Salima Baya is currently working Ibn Sina hospital, Morocco, Morocco
Abstract
The difficulty of the surgery of gigantomatic breast is the ability to keep the vascularization of the Pam . the irradiation majors the risks of devascularisation and pam and gland necrosis
The breast reduction by the supero internal pedicle is a worldwide technique khnowen to be easy and simple to do even for gigantomastic breast .
We receive a patient who complains about the big volume of her breast , fleche 27 CM at the left breast and 30 cm on the right one and which has a previously ( ten years ago ) a tumorectomy and local irradiation on her supero externe quadrant on her left breast
We choose the supero internal pedicle for his security and easy technique and because the irradiation doesn ‘t affect his vascularization
The results was satisfaying without any vascular or necroziting complications
