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Radical mastectomy Halsted operation
Selection of appropriate reconstructive technique
3 other sections not shown
arrowed axilla axillary contents axillary dissection axillary vein bleeding blunt dissection border of latissimus breast reconstruction capsular contraction Caution chest wall clavipectoral fascia contralateral cosmetic result deep surface defect definitive prosthesis diathermy divided Division of pectoralis donor scar elevated fibres finger forceps Halsted mastectomy identified incision inferiorly inframammary fold internal thoracic artery interrupted absorbable sutures ipsilateral lateral pectoral nerve latissimus dorsi flap latissimus dorsi muscle latissimus dorsi reconstruction ligation and division mastectomy is planned medial midline mobilised modified radical mastectomy myocutaneous flap nerve to serratus nodes operation patient pectoralis major muscle pectoralis minor pedicle perforating branches placed plane posteriorly postoperative radiotherapy recon reconstructive procedure rectus abdominis flap Rectus reconstruction rectus sheath require ligation retract retractor satisfactory scissors Segment Sharp dissection silicone skin island struction subcutaneous subpectoral insertion subpectoral pocket subscapular vessels suction drain superiorly surgeon surgery technique tension tissue expander tissue expansion tumour upper flap usually vertically orientated flap