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 offer breast melanoma therapy that won't merely eliminate the melanoma but additionally 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 recommendations symbolize significant demanding situations for the breast surgeon.
This atlas, meant for surgeons at each point, is an all-inclusive advisor that files surgical recommendations step-by-step through a wealth of greater than a thousand colour photographs, extra fine quality drawings and illustrations, and succinct accompanying textual content. either universal, validated systems and the main lately brought suggestions are coated, making sure that readers could have at their disposal a number of ways for breast fix, home improvement, and reconstruction. as well as the excellent descriptions of strategies, preoperative making plans is defined, symptoms and contraindications are pointed out, and the administration of surgical problems is mentioned. suggestions, pitfalls, and key issues are highlighted.
The Atlas of Breast Reconstruction is an remarkable device that might raise and refine the arsenal on the oncoplastic surgeon's disposal for you to make sure that the easiest therapy might be provided to every person sufferer.
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Additional resources for Atlas of Breast Reconstruction
19 Intradermal stitches Figs. 21 Immediate final result, frontal and lateral views 21 22 Case 3 Immediate Definitive Prosthesis Technique Figs. 24 Seventh postoperative day result (anterior, left oblique, and left lateral views) There was a hematoma without major complications, and during the reabsorption process there was a visible hyperpigmentation of the skin flaps Immediate Definitive Prosthesis Technique 4 Case Nipple-Sparing Mastectomy Unilateral Reconstruction with Contralateral Mastopexy Patient: 49-year-old woman.
Proper homeostasis should be carefully checked Fig. 12 Definitive prosthesis placement. If the inframammary fold is preserved during the mastectomy, the pectoralis major muscle remains attached to the subcutaneous tissue Check the correct positioning of anatomical prosthesis markers before suturing muscular pocket. Prevent the rotation of the prosthesis by putting it in the correct position according to prosthesis marker Fig. 11 Complete submuscular pocket dissections The mastectomy skin flap should also be checked for the viability and control the bleeding before proceed the prosthesis insertion Observe the yellow arrow pointing the major pectoralis muscle and the white arrow showing the inframammary fold mastectomy limit dissection, anteriorly from the muscle Fig.
Anatomical implant 520 g. Left breast mastopexy with superior pedicle modified Lejour incision. Fig. 2 Preoperative drawing Fig. 1 Preoperative view Ptosis grade 2, large breast size, symmetrical M. 1007/978-88-470-5519-3_5, © Springer-Verlag Italia 2015 23 24 Case 4 Fig. 3 Skin envelope after NSM Figs. 5 Begin with major pectoralis muscle dissection by raising the lateral border Immediate Definitive Prosthesis Technique Unilateral Reconstruction with Contralateral Mastopexy Figs. 7 Limit of the dissection implant pocket can be checked from the outside Fig.