Horizontal reduction mammoplasty in the surgical treatment of breast cancer

Objective. To search for a reliable method of oncologic breast resection, wide access to the axillary area, reduction of the duration of surgery and the number of postoperative complications. Materials and methods. From 2021 to 2024, 63 reduction mammoplasties were performed: 25 horizontal and 38 with a T–shaped incision. Breast cancer of stage IIA (T2N0M0) was in 26 patients, stage IІI (T2N1M0) in 32, stage IIIA (T3N1M0in 5. Horizontal reduction mammoplasty was used in women aged 35 to 80 years with tumor location in any quadrant of the breast. In 15 patients, the tumor was located in the upper quadrants, in 20 – in the lower quadrants. Results. After horizontal reduction mammoplasty, the incidence of postoperative complications was lower than after T–incision reduction mammoplasty, and the number of postoperative bed days was also reduced. According to the proposed BREAST–Q questionnaire, the aesthetic result was rated as satisfactory by the majority of patients. The average number of postoperative bed days was (4± 1,2). Conclusions. The use of horizontal reduction mammoplasty provided the most convenient access to the tumor and the axillary area, reduced the number of postoperative complications and shortened the length of hospital stay.