Surgery of the Breast: Principles and Art / Edition 2

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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.

"...covers the management of patients with breast disease, breast reconstruction, reshaping and reducing the breast, & aesthetic breast surgery...with 1,500 illustrations and contributions from 60 experts in this and related fields."

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Editorial Reviews

A unified source of information for surgical management of the breast. Although the section dealing with oncology is primarily text, most of the remaining chapters are in atlas format that provides a "how to" outline for many procedures. The most relevant underlying principles include knowing the ideal beautiful normal; diagnosing before treating; replacing tissue losses in kind; reconstructing in units; making a plan, a pattern, and a second plan; considering the secondary donor area; following up with a critical eye; and teaching as the best legacy. Illustrations are in color and b&w. Annotation c. by Book News, Inc., Portland, Or.
Doody's Review Service
Reviewer: Jeffrey S. Rosenthal, MD (Bridgeport Hospital)
Description: The unifying theme of this book is that the breast is a complex structure that must be viewed from a multidisciplinary perspective. Due to the multitude of procedures necessary to sculpt or reshape a breast for cosmetic or reconstructive purposes, surgeons must be familiar with the appearance of the normal breast and have a vast understanding of the options available at their disposal.
Purpose: The editors and contributors have melded together the principles of the art and science behind breast surgery into this two-volume book that brings into focus this expansive discipline ranging from the oncologic diagnosis and treatment of the breast to cosmetic augmentation.
Audience: Dr. Spear, a seasoned and thoughtful plastic surgeon, has assembled over 150 contributing authors in their respective fields to compile this authoritative book. It will foster the knowledge base of those in many disciplines, including plastic and general surgeons, gynecologists, and oncologists, all of whom partake in the treatment and care of patients with breast disease.
Features: The book covers the breadth of reconstructive and cosmetic breast surgery in an atlas and how-to format, with the exception of the oncology sections which use a text-only format. The first volume offers information relating to breast cancer, i.e., incidence, screening, diagnosis, pathology, types, treatments, and a host of alternatives and options for reconstructing the breast. The second volume focuses on breast lifting, reshaping, reducing, and augmenting from an aesthetic perspective. All chapters are well illustrated and accompanied by photographic documentation of the surgical results. Editorial comments that focus the reader's attention on details and perspectives that may be missed in the enormous amount of information are helpful. Breast surgery for cancer patients is now the domain of multiple specialties, and this book represents a collaborative effort to diagnose, treat, and rebuild the breast. The clear photographs are superb visual aids, as are the charts and algorithms, which will enable readers to discern various nuances necessary to reshape, rebuild, and enhance the breast.
Assessment: Surgery either to rebuild the breast after cancer or to cosmetically enhance its shape requires a great deal of skill to maintain a natural appearance and symmetry. This book will afford both patient and physician the opportunity to achieve these laudable goals. As the knowledge and understanding of breast surgery has grown, so, too, has this newest edition.
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Product Details

  • ISBN-13: 9780781747561
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/28/2005
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 1600
  • Product dimensions: 9.50 (w) x 11.50 (h) x 3.50 (d)

Table of Contents

Contributing Authors
I Oncology
1 Incidence, Trends, and the Epidemiology of Breast Cancer 3
2 Breast Cancer Screening and Diagnosis 23
3 Mammography of the Surgically Altered Breast 41
4 Ultrasonographic Evaluation of the Breast 59
5 Breast Pathology 69
6 Management of Preinvasive Carcinoma and Benign Lesions of the Breast 81
7 Ductal Carcinoma In Situ: Treatment Controversies 89
8 Management of Primary Carcinoma and the Axilla 111
9 Local Excision, Lumpectomy, and Quadrantectomy: Surgical Considerations 129
10 Conservative Treatment of Breast Cancer: Reconstructive Problems 137
11 Reconstruction of the Partial Mastectomy Defect: Classification and Method 155
12 The Osnabrueck Experience with Reconstruction of the Partial Mastectomy Defect 197
13 Reconstruction of the Breast Conservation Patient 221
14 Follow-up after Breast-Conserving Surgery 239
15 Skin-Sparing Mastectomy 249
16 Follow-up after Mastectomy with or without Breast Reconstruction 261
17 Adjuvant Systemic Therapy 271
18 Radiation Therapy: An Integral Part of the Local Management of Breast Cancer 283
19 Psychological Impact of Treatments for Breast Cancer 295
20 Evaluation and Management of the Woman at Increased Risk of Breast Cancer 315
21 Systemic Therapy of Breast Cancer: The Next Decade 325
II Breast Reconstruction
22 Safety and Effectiveness of Breast Implants 335
23 Primary Implant Reconstruction 347
24 Adjustable Implant Reconstruction 357
25 Immediate Two-Stage Breast Reconstruction Utilizing a Tissue Expander and Implant 375
26 Two-Stage Expander/Implant Reconstruction: Delayed 387
27 Prosthetic Reconstruction in the Radiated Breast 399
28 Technical Tips in Planning and Revising Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Breast Reconstruction 407
29 Secondary Prosthetic Cases 431
30 Recreating the Inframammary Fold: The External Approach 457
31 Recreating the Inframammary Fold: The Internal Approach 463
32 Latissimus Dorsi Musculocutaneous Flap Breast Reconstruction 477
33 One-Stage Reconstruction of the Breast Using Autologous Tissue with Immediate Nipple Reconstruction 491
34 TRAM Flap Reconstruction: The Single-Pedicle, Whole-Muscle Technique 511
35 Breast Reconstruction by the Unipedicle TRAM Operation: Muscle-Splitting Technique 521
36 Bipedicle TRAM Flap Reconstruction 535
37 Bilateral TRAM Flaps 547
38 Free TRAM Flap Breast Reconstruction 555
39 The Mid-Abdominal Transverse Rectus Abdominis Myocutaneous Flap 565
40 Mastectomy with Immediate Reconstruction by a Periareolar Approach 577
41 TRAM Flaps with Implants 585
42 TRAM Flap with Preoperative Delay 595
43 Perforator Flaps in Breast Reconstruction 605
44 Superior Gluteal Free Flap 627
45 Inferior Gluteal Free Flap 637
46 The Periiliac Flap for Breast Reconstruction 645
47 Options for the Contralateral Breast in Breast Reconstruction 653
48 Nipple - Areola Reconstruction 661
III Reduction Mammaplasty and Mastopexy
49 Reduction Mammaplasty and Mastopexy: General Considerations 673
50 Periareolar Benelli Mastopexy and Reduction: The "Round Block" 685
51 Periareolar Mastopexy and Reduction with Mesh Support: Double Skin Technique 697
52 Breast Reduction by Suction Alone 709
53 Vertical Scar Breast Reduction and Mastopexy without Undermining 717
54 Vertical Mammaplasty for Breast Reduction and Mastopexy 735
55 Vertical Mammaplasty with a Short Horizontal Scar 749
56 Inferior Pedicle Technique in Breast Reduction 761
57 Reduction Mammaplasty by the Modified Vertical Pedicle Technique 773
58 Central Mound Reduction 787
59 The L Short-Scar Mammaplasty 793
60 Breast Reduction with the Free Nipple Graft Technique 807
61 Complications and Secondary Corrections 823
62 Gynecomastia 831
IV Augmentation Mammaplasty
63 Augmentation Mammaplasty: General Considerations 845
64 The Augmentation Mammaplasty Patient: Psychological Issues 855
65 The Inframammary Approach to Augmentation Mammaplasty 861
66 The Periareolar Approach to Augmentation Mammaplasty 875
67 Transaxillary Breast Augmentation 885
68 Augmentation Mammaplasty: Dimensional Concepts 895
69 Augmentation Mammaplasty for Tuberous Breasts and Other Complex Anomalies 907
70 Augmentation Mastopexy 921
71 Secondary Cases: Managing the Implant Patient 939
72 Managing Local Implant-Related Problems 953
Subject Index 969
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