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Surgery of the Breast: Principles and Art

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Spear's Surgery of the Breast: Principles and Art
Spear's Surgery of the Breast: Principles and Art

Surgery of the Breast: Principles and Art

9781605475776
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Description
This heavily illustrated two-volume atlas is the most comprehensive how-to reference on surgery of the breast. The worlds 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.
Product Details
Wolters Kluwer Health
47447
9781605475776
9781605475776

Data sheet

Publication date
2010
Issue number
3
Cover
hard cover
Pages count
1792
Dimensions (mm)
212.73 x 276.23
Weight (g)
4967
  • 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

See next edition:

Spear's Surgery of the Breast: Principles and Art
Spear's Surgery of the Breast: Principles and Art
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