By Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat
From the again Cover
Breast reconstructive and oncoplastic surgical procedure can lessen the feel of mutilation caused by oncologic surgical procedure and meets the necessity to supply breast melanoma remedy that may not merely remove the melanoma but in addition re-establish the patient’s caliber of lifestyles. in spite of the fact that, the problems inherent in preoperative making plans and the intraoperative complexity of breast reconstruction and oncoplastic recommendations symbolize significant demanding situations for the breast surgeon.
This atlas, meant for surgeons at each point, is an all-inclusive advisor that records surgical concepts step-by-step through a wealth of greater than one thousand colour pictures, extra top quality drawings and illustrations, and succinct accompanying textual content. either universal, verified methods and the main lately brought strategies 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 excellent descriptions of thoughts, preoperative making plans is defined, symptoms and contraindications are pointed out, and the administration of surgical issues is mentioned. information, pitfalls, and key issues are highlighted.
The Atlas of Breast Reconstruction is an unheard of software that would bring up and refine the arsenal on the oncoplastic surgeon's disposal with the intention to make sure that the easiest remedy might be provided to every person sufferer.
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Extra resources for Atlas of Breast Reconstruction
26 The seventh postoperative result Immediate Definitive Prosthesis Technique 3 Case Nipple-Sparing Mastectomy Unilateral Reconstruction Patient: 50-year-old woman. Diagnosis: Left breast invasive ductal carcinoma at outer quadrants. Procedure: Oncologic procedure: Left nipple-sparing mastectomy (NSM) and sentinel lymph node biopsy. 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.
Diagnosis: Left breast invasive ductal carcinoma at outer quadrants. Procedure: Oncologic procedure: Left nipple-sparing mastectomy (NSM) and sentinel lymph node biopsy. 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).
The main vessels from the internal mammary perforators in the medial insertion of major pectoralis and inferiorly the anteromedial intercostal perforators. The picture shows a blooding vessel 40 Case 6 Immediate Definitive Prosthesis Technique Fig. 10 Complete submuscular pocket dissections The pocket should be created to meet the preoperative drawing. The limit of inframammary fold should be respected. It is obligated to detach the insertion of the pectoralis major muscle from its inferior and medial insertions in order to avoid a postoperative prosthesis displacement due to muscle contraction.