Langer’s axillary arch: observation’s description
A literature review, devoted to a rather rare anatomic structure - Langer’s axillary muscular arch is presented. The presence frequency varies from 3 to 27 % cases. It is met more rarely in clinical practice - less than for 1 %. Its presence can lead to clinically significant vascular embarrassment and rami of brachial plexus in the form of neurologic symptomatology and abnormality of venous drainage, involving surgical treatment. Performing surgical intervention on breast cancer and axillary lymph node dissection axillary arch can significantly the topography and this troubles the access to the tissues of armhole and can hide lymph glands, especially sentinel. This fact increases the risk of elapse development. Besides, the abnormality of orientations may promote the intraoperative iatrogenic injuries. The personal intraoperative watch of the presence of - Langer’s axillary arch at patients with breast cancer at radical mastectomy is presented.