FISH Mastectomy Incision: an Innovative AIIMS Technique

In obese patients following standard mastectomy for breast cancer, redundant skin persists at the lateral end of the mastectomy scar. It can be uncomfortable and unsightly. Moreover, uneven surface of skin fold especially in axilla increases the risk of radiation reaction. The standard transverse elliptical incision at the lateral end of mastectomy incision can be modified as a fish tail to avoid dog-ear deformity of the wound. This design of the incision enables the surgeon to mobilise the redundant skin employing the principle of ‘rotation advancement’ and close even large skin defects.