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Plastic Surgery, 5th Edition Volume 5: Breast

Maurice Y Nahabedian, Peter C. Neligan
ISBN: 9780323810425
ISBN: 9780323810425
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Περιγραφή

Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, Breast, Volume 5 of Plastic Surgery, 5th Edition, features new, full-color clinical photos, procedural videos, lectures, and authoritative coverage of hot topics in the field. Editor-narrated video presentations offer a step-by-step audio-visual walkthrough of techniques and procedures.
Key Features
  • New chapters cover composite breast augmentation (fat and implants), mastopexy after massive weight loss, breast implant illness, and management options for gender affirmation surgery of the breast; coverage throughout includes new, pioneering translational work shaping the future of breast plastic surgery.
  • New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes.
  • New treatment and decision-making algorithms added to chapters where applicable.
  • New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
  • Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in breast plastic surgery and ensure optimal outcomes.
  • Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
  • An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Περιεχόμενα

Instructions for Online Access
Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
Video Contents
Lecture Video Contents
Preface to the Fifth Edition
List of Editors
List of Contributors
Acknowledgments
Dedication
Section I: Aesthetic Breast Surgery
1. Preoperative assessment and planning of the aesthetic breast patient
Abstract
Introduction
Patient factors
Implant factors
Surgical factors
Conclusion
References
2. Current status of breast implants
Abstract
Introduction
History of breast implants
Implant shape
Indications for anatomical implants
Indications for round implants: when anatomical implants are not necessary
Device fill in the modern era: the implant gel
The implant surface
Summary
References
3. Primary breast augmentation with implants
Introduction
Indication
Patient selection
Patient consultation
Patient examination and implant selection
Operative technique
In the OR
Pitfalls and how to address
Postoperative care
Summary
References
4. Autologous fat transfer: fundamental principles and application for breast augmentation
Abstract
History
Principles of 3D tissue grafting
Percentage graft survival vs. percentage recipient site augmentation
Breast augmentation technique that abides by the recognized principles
Factors improving the recipient
Adjunctive procedures to improve breast augmentation
Totally autologous breast augmentation case examples
Conclusion
References
5. Augmentation mastopexy
Abstract
Introduction: a historical perspective
Definition and classification of ptosis
Diagnosis, patient presentation, and counseling
Anatomic factors in augmentation mastopexy
Selecting the appropriate mastopexy incision
Implant selection
One- versus two-stage augmentation mastopexy
Preoperative preparation
Treatment/surgical technique
Special considerations
Postoperative care
Complications and secondary procedures
Outcomes
References
6. Mastopexy after massive weight loss
Abstract
Introduction
Diagnosis/patient presentation
Patient selection
Surgical technique
Postoperative care
Outcomes, prognosis, and complications
Special considerations
Conclusion
References
7. Prevention and management of complications following breast augmentation and mastopexy
Abstract
Introduction
Breast augmentation – complications and revisional approach
Mastopexy – complications and revisions
Augmentation mastopexy – complications and revisions
Conclusion
References
8. Short scar breast reduction
Abstract
Introduction
Breast reduction principles
Superomedial pedicle vertical breast reduction
Applied anatomy
Indications and contraindications
Preoperative Assessment
Operative technique (see )
Intraoperative and postoperative care
Complications
Summary
References
9. Reduction mammaplasty with inverted-T techniques
Abstract
Introduction
Breast anatomy
Historical Perspective
The inverted-T skin pattern
Treatment/surgical technique
Special circumstances
Postoperative care
Complications
Conclusion
References
10. Breast implant illness: diagnosis and management
Abstract
Introduction
ASIA syndrome and other silicone incompatibility syndromes
Science on trial: changing sources of medical information
Self-described symptoms in women with breast implants-BII
Current BII literature
Social media and BII
Current theories on the potential etiology of BII
Treatment
Conclusion
References
11. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): diagnosis and management
Abstract
Introduction
Lymphoma background
BIA-ALCL pathogenesis
Epidemiology
Diagnosis and treatment
Staging
Clinical characteristics and outcomes
Setting research priorities
Medico-legal considerations
Reporting of cases
Conclusions
References
12. A critical analysis of irrigation solutions in breast surgery
Abstract
Introduction
The breast is a clean-contaminated site
Biofilms and breast implants
History of breast pocket irrigation
Antibacterial solutions
In vitro analyses
Capsular contracture
Skin and soft tissue infection
Breast implant-associated ALCL
Conclusion
References
13. Imaging and surveillance in patients with breast implants
Abstract
Introduction
Integrating HRUS into your plastic surgery practice
Clinical studies of HRUS and breast implant evaluation
Conclusions
References
14. Breast implant explantation: indications and strategies to optimize aesthetic outcomes
Abstract
Indications for breast explantation
Explantation techniques: capsule management
Explantation techniques: adjunctive aesthetic procedures
Conclusion
References
15. Management strategies for gynecomastia
Abstract
Introduction
Presentation
Etiology and diagnostic evaluation
Histopathological variations
Treatment
Outcomes
Pitfalls
Conclusions
References
16. Management options for gender affirmation surgery of the breast
Abstract
Background
Gender-affirming care
Gender-affirming mastectomy
Gender-affirming breast augmentation
Conclusions
References
Section II: Reconstructive Breast Surgery
17. Preoperative evaluation and planning for breast reconstruction following mastectomy
Abstract
Introduction
Breast cancer history and considerations
Stage
Nipple-sparing mastectomy
Contralateral prophylactic mastectomy
Reconstructive options
Radiation
Chemotherapy
Hormone and biologic therapies
Host factors
Surgical history
Medications
Physical exam, photography, and preoperative imaging
Conclusions
References
18. Perfusion assessment techniques following mastectomy and reconstruction
Abstract
Introduction
Perfusion imaging in implant-based breast reconstruction
Imaging in autologous tissue transfer
Conclusion
References
19. Introduction to prosthetic breast reconstruction
Abstract
Introduction
Anaplastic large cell lymphoma
Breast implant illness
Acellular dermal matrix
Subpectoral placement of prosthetic devices
Prepectoral placement of prosthetic devices
Two-stage versus one-stage reconstruction
Conclusions
References
20. One- and two-stage prepectoral reconstruction with prosthetic devices
Abstract
One-stage prepectoral reconstruction
Two-stage prepectoral reconstruction
Conclusions
References
21. One-stage dual-plane reconstruction with prosthetic devices
Abstract
Introduction
Direct-to-implant breast reconstruction
Preoperative considerations
Surgical planning (Table 21.1)
Intraoperative technique: immediate subpectoral DTI reconstruction with ADM
Postoperative considerations
References
22. Two-stage dual-plane reconstruction with prosthetic devices
Abstract
History
Preoperative evaluation
Dual-plane tissue-expander reconstruction
Implant exchange
Complications
Conclusions
References
23. Two-stage prosthetic reconstruction with total muscle coverage
Abstract
Introduction
Preoperative counseling
Procedure selection
Surgical technique: two-stage reconstruction
Advantages/disadvantages
References
24. Skin reduction using “smile mastopexy” technique in breast reconstruction
Abstract
Introduction
Surgical technique
Results
Limitations
Conclusion
References
25. Management of complications of prosthetic breast reconstruction
Abstract
Introduction
Predicting the risk of complications
Timing of complications
Managing complications
Aesthetic complications
Conclusion
References
26. Secondary refinement procedures following prosthetic breast reconstruction
Abstract
Introduction
Autologous fat grafting
NAC repositioning
Animation deformity correction
Breast augmentation mammaplasty
Breast reduction mammaplasty
Reduction/augmentation-mastopexy
References
27. Introduction to autologous breast reconstruction with abdominal free flaps
Abstract
Introduction
References
28. Breast reconstruction with the pedicle TRAM flap
Abstract
Introduction
History
Anatomy
Initial markings
Surgical timing/preoperative planning
Patient selection
Surgical procedure
The “Bikini Inset” in delayed TRAM flaps in irradiated breasts ( )
TRAM flap modifications
Postoperative care
Outcomes, prognosis, risk factors, complications
Secondary procedures
References
29. Breast reconstruction with the latissimus dorsi flap
Abstract
Introduction
Operative strategy
Anatomy
Patient marking
Historical perspective
Surgical technique
Defect preparation
Flap elevation
Pedicle identification
Flap inset
Device placement
Delayed breast reconstruction
Immediate breast reconstruction
Final closure: postoperative care
Second stage reconstruction
Immediate breast reconstruction
Delayed breast reconstruction
Autologous reconstruction
Lumpectomy reconstruction
Revision reconstruction
Complications
Summary
References
30. Autologous breast reconstruction with the DIEP flap
Abstract
Introduction
History
Patient selection
Choosing the recipient vessels
Anatomy of internal mammary vessels
Vascular anatomy and relevance to lower abdominal tissue transfer
Perfusion zones
Perforator mapping
Perforator selection
Strategies to maximize flap volume
Enhanced recovery after surgery
Preoperative preparation
Surgical technique
Microvascular flap transfer (see Videos 30.4 & 30.5 Video 30.4 Video 30.5 )
Closure of the donor site and fashioning of the umbilicus
Flap orientation, inset, and shaping
Advances in DIEP breast reconstruction
Postoperative care
Complications
Secondary surgical procedures
Conclusion
References
31. Autologous breast reconstruction with the free TRAM flap
Abstract
Introduction
Basic science/anatomy
Patient selection
Preoperative planning using angiography
Surgical technique
Postoperative care
Complications
Conclusion
References
32. Autologous breast reconstruction with the superficial inferior epigastric artery (SIEA) flap
Abstract
Introduction
Preoperative evaluation and indications
Pre-surgical preparation
SIEA flap elevation
Recipient vessel preparation
Flap inset
Flap monitoring
Postoperative care
References
33. Introduction to autologous reconstruction with alternative free flaps
Abstract
Introduction
Gluteal perforator flaps
Medial thigh flaps
Posterior thigh flaps
Lumbar artery perforator flap
Clinical review
References
34. Gluteal free flaps for breast reconstruction
Abstract
Introduction
History
Patient selection and considerations
Preoperative perforator mapping
Operative approach ( & )
Postoperative care
Revision surgery
Complications and management
Conclusion
References
35. Autologous breast reconstruction with medial thigh flaps
Abstract
Introduction
History
Basic science/disease process
Diagnosis/patient presentation
Patient selection
Treatment/surgical technique
Postoperative care
Outcomes, prognosis, complications
Double TUG flaps for one breast
Secondary procedures: TUG plus…
References
36. Autologous breast reconstruction with the profunda artery perforator (PAP) flap
Abstract
Introduction
Historical perspective
Basic science/anatomy
Patient selection
Surgical technique
Postoperative care
Outcomes and complications
Secondary procedures
Trends/alterations
Conclusion
References
37. Autologous reconstruction with the lumbar artery perforator (LAP) free flap
Abstract
Introduction
The lumbar artery perforator (LAP) flap anatomy
Historical perspective
Patient selection
Surgical technique
Postoperative care
Outcome, prognosis and complications
Conclusion
References
38. Hybrid breast reconstruction: combining flaps and implants
Abstract
Introduction
Hybrid breast reconstruction
Plane of implant placement
Timing of implant placement
Radiation therapy
Surgical technique: immediate hybrid breast reconstruction
Summary
References
39. Innervation of autologous flaps
Abstract
Introduction
Breast sensation anatomy
Understanding nerve anatomy and physiology
Neurotization techniques
Innervated implant-based reconstruction
Outcomes
Future directions
References
40. Stacked and conjoined flaps
Introduction
Patient selection and preoperative assessment
Surgical technique
LAP flap
PAP flap
Recipient site preparation
Microsurgery
Inset
Postoperative care
Outcomes
Conclusions
References
41. Management of complications following autologous breast reconstruction
Abstract
Introduction
Systemic complications
Breast complications
Preventing complications
Conclusion
References
42. Enhanced recovery after surgery (ERAS) protocols in breast surgery: techniques and outcomes
Abstract
Introduction
Components of an ERAS protocol
Preoperative optimization
Regional blocks
Anesthesia ERAS considerations
Summary
References
43. Secondary procedures following autologous reconstruction
Abstract
Introduction
Procedures
Conclusion
References
44. Introduction to oncoplastic breast surgery
Abstract
Introduction
Safety and efficacy of oncoplastic surgery
Immediate reconstruction of the partial mastectomy deformity
Volume displacement techniques
Volume replacement techniques
Conclusions
References
45. Partial breast reconstruction using reduction and mastopexy techniques
Abstract
Introduction
Surgical technique
Outcomes
Conclusion
References
46. Oncoplastic breast reconstruction: local flap techniques
Abstract
Introduction
Indications
Historical perspective
Contraindications
Anatomy
Surgical technique
Secondary procedures
References
47. Surgical and non-surgical management of breast cancer-related lymphedema
Abstract
Introduction
Basic science
Historical perspective
Clinical evaluation
Non-surgical treatment
Diagnostic imaging
Preoperative patient selection
Surgical treatments
Liposuction
Conclusion
References
48. Breast reconstruction and radiotherapy: indications, techniques, and outcomes
Abstract
Introduction
Radiotherapy in breast cancer
Partial breast reconstruction and radiotherapy
Breast reconstruction and postmastectomy radiotherapy
Breast reconstruction in pre-irradiated tissue
Conclusion
References
49. Robotic-assisted autologous breast reconstruction
Abstract
Introduction
Robotic-assisted latissimus dorsi harvest (RALDH)
The RoboDIEP: robotic-assisted deep inferior epigastric perforator flaps for breast reconstruction
Limitations
Conclusion
References
50. Total breast reconstruction by external vacuum expansion (EVE) and autologous fat transfer (AFT)
Abstract
Introduction
Indications
Contraindications
Fundamental principles and basis for the technique
Basic concepts of fat grafting
The surgery
Complementary procedures: the reverse abdominoplasty and fat transfer (RAFT)
Complications and risks of the procedure
Case examples
Delayed reconstruction
Conclusion
References
51. Current options for nipple reconstruction
Abstract
Introduction
General principles
Surgical techniques
Areolar reconstruction
Nipple reconstruction
Tissue engineering
3D tattooing
Conclusion
References
Index
Confidence is ClinicalKey

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