Halsted Radicalmastectomy: Technique Modification

Detalhes bibliográficos
Autor(a) principal: Lucas, Hiram Silveira
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/3616
Resumo: A modification to the classic HALSTED's method for radical mastectomy is described with the conservation of the major pectoral muscle. The A. is performing succesfully for the last three years such modification consisting in the transversal sectioning of the costochondral branch of fibers of the major pectoral muscle for large exposition and ressection of the axiliar-subclavian vesels and nerves. The monoblock surgical specimen contains the minor pectoral muscle as well as both anterior and posterior major pectoral aponeurosis. The presented technique differs fundamentally from the original HALSTED's method for the best esthetic resuits with the "fulfilment" of the subclavicular fossa due to the two leveis suture of the conserved major pectoral muscle.
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spelling Halsted Radicalmastectomy: Technique ModificationMastectomia Radical: Modificação TáticaMastectomia Radical/instrumentaçãoMastectomia Radical/tendênciasMastectomia Radical ModificadaMastectomy, Radical/instrumentationMastectomy, Radical/trendsMastectomy, Modified RadicalMastectomía Radical/instrumentaciónMastectomía Radical/tendenciasMastectomía Radical ModificadaA modification to the classic HALSTED's method for radical mastectomy is described with the conservation of the major pectoral muscle. The A. is performing succesfully for the last three years such modification consisting in the transversal sectioning of the costochondral branch of fibers of the major pectoral muscle for large exposition and ressection of the axiliar-subclavian vesels and nerves. The monoblock surgical specimen contains the minor pectoral muscle as well as both anterior and posterior major pectoral aponeurosis. The presented technique differs fundamentally from the original HALSTED's method for the best esthetic resuits with the "fulfilment" of the subclavicular fossa due to the two leveis suture of the conserved major pectoral muscle.O A. apresenta tática que vem praticando há 3 anos e que difere fundamentalmente da técnica descrita por HALSTED pela conservação do músculo grande peitoral; o feixe costo-condral deste músculo é seccionado em sentido transversal ao de suas fibras, permitindo amplo acesso e rigorosa dissecção dos elementos componentes do feixe vásculo-nervoso axilo-subclávio. A peça operatória, removida em monobloco, contém o músculo pequeno peitoral, bem como as lâminas anterior e posterior da aponevrose do grande peitoral. Finalmente, é feita a sutura em dois planos do músculo grande peitoral, obtendo-se assim melhor resultado estético pelo "preenchimento" da fossa infraclavicular (o que não ocorre na técnica do HALSTED).INCA2023-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/361610.32635/2176-9745.RBC.1977v27n2.3616Revista Brasileira de Cancerologia; Vol. 27 No. 2 (1977): Mar./Apr.; 17-21Revista Brasileira de Cancerologia; Vol. 27 Núm. 2 (1977): mar./abr.; 17-21Revista Brasileira de Cancerologia; v. 27 n. 2 (1977): mar./abr.; 17-212176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/3616/2498https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLucas, Hiram Silveira2023-08-14T19:28:08Zoai:rbc.inca.gov.br:article/3616Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-08-14T19:28:08Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Halsted Radicalmastectomy: Technique Modification
Mastectomia Radical: Modificação Tática
title Halsted Radicalmastectomy: Technique Modification
spellingShingle Halsted Radicalmastectomy: Technique Modification
Lucas, Hiram Silveira
Mastectomia Radical/instrumentação
Mastectomia Radical/tendências
Mastectomia Radical Modificada
Mastectomy, Radical/instrumentation
Mastectomy, Radical/trends
Mastectomy, Modified Radical
Mastectomía Radical/instrumentación
Mastectomía Radical/tendencias
Mastectomía Radical Modificada
title_short Halsted Radicalmastectomy: Technique Modification
title_full Halsted Radicalmastectomy: Technique Modification
title_fullStr Halsted Radicalmastectomy: Technique Modification
title_full_unstemmed Halsted Radicalmastectomy: Technique Modification
title_sort Halsted Radicalmastectomy: Technique Modification
author Lucas, Hiram Silveira
author_facet Lucas, Hiram Silveira
author_role author
dc.contributor.author.fl_str_mv Lucas, Hiram Silveira
dc.subject.por.fl_str_mv Mastectomia Radical/instrumentação
Mastectomia Radical/tendências
Mastectomia Radical Modificada
Mastectomy, Radical/instrumentation
Mastectomy, Radical/trends
Mastectomy, Modified Radical
Mastectomía Radical/instrumentación
Mastectomía Radical/tendencias
Mastectomía Radical Modificada
topic Mastectomia Radical/instrumentação
Mastectomia Radical/tendências
Mastectomia Radical Modificada
Mastectomy, Radical/instrumentation
Mastectomy, Radical/trends
Mastectomy, Modified Radical
Mastectomía Radical/instrumentación
Mastectomía Radical/tendencias
Mastectomía Radical Modificada
description A modification to the classic HALSTED's method for radical mastectomy is described with the conservation of the major pectoral muscle. The A. is performing succesfully for the last three years such modification consisting in the transversal sectioning of the costochondral branch of fibers of the major pectoral muscle for large exposition and ressection of the axiliar-subclavian vesels and nerves. The monoblock surgical specimen contains the minor pectoral muscle as well as both anterior and posterior major pectoral aponeurosis. The presented technique differs fundamentally from the original HALSTED's method for the best esthetic resuits with the "fulfilment" of the subclavicular fossa due to the two leveis suture of the conserved major pectoral muscle.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3616
10.32635/2176-9745.RBC.1977v27n2.3616
url https://rbc.inca.gov.br/index.php/revista/article/view/3616
identifier_str_mv 10.32635/2176-9745.RBC.1977v27n2.3616
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3616/2498
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 27 No. 2 (1977): Mar./Apr.; 17-21
Revista Brasileira de Cancerologia; Vol. 27 Núm. 2 (1977): mar./abr.; 17-21
Revista Brasileira de Cancerologia; v. 27 n. 2 (1977): mar./abr.; 17-21
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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