Download Atlas of Breast Reconstruction by Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat PDF

By Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat

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Breast reconstructive and oncoplastic surgical procedure can decrease the experience of mutilation caused by oncologic surgical procedure and meets the necessity to offer breast melanoma therapy that may not basically eliminate the melanoma but additionally 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 options characterize significant demanding situations for the breast surgeon.

This atlas, meant for surgeons at each point, is an all-inclusive advisor that records surgical suggestions 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, tested approaches and the main lately brought ideas are coated, making sure that readers can have at their disposal a number of methods for breast fix, home improvement, and reconstruction. as well as the great descriptions of thoughts, preoperative making plans is defined, symptoms and contraindications are pointed out, and the administration of surgical issues is mentioned. assistance, pitfalls, and key issues are highlighted.

The Atlas of Breast Reconstruction is an unparalleled instrument that would raise and refine the arsenal on the oncoplastic surgeon's disposal so as to make sure that the simplest therapy should be provided to every person sufferer.

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In this case the lower outer quadrant of the implant is not covered Figs. 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 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. 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.

Reconstructive procedure: Bilateral immediate definitive prosthesis reconstruction. Anatomical moderate profile prosthesis 295 g was selected for both side. Fig. 2 Preoperative drawings Marking midline and inframammary fold. The right breast incision was selected according to tumor location as it was 3 cm tumor with neoadjuvant treatment. The left breast incision was located in the most identical location. A radial incision is our first choice, in order to have a good approach for mastectomy, to have an access to sentinel node biopsy or axillary lymphadenectomy 37 38 Case 6 Immediate Definitive Prosthesis Technique Fig.

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