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Surgery of the Breast: Principles and Art » (Second Edition)

Book cover image of Surgery of the Breast: Principles and Art by Scott L. Spear

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

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Author Biography: Scott L. Spear

Book Synopsis

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.

Doody Review Services

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.

Table of Contents

Contributing Authors
Foreword
Preface
Acknowledgments
IOncology
1Incidence, Trends, and the Epidemiology of Breast Cancer3
2Breast Cancer Screening and Diagnosis23
3Mammography of the Surgically Altered Breast41
4Ultrasonographic Evaluation of the Breast59
5Breast Pathology69
6Management of Preinvasive Carcinoma and Benign Lesions of the Breast81
7Ductal Carcinoma In Situ: Treatment Controversies89
8Management of Primary Carcinoma and the Axilla111
9Local Excision, Lumpectomy, and Quadrantectomy: Surgical Considerations129
10Conservative Treatment of Breast Cancer: Reconstructive Problems137
11Reconstruction of the Partial Mastectomy Defect: Classification and Method155
12The Osnabrueck Experience with Reconstruction of the Partial Mastectomy Defect197
13Reconstruction of the Breast Conservation Patient221
14Follow-up after Breast-Conserving Surgery239
15Skin-Sparing Mastectomy249
16Follow-up after Mastectomy with or without Breast Reconstruction261
17Adjuvant Systemic Therapy271
18Radiation Therapy: An Integral Part of the Local Management of Breast Cancer283
19Psychological Impact of Treatments for Breast Cancer295
20Evaluation and Management of the Woman at Increased Risk of Breast Cancer315
21Systemic Therapy of Breast Cancer: The Next Decade325
IIBreast Reconstruction
22Safety and Effectiveness of Breast Implants335
23Primary Implant Reconstruction347
24Adjustable Implant Reconstruction357
25Immediate Two-Stage Breast Reconstruction Utilizing a Tissue Expander and Implant375
26Two-Stage Expander/Implant Reconstruction: Delayed387
27Prosthetic Reconstruction in the Radiated Breast399
28Technical Tips in Planning and Revising Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Breast Reconstruction407
29Secondary Prosthetic Cases431
30Recreating the Inframammary Fold: The External Approach457
31Recreating the Inframammary Fold: The Internal Approach463
32Latissimus Dorsi Musculocutaneous Flap Breast Reconstruction477
33One-Stage Reconstruction of the Breast Using Autologous Tissue with Immediate Nipple Reconstruction491
34TRAM Flap Reconstruction: The Single-Pedicle, Whole-Muscle Technique511
35Breast Reconstruction by the Unipedicle TRAM Operation: Muscle-Splitting Technique521
36Bipedicle TRAM Flap Reconstruction535
37Bilateral TRAM Flaps547
38Free TRAM Flap Breast Reconstruction555
39The Mid-Abdominal Transverse Rectus Abdominis Myocutaneous Flap565
40Mastectomy with Immediate Reconstruction by a Periareolar Approach577
41TRAM Flaps with Implants585
42TRAM Flap with Preoperative Delay595
43Perforator Flaps in Breast Reconstruction605
44Superior Gluteal Free Flap627
45Inferior Gluteal Free Flap637
46The Periiliac Flap for Breast Reconstruction645
47Options for the Contralateral Breast in Breast Reconstruction653
48Nipple - Areola Reconstruction661
IIIReduction Mammaplasty and Mastopexy
49Reduction Mammaplasty and Mastopexy: General Considerations673
50Periareolar Benelli Mastopexy and Reduction: The "Round Block"685
51Periareolar Mastopexy and Reduction with Mesh Support: Double Skin Technique697
52Breast Reduction by Suction Alone709
53Vertical Scar Breast Reduction and Mastopexy without Undermining717
54Vertical Mammaplasty for Breast Reduction and Mastopexy735
55Vertical Mammaplasty with a Short Horizontal Scar749
56Inferior Pedicle Technique in Breast Reduction761
57Reduction Mammaplasty by the Modified Vertical Pedicle Technique773
58Central Mound Reduction787
59The L Short-Scar Mammaplasty793
60Breast Reduction with the Free Nipple Graft Technique807
61Complications and Secondary Corrections823
62Gynecomastia831
IVAugmentation Mammaplasty
63Augmentation Mammaplasty: General Considerations845
64The Augmentation Mammaplasty Patient: Psychological Issues855
65The Inframammary Approach to Augmentation Mammaplasty861
66The Periareolar Approach to Augmentation Mammaplasty875
67Transaxillary Breast Augmentation885
68Augmentation Mammaplasty: Dimensional Concepts895
69Augmentation Mammaplasty for Tuberous Breasts and Other Complex Anomalies907
70Augmentation Mastopexy921
71Secondary Cases: Managing the Implant Patient939
72Managing Local Implant-Related Problems953
Subject Index969

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