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Surgery of the Breast -

Surgery of the Breast

Principles and Art

Scott L. Spear (Herausgeber)

Buch | Hardcover
1792 Seiten
2010 | 3rd edition
Lippincott Williams and Wilkins (Verlag)
978-1-60547-577-6 (ISBN)
CHF 649,95 inkl. MwSt
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Describes and demonstrates some of the successful techniques for different types of general surgery, aesthetic, and reconstructive procedures - oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, and augmentation mammoplasty.
This heavily illustrated two-volume atlas is the most comprehensive "how-to" reference on surgery of the breast. The world's leading surgeons describe and demonstrate the most advanced and successful techniques for all types of general surgery, aesthetic, and reconstructive procedures—oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, and augmentation mammoplasty. The text is illustrated throughout with over 4,100 drawings and full-color preoperative, intraoperative, and postoperative photographs. Editorial comments at the end of each chapter provide an alternative perspective and address current controversies.

This thoroughly updated Third Edition features a greatly expanded section on augmentation mammoplasty. Other new chapters cover deep inferior epigastric perforator flap breast reconstruction, skin preserving delayed breast reconstruction, and nipple-sparing mastectomy. Coverage also includes new information on managing oncoplastic surgery, surveillance following breast reconstruction, reconstruction following tumor recurrence, and the role of stem cells.

Contributing Authors vii

Foreword xv

Foreword to 1st Edition xvii

Foreword to 2nd Edition xix

Preface xxi

Acknowledgments xxiii

Volume 1

SECTION I:

Oncology and

1

  Incidence and Risk Factors . . . . . . .
The Epidemiology of Breast Cancer:3

CELIA BYRNE

  2

  Diagnosis . . . . . . . . . . . . . . . . . .
Breast Cancer Screening and11

COSTANZA COCILOVO

  3

  Breast . . . . . . . . . . . . . . . . . . . . .
Imaging of the Surgically Altered16

ERINI MAKARIOU AND ANOUSHEH SAYAH

  4

and Treatment in Augmented

Women . . . . . . . . . . . . . . . . . . . .
Breast Cancer Diagnosis, Prognosis,35

NEAL HANDEL

  5
Pathology of Breast Disorders . . . . 48

BALJIT SINGH

  6

  High-risk Patient . . . . . . . . . . . . .
Defining and Managing the62

THERESE S. CERMAK AND JENNIFER ENG-WONG

  7

Oncoplastic Treatment Approach . . .
Ductal Carcinoma In Situ: An71

MELVIN J. SILVERSTEIN

  8
Mastectomy for Breast Cancer . . . . 96

SHAWNA C. WILLEY AND

  DONNA-MARIE E. MANASSEH

  9

Dissection . . . . . . . . . . . . . . . . .
Sentinel Node Biopsy and Axillary107

HIRAM S. CODY III

  10

Issues . . . . . . . . . . . . . . . . . . . .
Breast Conservation: Oncologic118

COSTANZA COCILOVO

  11

Common and Challenging

Problems . . . . . . . . . . . . . . . . . .
Oncoplastic Surgery: Managing123

ALEXANDRE MENDONÇA MUNHOZ

  12

Mastectomy Defects: Classifications

and Methods . . . . . . . . . . . . . . .
Reconstruction of Partial140

ALBERT LOSKEN

  13

and Reconstruction of Breast

Cancer . . . . . . . . . . . . . . . . . . . .
Special Problems in the Treatment165

ALBERT LOSKEN

  14

Reconstruction of the Partial

Mastectomy Defect . . . . . . . . . . .
The Osnabrueck Experience With177

KLAUS E. BRUNNERT

  15

Conservation Patient . . . . . . . . .
Reconstruction of the Breast198

SUMNER A. SLAVIN

  16

of Breast Conservation Therapy

of the Large-breasted Patient . . .
Reduction Mammaplasty as Part213

SCOTT L. SPEAR, KETAN M. PATEL, AND

  PRANAY M. PARIKH

  17

Breast Cancer: Breast-conserving

Therapy and Mastectomy . . . . . .
Follow-up After Surgery for Primary218

ELIZABETH D. FELDMAN AND WAFA ALKHAYAL

  18
Adjuvant Systemic Therapy . . . . . 228

MINAL SHAH, CLAUDINE J. D. ISAACS, AND

  MINETTA C. LIU

  Contents

19

Breast-conserving Surgery . . . . .
Radiation Therapy Following242

LAURIE W. CUTTINO AND FRANK A. VICINI

  20

Therapy After Mastectomy . . . . .
Invasive Carcinoma: Radiation255

JEFFERSON E.C. MOULDS

  21

Assessment, Genetic Testing, and

Management Options . . . . . . . . .
Hereditary Breast Cancer: Risk264

BETH N. PESHKIN

  22

Reconstruction, Including Prosthetic,

Latissimus, and Transverse Rectus

Abdominus Myocutaneous Flap

Techniques . . . . . . . . . . . . . . . .
Prophylactic Simple Mastectomy and277

DENNIS C. HAMMOND

  23

Reconstruction: Indications,

Techniques, and Outcomes . . . . .
Nipple-sparing Mastectomy and287

SCOTT L. SPEAR, SHAWNA C. WILLEY,

CATHERINE M. HANNAN, AND

COSTANZA COCILOVO

  24
Nipple-sparing Mastectomy . . . . . 298

G. PATRICK MAXWELL, PAT WHITWORTH, AND

ALLEN GABRIEL

  25

Reconstructive Considerations . .
Breast Cancer in Men: Oncologic and308

MAURICE Y. NAHABEDIAN

  26

Treatments for Breast Cancer . . .
Psychological Impact of313

JULIA H. ROWLAND

  SECTION II:

Reconstruction
Breast

27

Considerations in Breast

Surgery . . . . . . . . . . . . . . . . . . .
Informed Consent: Medicolegal331

NEAL R. REISMAN

  28
Silicone Gel Breast Implants . . . . 337

MICHAEL J. MILLER

  29

Manufacturing Past, Present, and

Future . . . . . . . . . . . . . . . . . . . .
Breast Implants: Materials and344

WILLIAM P. ADAMS, JR AND JASON K. POTTER

  30

Reconstruction With Adjustable

Implants . . . . . . . . . . . . . . . . . .
One-stage Immediate Breast357

HILTON BECKER

  31

Reconstruction With Shaped

Adjustable Implants . . . . . . . . . .
Immediate and Delayed Breast376

MICHAEL SCHEFLAN

  32

Reconstruction Using a Tissue

Expander and Implant . . . . . . . .
Immediate Two-stage Breast388

LOUIS L. STROCK

  33

Reconstruction . . . . . . . . . . . . . .
Acellular Dermis-assisted Breast406

SCOTT L. SPEAR, PRANAY M. PARIKH, AND

NATHAN G. MENON

  34

Reconstruction With Acellular

Dermal Matrix . . . . . . . . . . . . . .
Direct-to-Implant Breast412

C. ANDREW SALZBERG AND R. MICHAEL KOCH

  35

Implant Breast

Reconstruction . . . . . . . . . . . . . .
Delayed Two-stage Tissue Expander–420

F. FRANK ISIK

  36

Form-stable Implants . . . . . . . . .
Breast Reconstruction With429

MAURIZIO NAVA, ANGELA PENNATI,

ANDREA SPANO, AND GIUSEPPE CATANUTO

  37

Breast Reconstruction . . . . . . . .
Skin-preserving Delayed-Immediate438

STEVEN J. KRONOWITZ AND

GEOFFREY L. ROBB

  38

  Reconstruction Using Semilunar

  Expander and Purse-string

  Closure . . . . . . . . . . . . . . . . . . .
Immediate Two-stage Breast450

GINO RIGOTTI AND ALESSANDRA MARCHI

  39

  Radiated Breast . . . . . . . . . . . . .
Prosthetic Reconstruction in the460

SCOTT L. SPEAR AND M. RENEE JESPERSEN

  40
Secondary Prosthetic Cases . . . . . 476

SCOTT L. SPEAR, M. RENEE JESPERSEN, AND

  ADAM D. SCHAFFNER

  41

  The External Approach . . . . . . . .
Recreating the Inframammary Fold:492

JAMES J. RYAN

  42

  The Internal Approach . . . . . . . .
Re-creating the Inframammary Fold:497

SCOTT L. SPEAR, ALI N. MESBAHI, AND

  MICHAEL BECKENSTEIN

  43

  Fold With the Superficial

  Fascial System . . . . . . . . . . . . . .
Recreating the Inframammary512

MAURIZIO NAVA, JOSEPH OTTOLENGHI, AND

  EGIDIO RIGGIO

  44

  Flap Breast Reconstruction . . . . .
Latissimus Dorsi Musculocutaneous535

DENNIS C. HAMMOND

  45

  Autologous Reconstruction with

  Latissimus Muscle Only Flaps . . .
Endoscopic Delayed-Immediate555

NEIL A. FINE AND KRISTINA O’SHAUGHNESSY

  46

  in Reconstruction of the

  Radiated Breast . . . . . . . . . . . . .
The Latissimus Dorsi Flap563

SCOTT L. SPEAR, JAY BOEHMLER, AND

  MARK W. CLEMENS

  47

  Autologous Latissimus Dorsi

  Flap With and Without Immediate

  Nipple Reconstruction . . . . . . . .
Breast Reconstruction With an571

EMMANUEL DELAY

  48

  Breast . . . . . . . . . . . . . . . . . . . .
Aesthetic Subunits of the597

STEVEN P. DAVISON AND MARK W. CLEMENS

  49

  Breast . . . . . . . . . . . . . . . . . . . .
Reconstruction of the Irradiated607

SCOTT L. SPEAR, MATTHEW L. IORIO, AND

  PRANAY M. PARIKH

  50

  Breast Using Autologous Tissue

  With Immediate Nipple

  Reconstruction . . . . . . . . . . . . . .
One-stage Reconstruction of the623

LAWRENCE B. COLEN AND JOHN M
CCRAW

51

  Reconstruction . . . . . . . . . . . . . .
Bipedicle TRAM Flap639

KENNETH C. SHESTAK

  52

  Myocutaneous Flap Reconstruction:

  The Single-pedicle, Whole-muscle

  Technique . . . . . . . . . . . . . . . . .
Transverse Rectus Abdominis652

MICHAEL R. ZENN AND JAMES W. MAY, JR.

  53

  Unipedicle TRAM Operation: The

  Muscle-splitting Technique . . . . .
Breast Reconstruction With the660

SCOTT L. SPEAR, CHRISTIAN A. PRADA,

  DEREK L. MASDEN, AND J. WILLIAM LITTLE

  54

  Myocutaneous Flaps . . . . . . . . . .
Bilateral Transverse Rectus Abdominus670

ONELIO GARCIA, JR.

  55

  Myocutaneous Flap Breast

  Reconstruction . . . . . . . . . . . . . .
Free Transverse Rectus Abdominis681

CHET L. NASTALA, STEVEN M. PISANO,

  MINAS T. CHRYSOPOULO, AND PETER R. LEDOUX

  56

  Skin-sparing Mastectomy Through

  a Periareolar Approach . . . . . . . .
Immediate Reconstruction After693

JOAN E. LIPA

  57

  Mastectomy Using the Omental

  Flap and Synthetic Mesh . . . . . . .
Immediate Reconstruction After Skinsparing705

JOÃO CARLOS SAMPAIO GÓES AND

  ANTONIO LUIZ V. MACEDO

  58
Abdominal Flaps and Implants . . 712

MAURICE Y. NAHABEDIAN

  59

  Myocutaneous Flaps With

  Preoperative Delay . . . . . . . . . . .
Transverse Rectus Abdominis720

PAUL R. CALLEGARI

  60

  Tissue Transfer: An Algorithmic

  Approach . . . . . . . . . . . . . . . . . .
Breast Reconstruction With Free727

JULIE E. PARK AND DAVID H. SONG

  61

  Reconstruction . . . . . . . . . . . . . .
Perforator Flaps in Breast736

MARK W. CLEMENS AND

  MAURICE Y. NAHABEDIAN

  62

  Flaps . . . . . . . . . . . . . . . . . . . . .
Anatomic Basis of Perforator745

MICHEL SAINT-CYR

  63

  in Breast Reconstruction . . . . . . .
Pedicled Perforator Flaps757

MOUSTAPHA HAMDI

  64

  Rectus Abdominis Musculocutaneous

  Flaps . . . . . . . . . . . . . . . . . . . . .
Musculofascial-sparing Transverse770

MICHAEL J. MILLER

  65

  Artery Perforator Flap Breast

  Reconstruction . . . . . . . . . . . . .
Deep Inferior Epigastric778

MARK W. CLEMENS AND

  MAURICE Y. NAHABEDIAN

  66

  Perforator Flap in Breast

  Reconstruction . . . . . . . . . . . . . .
The Superior Gluteal Artery790

JULIE V. VASILE, ROBERT J. ALLEN, AND

  JOSHUA L. LEVINE

  67

  Flap for Microsurgical Breast

  Reconstruction . . . . . . . . . . . . . .
The Inferior Gluteal Artery Perforator803

CONSTANCE M. CHEN, MARIA M. LoTEMPIO,

  AND ROBERT J. ALLEN

  68

  Epigastric Artery Flap in Breast

  Reconstruction . . . . . . . . . . . . . .
The Superficial Inferior808

PIERRE M. CHEVRAY

  69

  Reconstruction . . . . . . . . . . . . . .
Gracilis Flaps for Breast818

KAREN M. HORTON

  70

  Breast in Breast Reconstruction . . .
Options for Managing the Opposite830

JAMES D. NAMNOUM AND DAVID OTTERBURN

  71

  Outcomes in Bilateral Breast

  Reconstruction . . . . . . . . . . . . . .
Issues, Considerations, and838

ELISABETH K. BEAHM AND

  ROBERT L. WALTON

  72
Nipple-Areola Reconstruction . . . 855

SCOTT L. SPEAR AND JUSTIN E. WEST

  73

  Augmentation in Subsequent

  Breast Reconstruction . . . . . . . .
Considerations of Previous875

SCOTT L. SPEAR, MARK W. CLEMENS, AND

  MICHAEL A. HOWARD

  74

  Breast Reconstruction . . . . . . . .
The Second Stage in Autologous884

DAVID W. CHANG

  75

  Following Breast Reconstruction

  With Abdominal Flaps . . . . . . . .
Biomechanical Considerations894

MAURICE Y. NAHABEDIAN, SCOTT L. SPEAR, AND

  CHRISTOPHER L. HESS

  76

  Deformities in the Reconstructed

  Breast . . . . . . . . . . . . . . . . . . . .
Fat Injection to Correct Contour904

SCOTT L. SPEAR AND ALI AL-ATTAR

  77

  Breast . . . . . . . . . . . . . . . . . . . .
Lipomodeling of the Reconstructed912

EMMANUEL DELAY

  78

  Reconstruction . . . . . . . . . . . . . .
Surveillance Following Breast930

VALERIE LEMAINE, COLLEEN M. M

  AND ANDREA PUSIC
CCARTHY,

79

  Following Tumor Recurrence . . .
Reconstruction of the Breast934

MELISSA A. CROSBY AND DAVID W. CHANG

  80
Stem Cells and the Breast . . . . . . 940

EDWARD P. BUCHANAN, VICTOR W. WONG, AND

  GEOFFREY C. GURTNER

  81

  Postoperative Breast Pain . . . . . .
Management of Chronic947

IVICA DUCIC, ETHAN E. LARSON, AND

  MATTHEW L. IORIO

  Volume 2

  SECTION III:

  Mammaplasty and Mastopexy
Reduction

82

  and Mastopexy: General

  Considerations . . . . . . . . . . . . . .
Reduction Mammaplasty955

DENNIS C. HAMMOND

  83

  and Reduction: The “Round

  Block” . . . . . . . . . . . . . . . . . . . .
Periareolar Benelli Mastopexy960

LOUIS C. BENELLI

  84

  Wall–based Flap and Pectoralis

  Muscle Loop . . . . . . . . . . . . . . .
Mastopexy With Chest972

RUTH GRAF, ANDRÉ RICARDO DALL’OGLIO

  TOLAZZI, THOMAS BIGGS, AND

  MARIA CECÍLIA CLOSS ONO

  85

  Implants: Superolaterally Based

  Rotation Flap . . . . . . . . . . . . . .
A Mastopexy Technique Without985

BARBARA B. HAYDEN

  86

  and Mastopexy Without

  Undermining . . . . . . . . . . . . . . .
Vertical Scar Breast Reduction990

CLAUDE LASSUS

  87
Vertical Mastopexy . . . . . . . . . . 1007

JUAN DIEGO MEJIA AND FOAD NAHAI

  88

  Reduction and Mastopexy . . . . .
Vertical Mammaplasty for Breast1016

ALBERT DE MEY, DIANE FRANCK, AND

  CHRISTOPHE ZIRAK

  89

  Short Horizontal Scar . . . . . . .
Vertical Mammaplasty With a1025

DANIEL A. MARCHAC

  90

  Alone . . . . . . . . . . . . . . . . . . .
Breast Reduction by Liposuction1035

MARTIN MOSKOVITZ

  91

  the Superomedial Pedicle . . . . .
Vertical Breast Reduction Using1045

ELIZABETH J. HALL-FINDLAY

  92

  Inferior Pedicle Reduction

  Mammaplasty . . . . . . . . . . . . . .
The Short Scar Periareolar1063

DENNIS C. HAMMOND

  93

  Reduction Technique . . . . . . . .
The Circumvertical Breast1078

A. ALDO MOTTURA

  94

  Reduction: Basic Concepts . . . .
Inferior Pedicle Technique in Breast1088

NAVIN K. SINGH AND MARWAN R. KHALIFEH

  95

  Reduction: Practical Steps . . . . .
Inferior Pedicle Technique in Breast1097

SAUL HOFFMAN

  96

  Using the Central Mound

  Technique . . . . . . . . . . . . . . . .
Reduction Mammaplasty1107

DANIEL P. LUPPENS AND MARK A. CODNER

  97

  Medial Pedicles and Inverted-T

  Incisions . . . . . . . . . . . . . . . . .
Reduction Mammaplasty Using1116

ETHAN E. LARSON AND MAURICE Y. NAHABEDIAN

  98
The L Short-scar Mammaplasty . 1128

ARMANDO CHIARI, JR. AND JAMES C. GROTTING

  99

  Reduction . . . . . . . . . . . . . . . .
The No-vertical-scar Breast1144

SIMON G. TALBOT AND JULIAN J. PRIBAZ

  100

  Free Nipple Graft Technique . . .
Breast Reduction With the1156

SCOTT L. SPEAR AND M. RENEE JESPERSEN

  101

  in the Irradiated Breast . . . . . . .
Reduction Mammoplasty1170

SCOTT L. SPEAR AND AMER SABA

  102

  After Massive Weight Loss . . . .
Breast Reduction and Mastopexy1174

J. PETER RUBIN AND JOSEPH MICHAELS

  103

  and Mastopexy After Massive

  Weight Loss . . . . . . . . . . . . . . .
Strategies in Breast Reduction1185

DENNIS J. HURWITZ

  104
Gynecomastia . . . . . . . . . . . . . . 1205

FRANK LISTA AND JAMIL AHMAD

  105

  Corrections After Breast

  Reduction and Mastopexy . . . . .
Complications and Secondary1211

SCOTT L. SPEAR AND KAREN KIM EVANS

  SECTION IV:

  Mammaplasty
Augmentation

106

  General Considerations . . . . . . .
Augmentation Mammaplasty:1227

G. PATRICK MAXWELL, MATTHEW B. BAKER, AND

  ALLEN GABRIEL

  107

  Tissue-based Planning for

  Breast Augmentation . . . . . . . .
The High Five Process:1246

WILLIAM P. ADAMS JR.

  108

  Patient: Psychological Issues . . .
The Augmentation Mammoplasty1254

REBECCA COGWELL ANDERSON AND

  JASON C. LEVINE

  109

  Augmentation . . . . . . . . . . . . .
Patient Education in Breast1261

CAROLINE A. GLICKSMAN

  110

  Augmentation Mammaplasty . . .
The Inframammary Approach to1271

DENNIS C. HAMMOND

  111

  Augmentation Mammaplasty . . .
The Periareolar Approach to1277

SCOTT L. SPEAR, JEFFREY M. JACOBSON, AND

  ELAN REISIN

  112

  Augmentation . . . . . . . . . . . . .
Subfascial Breast1283

RUTH MARIA GRAF, MARIA CECÍLIA CLOSS ONO,

  AND ANDRÉ RICARDO DALL’OGLIO TOLAZZI

  113

  Augmentation . . . . . . . . . . . . . .
Transaxillary Breast1290

LOUIS L. STROCK

  114

  Augmentation . . . . . . . . . . . . .
Transumbilical Breast1300

RICHARD V. DOWDEN AND

  MARIANNE A. FULLER

  115

  Anatomic, High-cohesiveness

  Silicone Gel Implants (European

  Experience) . . . . . . . . . . . . . . .
Breast Augmentation With1322

PER HEDÉN

  116

  Form-stable Gel Implant for Primary

  Breast Augmentation . . . . . . . .
The Highly Cohesive, Style 4101346

BRADLEY P. BENGTSON

  117
Lipoaugmentation . . . . . . . . . . 1366

SYDNEY R. COLEMAN AND ALESIA P. SABOEIRO

  118

  Reconstruction Using BRAVA

  External Breast Expansion

  and Autologous Fat Grafting . .
Breast Augmentation and1374

ROGER K. KHOURI AND DANIEL DEL VECCHIO

  119

  Patient With Tuberous Breasts and

  Other Complex Anomalies . . . .
Augmentation Mammaplasty in the1401

DENNIS C. HAMMOND

  120

  in Women With Thoracic

  Hypoplasia . . . . . . . . . . . . . . .
Augmentation Mammaplasty1410

SCOTT L. SPEAR, JESSE A. GOLDSTEIN, AND

  CHRISTOPHER V. PELLETIERE

  121

  With Poland Syndrome . . . . . . .
Breast Reconstruction in Patients1416

JAMES D. NAMNOUM

  122

  Mastopexy . . . . . . . . . . . . . . . .
Augmentation With Periareolar1425

SCOTT L. SPEAR AND MARK L. VENTURI

  123

  General Considerations . . . . . . .
Augmentation Mastopexy:1434

DENNIS C. HAMMOND

  124

  Augmentation Mammaplasty . . .
Managing Complications of1447

NEAL HANDEL

  125

  Implant Malposition . . . . . . . . .
Neo-subpectoral Technique for1473

SCOTT L. SPEAR, M. RENEE JESPERSEN, AND

  SAMIR S. RAO

  126

  Distortion Following Submuscular

  Breast Augmentation . . . . . . . .
Outcome Assessment of Breast1481

SCOTT L. SPEAR AND JAIME SCHWARTZ

  127

  Surgery of the Breast . . . . . . . .
Bioprosthetic Materials for Plastic1488

G. PATRICK MAXWELL AND ALLEN GABRIEL

  128

  Treatment and Prevention of

  Implant-associated Breast

  Deformities . . . . . . . . . . . . . . .
Acellular Dermal Matrix for the1495

SCOTT L. SPEAR AND MITCHEL SERUYA

  129

  After Augmentation Mammaplasty

  by Conversion to the Subpectoral

  or “Dual-plane” Position . . . . .
Correction of Capsular Contracture1503

SCOTT L. SPEAR AND MICHAEL COHEN

  130

  and Anatomic Description,

  Classification and Definitions,

  and Options for Repair and

  Reinforcement . . . . . . . . . . . . .
The Inframammary Fold: Histologic1510

BRADLEY P. BENGTSON

  131

  Anatomic Form-stable Silicone

  Gel Implants . . . . . . . . . . . . . .
Revision Augmentation With1516

MITCHELL H. BROWN

  132

  Augmented Breast . . . . . . . . . .
Correction of Ptosis in the Previously1532

NEAL HANDE

Oncoplastic Surgery

Mitarbeit Stellvertretende Herausgeber: Shawna C. Willey, Geoffrey L. Robb, Dennis C. Hammond, Maurice Y. Nahabedian
Verlagsort Philadelphia
Sprache englisch
Maße 213 x 276 mm
Gewicht 4967 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Chirurgie
ISBN-10 1-60547-577-7 / 1605475777
ISBN-13 978-1-60547-577-6 / 9781605475776
Zustand Neuware
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