Halsted Radicalmastectomy: Technique Modification
Autor(a) principal: | |
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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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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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1797042236451454976 |