[Preventive axillary lymphovenous anastomoses simultaneously with lymph node dissection in the treatment of breast cancer for prevention of lymphedema of the upper limb (LYMPHA technique)].

Objective: To analyze the effect the LYMPHA technique on the incidence of upper limb lymphedema in patients with breast cancer after complete axillary lymph node dissection.

Material And Methods: There were 89 patients with breast cancer and signs of metastatic lesion of axillary lymph nodes who underwent complete axillary lymph dissection. In group 1 (41 patients), the LYMPHA technique was used simultaneously with lymph node dissection; in group 2 (48 patients) - lymph node dissection alone.

[Primary plastic reconstructive surgery as a component of therapy for breast cancer].

We have carried out 281 primary plastic reconstructive operations (thoracodorsal flap--171; rectoabdominal flap--104) as a component of therapy for breast cancer in 1998-2004. Such indications as young age and the patient's desire to preserve the breast were considered. Radical intervention was followed by breast reconstruction.

[Parasternal lymph node excision in breast cancer].

Comparative analysis of the results of videothoracoscopic parasternal lymphadenectomy and standard mastectomy by Urban--Holdin is presented. In November 1995 to December 1999 205 videothoracoscopic parasternal lymphadenectomies were performed (96--on the left, 104--on the right). Central and medial location of breast cancer was indication for this operation.