By Maurice Y Nahabedian MD FACS
Well-recognized, overseas professionals in breast and cosmetic surgery give a contribution their specialist recommendation and information on aesthetic closure of the breast. They talk about all key parts from indication and choice of sufferers, to the thoughts and allied matters with regards to breast tumor surgical procedure, together with oncoplastic aid, mammaplasty, mastectomy with nipple areolar upkeep, perforator flaps, results of radiation treatment, in addition to problems and controversies. The DVD of narrated movies of options visually demonstrates systems defined in the e-book. All this, mixed with full-color images and line drawings supply real-life scientific element and transparent visible guidance-everything you must grasp oncoplastic surgery!Covers the main recommendations utilized in reaching aesthetic closure of the breast after tumor removing to supply you with a concentrated, medical guide.Provides real-life scientific aspect and transparent visible assistance to operative steps via full-color medical images and line drawings.Follows a constant bankruptcy layout with precis details highlighted in key element bins and medical pearls for speedy and simple access.Shows narrated, step by step approaches played by means of specialists as they take place in genuine existence at the DVD of movie clips.
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Extra info for Oncoplastic Surgery of the Breast
Several modifications of the LD muscle flap have been proposed to minimize the functional impact on the donor site, including the ‘split’ LD flap described by Tobin53 and, more recently, LD ‘mini’ flaps. In these modifications, the LD muscle is split along the vascular axis utilizing either the descending (vertical) branch or the transverse (horizontal) branch of the thoracodorsal artery. 54,55 The TAP flap is based on one of the two to three cutaneous perforators off the vertical thoracodorsal artery.
5,58 While this procedure would seem especially encouraging for the delayed correction of partial mastectomy defects, the ultimate fate of the fat grafts, their quantification in vivo, and their mechanism of action on the surrounding biologic milieu are currently unknown. Previously considered ineffective and even dangerous, further prospective, controlled studies are warranted to further delineate the effects of fat grafting prior to the widespread application of this technique in a native female breast under surveillance.
7). In addition to persistent seroma, the aesthetics of the back donor site may be a significant aesthetic consideration in a myocutaneous LD flap with a large skin paddle that is unfavorably located. 54,55 This approach is technically complex, subject to anatomic variations, and requires an experienced surgeon. The utility of TAP flaps for delayed reconstruction after BCT after irradiation remains unclear and awaits further study. In this setting, a traditional myocutaneous LD flap may be the safest option for repair of partial mastectomy defects.