Vertical Vinculum Sutures in Mastectomy Flaps Obliterate Dead -Space; Stops Shearing Force and Decrease Wound Complications

In the past decades due to improvement of imaging and scanning modalities and awareness of women about carcinoma of the breast; the incidence of mastectomies has decreased¸ but there are many who for some reason do not refer to their physician in time¸ and they need mastectomy for optimal treatment since their disease is advanced. In modified radical mastectomy and axillary dissection due to extensive surgery¸ and large skin flaps there would be a lot of dead - space under the flaps and the movement and contracture of underlying muscles postpones the healing process¸ and helps seroma formation which this could lead to wound infection. Because of the very high rate of complication after mastectomies compared to clean surgical cases. The recommended vertical vinculum sutures can alleviate the wide dead - space or break it into small compartments and decrease surgical complications for smooth recovery and optimal scar formation.