By Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat

From the again Cover

Breast reconstructive and oncoplastic surgical procedure can lessen the experience of mutilation as a result of oncologic surgical procedure and meets the necessity to supply breast melanoma therapy that may not simply get rid of the melanoma but in addition re-establish the patient’s caliber of existence. notwithstanding, the problems inherent in preoperative making plans and the intraoperative complexity of breast reconstruction and oncoplastic ideas symbolize significant demanding situations for the breast surgeon.

This atlas, meant for surgeons at each point, is an all-inclusive consultant that records surgical suggestions step-by-step via a wealth of greater than one thousand colour images, extra top of the range drawings and illustrations, and succinct accompanying textual content. either universal, verified strategies 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 great descriptions of suggestions, 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 unparalleled instrument that might raise and refine the arsenal on the oncoplastic surgeon's disposal so one can make sure that the simplest remedy will be provided to every person sufferer.

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12 Bilateral skin intradermic suture Fig. 13 Final results in sitting position Immediate Definitive Prosthesis Technique 6 Case Nipple-Sparing Mastectomy Bilateral Reconstruction Patient: 31 years old with positive family history. Diagnosis: Right breast invasive ductal carcinoma. 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.

44 The skin closure 32 Fig. 45 Bilateral skin closure Fig. 46 Immediate final result Fig. 47 The eighth postoperative day Case 4 Immediate Definitive Prosthesis Technique Immediate Definitive Prosthesis Technique 5 Case Nipple-Sparing Mastectomy Unilateral Reconstruction with Contralateral Augmented Mammaplasty Case 62 Patient: 47 years old with positive family history. Diagnosis: Right breast upper quadrants invasive ductal carcinoma, previous quadrantectomy, and sentinel lymph node biopsy with compromised margins.

10 Closure of parenchyma defect after breast mass removal Special Situation 47 Figs. 13 Submuscular pocket is made by detachment of pectoralis major muscle insertion from its medial and inferior insertion Figs. 15 Previous subglandular pocket (inserted by the hooks) and new submuscular pocket (inserted by fingers) A posterior capsulotomy on the pectoralis major muscle is performed to allow submuscular pocket relaxation 48 Case 7 Immediate Definitive Prosthesis Technique Fig. 16 Prosthesis placement in the subpectoral space Figs.

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