Oncoplastic Surgery of the Breast

Cover Page
......Page 1
ELSEVIER DVD-ROM LICENCE AGREEMENT......Page 2
Copyright page......Page 3
Foreword......Page 4
Preface......Page 5
Contributors......Page 6
Dedication......Page 8
Introduction......Page 9
Toward safety and efficacy......Page 10
Reduction mammaplasty......Page 11
Adjacent tissue rearrangement......Page 12
Local and remote flaps......Page 13
Breast reconstruction following mastectomy with nipple–areolar preservation......Page 14
References......Page 15
Introduction......Page 17
Role of surgical margins......Page 18
Immediate versus delayed reconstruction......Page 19
Patient selection......Page 20
References......Page 21
Importance of timing of repair in relation to XRT......Page 22
Intraoperative tumor margin status......Page 25
Extent and location of the anticipated breast skin resection......Page 26
Impact of breast size and tumor size on repair......Page 28
References......Page 29
Introduction......Page 30
Assessing outcomes in breast reconstruction: BCT vs mastectomy?......Page 31
Reconstruction in BCT: limitations of delayed repair......Page 34
Avoiding deformity in BCT: key factors......Page 35
Extent of resection and tumor variables......Page 38
Role of perioperative planning and neoadjuvant therapy in BCT outcomes......Page 39
Intraoperative margin assessment......Page 40
Skin incisions......Page 41
Reduction mammaplasty techniques......Page 42
Latissimus dorsi and thoracodorsal artery perforator flaps......Page 45
Distant flaps in partial mastectomy......Page 46
Implants after partial mastectomy......Page 48
Partial mastectomy: guiding principles for reconstructive options and timing......Page 50
References......Page 51
The history of oncoplastic breast conservation surgery in the United States......Page 53
Oncoplastic resection......Page 57
Oncoplastic steps......Page 60
Radial ellipse......Page 61
Crescent, batwing and hemi-batwing......Page 65
The contralateral breast......Page 70
References......Page 76
Introduction......Page 77
Patient selection and margin status......Page 78
Steps......Page 80
Reconstruction by defect location......Page 83
Outcome......Page 84
References......Page 88
Secondary defects in breast reconstruction......Page 89
The thoracodorsal artery flap (TDAP)......Page 90
The lateral thoracic flap......Page 91
Case example......Page 94
Pedicle option III......Page 95
Conclusions......Page 97
References......Page 98
Introduction......Page 99
Indications and contraindications......Page 100
Preoperative history and considerations......Page 102
Open latissimus dorsi flap......Page 103
Endoscopic latissimus dorsi flap......Page 104
Complications and side effects......Page 107
References......Page 109
Introduction......Page 111
Indications and contraindications......Page 112
DIEP flap......Page 113
SIEA flap......Page 115
Conclusion......Page 116
References......Page 119
Introduction......Page 121
Indications, contraindications, and patient selection (Table 10.1)......Page 123
Preoperative history and considerations......Page 125
Preoperative marking and preparation......Page 126
Flap inset and closure......Page 127
Fat necrosis......Page 128
References......Page 129
Introduction......Page 131
Nipple-sparing mastectomy in the treatment of breast cancer......Page 132
Discussion: operative approach and optimizing outcomes......Page 133
Complications......Page 134
References......Page 140
Background......Page 142
Basic science and biology......Page 143
Indications......Page 144
Contraindications......Page 145
Predictors of recurrence......Page 146
Teletherapy......Page 147
Timing and types of reconstruction......Page 148
Prior radiation......Page 149
Prior radiation......Page 150
Planned radiation......Page 151
Further reading......Page 152
Indications and contraindications......Page 154
Timing of surgery......Page 155
Surgical anatomy......Page 156
Technique......Page 157
Delayed contralateral reduction mammaplasty following ipsilateral partial mastectomy......Page 163
Preoperative markings......Page 164
Delayed bilateral reduction mammaplasty following unilateral oncoplastic surgery......Page 165
Markings and technique......Page 166
Delayed contralateral mastopexy following ipsilateral oncoplastic surgery......Page 169
Markings and technique......Page 171
Contralateral augmentation following breast conservation or oncoplastic surgery......Page 172
Optimizing outcomes......Page 173
Augmentation......Page 174
Postoperative care......Page 176
References......Page 177
C......Page 178
I......Page 179
M......Page 180
R......Page 181
T......Page 182
Y......Page 183