Skin-Sparing Mastectomy (SSM) is a method of removing a minimum amount of the skin and a mammary gland under the skin and conserving the native skin. Therty-eight patients (39-73 years old) with breast cancer underwent SSM and immediate breast reconstruction by the use of silicon natrium solution bags. Before cancer operation, none of them said they hoped for immediate breast reconstruction by autogenous tissue. Two patients were considering the reconstruction with autogenous tissue after silicon natrium solution bag reconstruction. By the reconstruction of an implant insertion, it was difficult to achieve a good result by one operation. About half of the reconstructed breast was asymmetry. But, nobody hoped for a revision operation or re-implant operation. There patients said they were not afraid of going to a hot spring but two patients said they were hesitant to do so. The Hokushin district is an agricultural area. So, there was no one who wanted to take time off from to undergo a revision operation to preserve a cosmetic appearance. We should advise secondary reconstruction in the Hokushin district.
Solutions ; Neoplasm of uncertain or unknown behavior of skin ; Integumentary system ; Simple mastectomy ; Lower case dee

In recent years, new surgical wound control methods have been developed one after another, in addition to dressings using gauze. Since we have achieved good results in wound management after surgery when Octyl-2-Cyanoacrylate was used, we hereby report 20 cases treated with this new type of synthetic adhesive between June 2001 and May 2002. In every case, Octyl-2-Cyanoacrylate was applied three times to wounds after subcutaneous suture. The results were that wound infections, wound dehiscence and hemorrhage were not seen. The side effect was not recognized either. It could be used even in an arthrosis mobile department. It had an intensity of 1/3 of normal skin suture by the application of Octyl-2-Cyanoacrylate in three layers. It repelled water after it hardened. We think that we can fully use it in Day Surgery which has become increasingly common recently and will become the mainstream in the future. It is expected that Octyl-2-Cyanoacrylate will be used more widely in general surgery, gynecology, thyroid operations and facial plastic surgery.
Cyanoacrylates ; Surgical aspects ; Neoplasm of uncertain or unknown behavior of skin ; Use of ; Closure, NOS