Details

Oncoplastic Breast Surgery


Oncoplastic Breast Surgery

A Guide to Clinical Practice

von: Bernard Ammerer, Florian Fitzal, Peter Schrenk

245,03 €

Verlag: Springer
Format: PDF
Veröffentl.: 06.05.2010
ISBN/EAN: 9783211993170
Sprache: englisch
Anzahl Seiten: 242

Dieses eBook enthält ein Wasserzeichen.

Beschreibungen

The initial idea to write a book on oncoplastic techniques was raised through a meeting on breast cancer treatment in Saalfelden, A- tria two years ago. Contrary to the rather minor role breast surgery is conceded today compared to other treatment modalities the s- geons role on the further outcome of the disease is crucial and never compensated by radiation or adjuvant therapy. Whereas surgery a decade ago was merely excision of the cancer and closure of the wound leaving behind a mutilated breast in many women, the advent of oncoplastic surgery completely changed the modern surgical approach to breast cancer. The concept of oncoplastic breast surgery combines oncologic - mor resection - either breast conservation or mastectomy - with t- ditional or less traditional plastic surgical techniques. The primary goal is to achieve an optimal cosmetic result with long time local tumor control. Some (non – randomized) studies available in patients following breast conservation oncoplastic surgery showed tumor resection to be associated with wider free margins, less patients needing re-operation surgery for involved or close margins, a widening of the indications for breast conser- tion surgery, a low complication rate and at least an equal local recurrence rate. There is no doubt that oncoplastic breast surgery experienced a r- id rise with more patients demanding this kind of surgery. However, a profound knowledge of the different oncoplastic techniques is - sential for the outcome.
The initial idea to write a book on oncoplastic techniques was raised through a meeting on breast cancer treatment in Saalfelden, A- tria two years ago. Contrary to the rather minor role breast surgery is conceded today compared to other treatment modalities the s- geons role on the further outcome of the disease is crucial and never compensated by radiation or adjuvant therapy. Whereas surgery a decade ago was merely excision of the cancer and closure of the wound leaving behind a mutilated breast in many women, the advent of oncoplastic surgery completely changed the modern surgical approach to breast cancer. The concept of oncoplastic breast surgery combines oncologic - mor resection - either breast conservation or mastectomy - with t- ditional or less traditional plastic surgical techniques. The primary goal is to achieve an optimal cosmetic result with long time local tumor control. Some (non – randomized) studies available in patients following breast conservation oncoplastic surgery showed tumor resection to be associated with wider free margins, less patients needing re-operation surgery for involved or close margins, a widening of the indications for breast conser- tion surgery, a low complication rate and at least an equal local recurrence rate. There is no doubt that oncoplastic breast surgery experienced a r- id rise with more patients demanding this kind of surgery. However, a profound knowledge of the different oncoplastic techniques is - sential for the outcome.
Editorial
From the editors
Invited editorial

General Surgery
Surgical Anatomy
Breast cancer surgery: standard principles
Oncoplastic surgery: definition, advantages, disadvantages and indications

Oncoplastic Surgery (OPS)
OPS and Breast Conservation Surgery (BCS)
BCS and Immediate Reconstruction – Local Techniques = Local in Breast Tissue Flaps

Superior Pedicle
Reconstruction of Partial Mastectomy Defects: Superior Pedicle Reduction Mammaplasty
Inferior Pedicle Mammaplasty for Reconstruction of Partial Mastectomy Defects
Medial or Lateral Pedicle Vertical Breast Reduction (Hall-Findlay or Snowman Technique)
Round Block Technique (Doughnut Mastopexy)
Superior Pedicle Mammaplasty and Reconstruction of Quadrantectomy Defects with Inferior Pedicle Flaps
Batwing Technique
S-Shaped Oblique Reduction Mammaplasty for Reconstruction of Partial Mastectomy Defects
Immediate Reconstruction of Central Quadrantectomy Defects with a Rotation Flap –
The Grisotti Technique
Intramammarian Flap Technique
B-Plasty for Reconstruction of Partial Mastectomy Defects
BCS and Immediate Reconstruction - Flaps
Partial Mastectomy / BCS and Reconstruction with Latissimus
Partial Mastectomy: Breast Reconstruction with the Pedicled Thoracoepigastric Flap

OPS and Mastectomy
Resection Techniques
Nipple and Skin Sparing Mastectomy
Implant Reconstruction
Immediate Breast Reconstruction with Implants
Immediate Reconstruction After Mastectomy: Reconstruction with Tissue Expanders
Autologous Reconstruction
Breast Reconstruction with the Latissimus Dorsi Muscle Flap
Immediate Breast Reconstruction: The Pedicled TRAM Flap
Reconstruction After Mastectomy: DIEP and Muscle-/ Fascia-Sparing TRAM Flap
Transverse Myocutaneous Gracilis Flap for Immediate Skin-Sparing Mastectomy Breast Reconstruction

Special Considerations
Breast Cosmetic Analyses
Nipple Reconstruction and Contralateral Adaptation
Radiological Findings Following Breast Conserving Oncoplastic Surgery
Lipofilling of Tissue Defects Following Breast Conservation
Oncoplastic Breast Conserving Surgery for Late Reconstruction of Partial Breast Defects
Defect Reconstruction After Partial Mastectomy with Flaps
This teaching atlas is designed for breast surgeons specialized in breast cancer therapy including general surgeons, gynecologists and plastic/reconstructive surgeons. It contains more than 400 high quality photos and illustrations and step-by-step lectures from experienced and well known surgeons in Europe and the US. Its first part presents reviews about the most important and recent published articles regarding breast conserving therapy and oncoplastic surgery. The second part focuses on special operation techniques to improve the cosmetic outcome after breast conserving surgery and mastectomy using small parenchyma flaps, breast reduction techniques and pedicled or free flaps. The text highlights indications, contraindications and preoperative drawings of more than 15 different techniques.
<p>Step-by-step presentation of oncoplastic procedures</p><p>Additional high-quality drawings that point out important aspects of the interventions</p><p>Focuses on "small" oncoplastic interventions and their realization, in order to enable general surgeons who are not specifically trained in oncoplastic surgery to apply these methods with respect to the benefit of their patients</p><p>Includes supplementary material: sn.pub/extras</p>

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