Authors: Scott L. Spear (Editor), Geoffrey L. Robb, Shawna C. Willey
ISBN-13: 9780781747561, ISBN-10: 0781747562
Format: Hardcover
Publisher: Lippincott Williams & Wilkins
Date Published: December 2005
Edition: Second Edition
Expanded to two volumes and thoroughly updated, this profusely illustrated text/atlas is the most comprehensive "how-to" reference on surgery of the breast. More than 90 of the world's leading surgeons describe and demonstrate the most advanced and successful techniques for all types of breast surgery—oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, and augmentation mammoplasty. The text is illustrated throughout with over 3,700 drawings and full-color preoperative, intraoperative, and postoperative photographs.
Emphasis is on how to solve surgical problems and how to perform various techniques. Editorial comments in each chapter provide an alternative perspective and address current controversies.
Reviewer:Jeffrey S. Rosenthal, MD(Bridgeport Hospital)
Description:The unifying theme of this two volume set is that there are a multitude of procedures to sculpt or reshape a breast for cosmetic or reconstructive purposes. This set sheds light on the very complex field of breast surgery. Dr. Spear has organized and edited an atlas/text that will instruct surgeons before they undertake such an endeavor.
Purpose:The editor and a cadre of authors have combined the art and science of breast surgery in order to bring into focus this expansive discipline that ranges from the diagnosis and treatment of breast cancer to cosmetic surgery.
Audience:Dr. Spear, a seasoned and thoughtful plastic surgeon, has assembled over 60 esteemed authors in their respective fields to compile an authoritative treatise on breast surgery. This work will foster the knowledge base of those in many disciplines, including plastic and general surgeons and gynecologists and oncologists who are involved in the treatment of patients with breast disease.
Features:The full breadth of oncologic and cosmetic breast surgery is covered in this text/atlas using a "how-to" approach. The first volume offers information relating to breast cancer, including incidence, screening, diagnosis, pathology, types, treatments, and a host of alternatives and options for reconstruction. The second volume focuses on breast lifting, reshaping, reduction, and augmentation from an esthetic perspective. Many of these same techniques are also appropriate for individuals who have physical disabilities relating to their breast size or shape. The chapters are illustrated well and include photographic documentation of the surgical results. Each topic includes editorial comments that focus the reader's attention on details and perspectives that may be lost in the enormous amount of information that is presented.
Assessment:The care of the breast and subsequent surgery to rebuild it after cancer or to cosmetically enhance its shape is a difficult task at best. Breast contouring procedures require a great deal of skill to maintain a natural appearance and symmetry. This publication will afford both patients and physicians the opportunity to achieve these laudable goals.
Contributing Authors | ||
Foreword | ||
Preface | ||
Acknowledgments | ||
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 |