead to postoperative milk stasis or affect breastfeeding function, so they need to be carefully protected.

[0040] Furthermore, during suturing in step 6, interrupted suturing is used for the glandular layer, with a suture spacing of 5-8mm to ensure tight suturing without affecting the blood supply to the gland; continuous suturing is used for the subcutaneous dermis to ensure precise alignment of the skin edges; and the intradermal cosmetic suturing uses the "subcutaneous continuous suture embedding" method, where the sutures are completely hidden within the subcutaneous tissue, eliminating the need for suture removal after surgery and further reducing the risk of scar formation.

Claims

1. A surgical method for removing breast tumors while preserving the nipple-areola complex via a cosmetic incision around the areola, characterized in that, Includes the following steps: Step S1: Preoperative assessment: including the nature, size, location, and number of breast masses; Step S2: Imaging localization: ultrasound localization or mammography localization; Step S3: Incision design: The patient is placed in a sitting or supine position. The appropriate incision location and length are designed based on the localization markers of the breast mass. Step S4: Preoperative preparation: Select appropriate anesthesia and perform routine skin disinfection according to the size and location of the tumor and the patient's tolerance; Step S5: Accurately incise the skin along the pre-marked location of the mass, and carefully perform blunt dissection within the glandular tissue surrounding the mass to gradually expose the mass; Step S6: Gently hold and fix the tumor with surgical instruments, remove the excised specimen in one piece, close the surgical cavity, and suture the incision.

2. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... The method for marking the location on the body surface is as follows: Before the operation, the surgeon marks the location, size, depth and relationship of the tumor to the areola on the body surface under the guidance of ultrasound or mammography, or a positioning guide wire is placed near or in the center of the tumor by inserting a needle on the body surface to guide the direction of resection during the operation.

3. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... The surgical incision around the areola is designed to allow for direct and convenient access to the tumor, with the principle of completely removing the tumor.

4. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... The skin is precisely incised along the pigmented boundary of the areola, with the aim of effectively operating and completely removing the mass.

5. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... When surgically separating tissues, the optimal opening direction should be selected based on the location of the tumor, and blunt dissection should be performed parallel to the direction of the lactiferous ducts, especially avoiding transverse severing of the main lactiferous ducts in the area directly below the nipple.

6. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... The tumor and surrounding glandular tissue are completely removed by pre-determining safe excision margins along the tumor capsule.

7. The surgical method for resecting breast tumors while preserving the nipple-areola complex via a circumferential areolar cosmetic incision, as described in claim 1, is characterized in that... Absorbable sutures are used to finely and tightly suture the glandular layer and subcutaneous dermis to ensure smooth skin alignment. Ultra-fine absorbable sutures are used for intradermal cosmetic sutures, with the suture ends hidden at both ends of the incision to achieve a minimal scarring effect.

Images