Download Oncoplastic Breast Surgery A Guide to Clinical Practice Second Edition PDF

Download Oncoplastic Breast Surgery A Guide to Clinical Practice Second  Edition PDF

by Florian Fitzal (Editor), Peter Schrenk (Editor)

In the book Oncoplastic Breast Surgery: A guide to clinical practice(edited in 2010), oncoplastic breast conservation surgical techniques as well as immediate reconstruction after mastectomy were described in detail. Based on these techniques, the current book describes 64 cases of oncoplastic surgery presented by different authors.
Contrary to other books, the authors present not only cases with a good outcome, but an emphasis is put on complications and poor cosmetic results. Each case presentation is followed by a comment of the author discussing why the surgical technique used provided a good outcome as well as what went wrong in case of an inferior result. The poor cases are critically analyzed with respect to patient and case selection, the surgical technique used, and the experience of the surgeon. Possible solutions are provided on how to improve or correct a poor result or, moreimportant, how a poor outcome may have been avoided.
Case selection in this book primarily comprises oncoplastic breast conservation surgery but also refers to newtechniques like matrix- assisted breast reconstruction, lipofilling, or problems associated with postsurgicalradiation treatment.
The book should help the reader to obtain good clinical and cosmetic results and to avoid making the same mistakes as other surgeons have done before and should help in decision-making and problem-solving in case of postoperative complications

This book presents 50 cases, encompassing a broad range of oncoplastic breast surgeries. Each case is dedicated to a particular surgical technique, using classifications of “good, bad, and ugly” to point out potential pitfalls and to optimize post-surgery results. With the help of more than 500 high-quality illustrations and photos and detailed step-by-step instructions the editors, respected experts in their field, describe the most common procedures.

Now in its second edition, this comprehensive surgical atlas provides practical guidance for various oncoplastic techniques used in breast conservation surgery and mastectomy with immediate reconstruction.

The book will be a valuable resource not only for surgeons specialized in breast cancer therapy, but also for general surgeons and gynecologists as well as for plastic and reconstructive surgeons.

oncoplastic-breast-surgery

Contents
viii
11 Tumor Quadrantectomy and Defect Remodeling
with an Epigastric Skin Flap. . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Vesna Bjelic-Radisic
12 S-Mammoplasty No Man’s Land. . . . . . . . . . . . . . . . . . . . . . . . . 45
Elias E. Sanidas
13 Rotational Advancement Flap Quadrantectomy. . . . . . . . . . . . 49
Victor J. Hassid and Steven J. Kronowitz
14 Inferior Rotation Flap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Päivi Vaara and Marjut Leidenius
15 Inferior Rotation Flap: Caveat. . . . . . . . . . . . . . . . . . . . . . . . . . 57
Päivi Vaara and Marjut Leidenius
16 Intramammarian Flap Reconstruction:
Partial Flap Necrosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Christoph Rageth
17 Breast Conservation Surgery Using the J Mammoplasty. . . . . 63
Elias E. Sanidas
18 Breast Conservation Surgery Using
a Thoracoepigastric Flap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Elias E. Sanidas
Part IV Breast Conserving Oncoplastic Techniques:
Superior Pedicle
19 Segment Resection Using a Vertical
Reduction Mammaplasty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Florian Fitzal
20 Segment Resection of a Breast Cancer
in the Submammary Fold Using a Vertical
Reduction Technique. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Florian Fitzal
21 Breast Conservation Surgery: The Vertical Mammoplasty. . . 79
Elias E. Sanidas
22 Superior Pedicle Reduction Mammoplasty and Defect
Reconstruction Using an Inferior- Based Pedicle
with a Skin Island. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Peter Schrenk
23 Oncoplastic Superior-Based Pedicle Reduction
Mammoplasty and Defect Reconstruction
with an Inferior Pedicle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Vesna Bjelic-Radisic
Contents
ix
24 Superior Pedicle Quadrantectomy and Defect
Reconstruction with an Inferior-Based Pedicle:
Secondary Mastectomy and Immediate
Reconstruction with a Latissimus Dorsi Flap. . . . . . . . . . . . . . 89
Peter Schrenk
25 Superior-Based Pedicle Quadrantectomy
and Reconstruction of the Quadrantectomy
Defect with an Inferior Pedicle Flap. . . . . . . . . . . . . . . . . . . . . . 93
Peter Schrenk
26 Superior-Based Pedicle Quadrantectomy and Defect
Reconstruction with Inferior- Based Pedicle: Secondary
Prophylactic Mastectomy and Implant Reconstruction. . . . . . 97
Peter Schrenk
Part V Breast Conserving Oncoplastic Techniques:
Inferior Pedicle
27 Defect Reconstruction with Inferomedial
Pedicle Technique. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Victor J. Hassid and Steven J. Kronowitz
28 Inferior Pedicle Reduction Mammoplasty. . . . . . . . . . . . . . . . . 107
Peter Schrenk
29 Inverted-T Technique for Multicentric Breast Cancer. . . . . . . 111
Florian Fitzal
30 Inferior Pedicle Reduction Mammoplasty:
Position of the Nipple Too High. . . . . . . . . . . . . . . . . . . . . . . . . . 115
Peter Schrenk
31 Inferior Pedicle Reduction Mammoplasty:
Poor Result Due to a Large Defect. . . . . . . . . . . . . . . . . . . . . . . 119
Peter Schrenk
Part VI Breast Conserving Oncoplastic Techniques: B Plasty
32 The B-Mammoplasty for Upper Outer Quadrant Tumors. . . . 127
Elias E. Sanidas
33 Oncoplastic Breast Surgery: The B Plasty. . . . . . . . . . . . . . . . . 131
Peter Schrenk
34 Breast Conservation Surgery: The B Plasty,
Involved Margins, Skin-Sparing Mastectomy,
and Immediate Reconstruction. . . . . . . . . . . . . . . . . . . . . . . . . . 135
Peter Schrenk
Contents
x
Part VII Breast Conserving Oncoplastic Techniques:
Central Resection
35 Central Quadrantectomy and Reconstruction
of the Nipple- Areola Complex with a De-epithelialized
Inferior- Based Pedicle with a Skin Island. . . . . . . . . . . . . . . . . 143
Peter Schrenk
36 Retroareolar Breast Cancer Treated with Central
Quadrantectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Peter Schrenk
Part VIII Breast Conserving Oncoplastic Techniques:
Medial Pedicles
37 Modified Reduction Mammoplasty for Cancer
in the Upper Inner Quadrant. . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Peter Schrenk
38 Hall Findlay: Bad Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Florian Fitzal
Part IX Mastectomy and Immediate Reconstruction:
Acellular Dermal Matrix/Mesh Cases
39 Nipple Sparing Mastectomy and Immediate
Implant Reconstruction with an Acellular
Dermal Matrix (ADM). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Peter Schrenk
40 Skin-Sparing Mastectomy and Immediate Implant
Breast Reconstruction with an Acellular Dermal
Matrix (ADM) Following Nipple-Areola
Complex Reconstruction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Vesna Bjelic-Radisic
41 Nipple-Sparing Mastectomy and Immediate
Implant Reconstruction with a Mesh. . . . . . . . . . . . . . . . . . . . . 179
Peter Schrenk
42 Nipple-Sparing Mastectomy and Immediate
Implant-Based Reconstruction with an Acellular
Dermal Matrix (ADM). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Peter Schrenk
43 Immediate Implant-Based Breast Reconstruction
with an Acellular Dermal Matrix (ADM): Reconstruction
Failure Due to Postoperative Hematoma Causing
Skin Necrosis and Implant Extrusion. . . . . . . . . . . . . . . . . . . . . 191
Vesna Bjelic-Radisic
Contents
xi
44 Nipple-Sparing Mastectomy and Immediate
Reconstruction with an Acellular Dermal Matrix
(ADM): Revision Due to Nipple Necrosis
and Secondary Reconstruction with a DIEP Flap. . . . . . . . . . . 195
Peter Schrenk
45 Cutaneous Fistula Following Immediate Implant-Based
Breast Reconstruction with a Mesh. . . . . . . . . . . . . . . . . . . . . . . 199
Peter Schrenk
46 Nipple-Sparing Mastectomy and Immediate
Implant-Based Reconstruction with a TiLOOP
®
Bra Mesh. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Peter Schrenk
47 Breast Conservation Surgery with Inferior Pedicle
Reduction Mammoplasty Followed by Skin- Sparing
Mastectomy and Immediate Implant Reconstruction. . . . . . . . 209
Peter Schrenk
Part X Mastectomy and Immediate Reconstruction: Latissimus
Dorsi Flap/Dermoglandular Flap
48 Latissimus Dorsi Flap Reconstruction
with Inverted T Mastectomy: Good Result. . . . . . . . . . . . . . . . 217
Hisamitsu Zaha
49 Latissimus Dorsi Flap Reconstruction with Inverted
T Mastectomy: Bad Result. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Hisamitsu Zaha
50 Skin-Sparing Mastectomy and Immediate Implant-Based
Reconstruction Using a Dermoglandular Flap. . . . . . . . . . . . . . 225
Peter Schrenk
Part XI Lipofilling
51 Breast Reconstruction After Mastectomy with Lipofilling. . . . 231
Peter Schrenk
52 Defect Reconstruction After Breast Conservation Surgery
and Radiation with Lipofilling. . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Peter Schrenk
53 Capsular Fibrosis and Recurrent Local Infection Following
Breast Reconstruction with a Latissimus Dorsi Muscle
and an Implant: Removal of the Implant
and Correction with Lipofilling. . . . . . . . . . . . . . . . . . . . . . . . . . 241
Peter Schrenk
Contents
xii
54 Correction of a Postlumpectomy Deformity
Scar by Lipofilling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Rupert Koller and Christoph Grill
Part XII Problems Associated with Radiation
55 Round Block Quadrantectomy for Invasive
Breast Cancer Following Cosmetic Breast
Augmentation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Peter Schrenk
56 Nipple-Sparing Mastectomy and Immediate Implant
Reconstruction with an Acellular Dermal Matrix
(ADM) Followed by Postmastectomy
Radiation Treatment (PMRT). . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Peter Schrenk
57 Local Recurrence After Quadrantectomy
and Radiation Treated by Oncoplastic
Reduction Mammoplasty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Peter Schrenk
58 Local Recurrence After Breast Conservation
and Radiation: Mastectomy and Immediate
Reconstruction with a Latissimus Dorsi (LD) Flap. . . . . . . . . . 263
Peter Schrenk
59 Mastectomy and Immediate Expander/Implant
Reconstruction with Lipofilling: Postmastectomy
Radiation Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Peter Schrenk
60 Mastectomy and Immediate Implant-Based Breast
Reconstruction Followed by Postmastectomy
Radiation Treatment: Implant Exposure
and Revision with a Latissimus Dorsi Flap. . . . . . . . . . . . . . . . 273
Peter Schrenk
61 Mastectomy and Immediate Expander Reconstruction
for Local Breast Recurrence After Previous
Quadrantectomy and Radiation. . . . . . . . . . . . . . . . . . . . . . . . . 277
Peter Schrenk
62 Correction of Postquadrantectomy Deformity
with a DIEP Flap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Rupert Koller and Christoph Grill
Contents
xiii
Part XIII Revisional Surgery (Surgery After Surgery)
63 The Inverted T Mammoplasty for Defect Correction
After Previous Breast Conservation Surgery. . . . . . . . . . . . . . . 287
Elias E. Sanidas
64 Breast Conservation Surgery Following Cosmetic
Reduction Mammoplasty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291
Peter Schrenk
Part XIV Nipple Areola Complex
65 Nipple-Areolar Complex (NAC) Reconstruction:
Good Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
Florian Fitza

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