By Guidubaldo Querci della Rovere, John R. Benson, Visit Amazon's Maurizio Nava Page, search results, Learn about Author Central, Maurizio Nava,
This publication is a well timed booklet taking pictures fresh advancements within the fields of oncoplastic surgical procedure and entire breast reconstruction. The hugely profitable first variation has been thoroughly up to date and improved by means of best oncologists and surgeons, with key positive aspects together with:
- A accomplished account of surgical ideas with over three hundred color figures and pictures
- Incorporates a close description of present implant layout and expertise, including stepwise bills of implant-only-based and autologous tissue reconstruction
- Emphasis on sufferer choice and expectation to make sure optimal beauty and practical results
- Problems when it comes to reconstructive surgical procedure, for instance persistent pain
- Training of breast surgeons
Aimed on the breast surgical expert, Oncoplastic and Reconstructive surgical procedure of the Breast, moment Edition additionally serves as a beneficial textual content for the overall and/or plastic health care professional in education, in addition to for non-surgical execs engaged with the administration and help of girls with breast melanoma.
Read Online or Download Oncoplastic and Reconstructive Surgery of the Breast PDF
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Additional info for Oncoplastic and Reconstructive Surgery of the Breast
Sample text
The lower border of the pocket should lie just below the submammary crease but not by more than 1 cm, thus allowing for upward shift of the lower edge with inflation of the expander. The submuscular pocket will have the same dimensions as the selected expander and will reflect the base width and height of the contralateral breast. Intraoperative planning The patient must be correctly positioned on the operating table. Though initially in the supine position, this will be changed following mastectomy and prior to definitive reconstruction.
Skin-sparing mastectomy with immediate breast reconstruction may be considered in the following circumstances: Due to the limited approach to the operating field, both skin flap preparation and haemostasis are more complex than for standard breast surgery. The skin flaps tend to be longer and, consequently, the risk of necrosis higher. Access to the axillary region can be awkward and particular care must be taken to avoid damage to important vascular (axillary vein and thoracodorsal vessels) and neural (long thoracic and thoraco dorsal nerves) structures, which should be identified early on and protected throughout the procedure.
28). 29). Any constricting scar tissue in the inframammary region is excised. 22). 30). Breast reconstruction after expansion (second stage) The second stage of implant reconstruction involves removal of the temporary tissue expander and its replacement with a permanent implant. Adjustments to the contralateral breast can be carried out at this stage. 4,5 This stage of reconstruction is identical for immediate and delayed procedures, and should be undertaken at least 6 months after final expander inflation.