By Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat
From the again Cover
Breast reconstructive and oncoplastic surgical procedure can decrease the experience of mutilation due to oncologic surgical procedure and meets the necessity to supply breast melanoma remedy that won't in simple terms remove the melanoma but in addition re-establish the patient’s caliber of existence. in spite of the fact that, the problems inherent in preoperative making plans and the intraoperative complexity of breast reconstruction and oncoplastic options characterize significant demanding situations for the breast surgeon.
This atlas, meant for surgeons at each point, is an all-inclusive consultant that files surgical options step-by-step via a wealth of greater than one thousand colour images, extra top quality drawings and illustrations, and succinct accompanying textual content. either universal, validated techniques and the main lately brought thoughts are coated, making sure that readers may have at their disposal a number of methods for breast fix, home improvement, and reconstruction. as well as the great descriptions of concepts, preoperative making plans is defined, symptoms and contraindications are pointed out, and the administration of surgical problems is mentioned. counsel, pitfalls, and key issues are highlighted.
The Atlas of Breast Reconstruction is an unheard of instrument that might elevate and refine the arsenal on the oncoplastic surgeon's disposal on the way to make sure that the easiest therapy could be provided to every person sufferer.
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Extra resources for Atlas of Breast Reconstruction
Anatomical implant 290 g was selected. Left breast simultaneous augmentation. Round shape implant 175 g through inframammary fold incision. Fig. 2 After mastectomy and immediate reconstruction with implant Fig. 1 Preoperative photography drawings Ptosis grade 1, small breast size, symmetrical breasts with previous right breast quadrantectomy upper quadrant scar Marking midline and inframammary fold M. 1007/978-88-470-5519-3_6, © Springer-Verlag Italia 2015 33 34 Fig. 3 Left side inframammary fold incision and subcutaneous oblique dissection The dissection goes until the major pectoralis muscle insertion Figs.
Procedure: Oncologic procedure: Bilateral nipple-sparing mastectomy (NSM). Right NSM via radial upper outer incision approach and sentinel lymph node dissection via the same incision Fig. 1 Preoperative photography Ptosis grade 1, small breast size, symmetrical breasts – the left side slightly bigger than the right one M. 1007/978-88-470-5519-3_7, © Springer-Verlag Italia 2015 and intraoperative radiotherapy on nipple areolar complex. Left prophylactic NSM via radial upper outer incision approach.
Fig. 1 Preoperative photography Symmetrical breasts, cup size two, and without ptosis M. 1007/978-88-470-5519-3_4, © Springer-Verlag Italia 2015 Left NSM is performed via radial incision at upper outer quadrant and sentinel lymph node dissection via the same incision. Reconstructive procedure: Left immediate breast reconstruction with definitive implant (direct-to-implant). Anatomical implant 150 g was selected. Fig. 2 Preoperative drawings Marking midline and inframammary fold. Lateral incision over the tumor 17 18 Case 3 Immediate Definitive Prosthesis Technique Fig.