Oncoplastic Breast Surgery: A Guide to Clinical Practice PDF
Preview Oncoplastic Breast Surgery: A Guide to Clinical Practice
Oncoplastic Breast Surgery A Guide to Clinical Practice Second Edition Florian Fitzal Peter Schrenk Editors 123 Oncoplastic Breast Surgery Florian Fitzal (cid:129) P eter Schrenk Editors Oncoplastic Breast Surgery A Guide to Clinical Practice Second Edition Editors Florian Fitzal, FEBS, MD Peter Schrenk, MD Professor of Surgery Allg. Öffentl. Krankenhaus Abt. Hospital of the Sisters of Charity and Chirurgie II Cancer Comprehensive Center Medical Linz University Vienna Austria Linz Austria ISBN 978-3-7091-1873-3 ISBN 978-3-7091-1874-0 (eBook) DOI 10.1007/978-3-7091-1874-0 Library of Congress Control Number: 2015942456 Springer Vienna Heidelberg New York Dordrecht London © Springer-Verlag Vienna 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag GmbH Wien is part of Springer Science+Business Media (www.springer.com) Acknowledgement W e would like to thank Bernard Ammerer for providing his expertise in drawing several illustrations within this second edition of the Oncoplastic Surgery book. v Contents 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Florian Fitzal and Peter Schrenk Part I Breast Conserving Oncoplastic Techniques: Round Block or Doughnut Technique 2 Round Block Lumpectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Hisamitsu Zaha 3 Round Block Lumpectomy with Resection of the Nipple . . . . . 9 Peter Schrenk 4 Doughnut Lumpectomy: Caveat I . . . . . . . . . . . . . . . . . . . . . . . . 13 Florian Fitzal 5 Doughnut Lumpectomy: Caveat II . . . . . . . . . . . . . . . . . . . . . . . 17 Hisamitsu Zaha Part II Breast Conserving Oncoplastic Techniques: Batwing Technique 6 Batwing Lumpectomy with Skin Resection . . . . . . . . . . . . . . . . 21 Elias E. Sanidas 7 Hemibatwing No Man’s Land . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Elias E. Sanidas 8 Batwing (Omega) Quadrantectomy . . . . . . . . . . . . . . . . . . . . . . 29 Peter Schrenk 9 Batwing Quadrantectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Peter Schrenk Part III Breast Conserving Oncoplastic Techniques: Rotation/ Advancement Flap 10 Breast Conservation Surgery and Defect Reconstruction with a Rotation Flap from the Lateral Thoracic Wall . . . . . . . . 39 Peter Schrenk vii viii Contents 11 Tumor Quadrantectomy and Defect Remodeling with an Epigastric Skin Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Vesna Bjelic-Radisic 12 S-Mammoplasty No Man’s Land . . . . . . . . . . . . . . . . . . . . . . . . . 45 Elias E. Sanidas 13 Rotational Advancement Flap Quadrantectomy . . . . . . . . . . . . 49 Victor J. Hassid and Steven J. Kronowitz 14 Inferior Rotation Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Päivi Vaara and Marjut Leidenius 15 Inferior Rotation Flap: Caveat . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Päivi Vaara and Marjut Leidenius 16 Intramammarian Flap Reconstruction: Partial Flap Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Christoph Rageth 17 Breast Conservation Surgery Using the J Mammoplasty . . . . . 63 Elias E. Sanidas 18 Breast Conservation Surgery Using a Thoracoepigastric Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Elias E. Sanidas Part IV Breast Conserving Oncoplastic Techniques: Superior Pedicle 19 Segment Resection Using a Vertical Reduction Mammaplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Florian Fitzal 20 Segment Resection of a Breast Cancer in the Submammary Fold Using a Vertical Reduction Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Florian Fitzal 21 Breast Conservation Surgery: The Vertical Mammoplasty . . . 79 Elias E. Sanidas 22 Superior Pedicle Reduction Mammoplasty and Defect Reconstruction Using an Inferior- Based Pedicle with a Skin Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Peter Schrenk 23 Oncoplastic Superior-Based Pedicle Reduction Mammoplasty and Defect Reconstruction with an Inferior Pedicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Vesna Bjelic-Radisic Contents ix 24 Superior Pedicle Quadrantectomy and Defect Reconstruction with an Inferior-Based Pedicle: Secondary Mastectomy and Immediate Reconstruction with a Latissimus Dorsi Flap . . . . . . . . . . . . . . 89 Peter Schrenk 25 Superior-Based Pedicle Quadrantectomy and Reconstruction of the Quadrantectomy Defect with an Inferior Pedicle Flap . . . . . . . . . . . . . . . . . . . . . . 93 Peter Schrenk 26 Superior-Based Pedicle Quadrantectomy and Defect Reconstruction with Inferior- Based Pedicle: Secondary Prophylactic Mastectomy and Implant Reconstruction . . . . . . 97 Peter Schrenk Part V Breast Conserving Oncoplastic Techniques: Inferior Pedicle 27 Defect Reconstruction with Inferomedial Pedicle Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Victor J. Hassid and Steven J. Kronowitz 28 Inferior Pedicle Reduction Mammoplasty . . . . . . . . . . . . . . . . . 107 Peter Schrenk 29 Inverted-T Technique for Multicentric Breast Cancer . . . . . . . 111 Florian Fitzal 30 Inferior Pedicle Reduction Mammoplasty: Position of the Nipple Too High . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Peter Schrenk 31 Inferior Pedicle Reduction Mammoplasty: Poor Result Due to a Large Defect . . . . . . . . . . . . . . . . . . . . . . . 119 Peter Schrenk Part VI Breast Conserving Oncoplastic Techniques: B Plasty 32 The B-Mammoplasty for Upper Outer Quadrant Tumors . . . . 127 Elias E. Sanidas 33 Oncoplastic Breast Surgery: The B Plasty . . . . . . . . . . . . . . . . . 131 Peter Schrenk 34 Breast Conservation Surgery: The B Plasty, Involved Margins, Skin-Sparing Mastectomy, and Immediate Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Peter Schrenk
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