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Anurag’s Interfascial Mastectomy: a new Postulate in Breast Cancer Surgery

  • Surgical Techniques and Innovations
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Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The modified radical mastectomy is still the standard of care for breast cancer management. While performing mastectomy, it behoves on us to make every effort to extirpate maximum amount of ducto-lobular tissue containing terminal ducto-lobular units (TDLUs) as most cases of breast carcinoma arise from TDLU. This is possible if we follow the concept of premammary fascia. It is a thick white distinct fascia and demarcates the plane between subcutaneous tissue and the actual ducto-lobular breast tissue. The technique described by us stress on elevation of skin flap superficial to the white fascial plane. This technique ensures removal of maximum amount of ducto-lobular tissue.

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References

  1. Patey DH, Dyson WH (1948) The prognosis of the carcinoma of the breast in relation to the type of operation performed. Br J Cancer 2(1):7–13

    Article  CAS  Google Scholar 

  2. Purkait B, Srivastava A, Kataria K, Seenu V, Das P, Hari S, Dhar A, Singh MK (2019) Measurement of depth of premammary fascia and breast parenchyma by sonography and histological quantitation. Indian J Surg 81:265–270

    Article  Google Scholar 

  3. Muntan CD, Sundine MJ, Rink RD, Acland RD (2000) Inframammary fold: a histological reappraisal. Plast Reconstr Surg 105:549–556

    Article  CAS  Google Scholar 

  4. Robertson SA, Jeevaratnam JA, Agrawal A, Cutress R (2017) Mastectomy skin flap necrosis: challenges and solutions. Breast Cancer (Dove Med Press) 9:141–152

    Google Scholar 

  5. Agrawal CS, Tiwari P, Mishra S, Rao A, Hadke NS, Adhikari S, Srivastava A (2014) Interrupted abdominal closure prevents burst: randomized controlled trial comparing interrupted-X and conventional continuous closures in surgical and gynecological patients. Indian J Surg 76(4):270–276

    PubMed  Google Scholar 

  6. Singh A, Halder S, Menon G, Chumber S, Misra MC, Sharma LK, Srivastava A (2004) Meta-analysis of randomized controlled trials on hydrocolloid occlusive dressing versus conventional gauze dressing in the healing of chronic wounds. Asian J Surg 27:326–332

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgical Oncology, AIIMS, Bilaspur, HP, India

    Chitresh Kumar

  2. Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India

    Piyush Ranjan, Kamal Kataria, Anita Dhar & Anurag Srivastava

  3. Department of Surgery, Kolkota Medical College, Kolkota, India

    Dhritiman Maitra

Authors
  1. Chitresh Kumar
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  2. Piyush Ranjan
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  3. Kamal Kataria
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  4. Dhritiman Maitra
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  5. Anita Dhar
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  6. Anurag Srivastava
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Corresponding author

Correspondence to Kamal Kataria.

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Kumar, C., Ranjan, P., Kataria, K. et al. Anurag’s Interfascial Mastectomy: a new Postulate in Breast Cancer Surgery. Indian J Surg 84, 177–179 (2022). https://doi.org/10.1007/s12262-021-02800-7

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  • DOI: https://doi.org/10.1007/s12262-021-02800-7

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