Mitigating the impact of skin necrosis in reconstruction after nipple-sparing mastectomy

Mitigating the impact of skin necrosis in reconstruction after nipple-sparing mastectomy PDF

Author: Grant G. Black

Publisher: OAE Publishing Inc.

Published: 2023-06-28

Total Pages: 9

ISBN-13:

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Skin flap necrosis is a common postoperative complication after breast reconstruction, with an incidence of up to 43.4% among patients undergoing nipple-sparing mastectomy. Necrosis can adversely impact aesthetics due to the need to excise nonviable tissue, and increase the risks of infection, implant loss, nipple-areola complex sacrifice and malposition. Patient-specific factors including age, body mass index, and breast size may affect the risk of necrosis. Mastectomy and reconstruction techniques (i.e., choosing between skin- and nipple-sparing mastectomy, and between autologous and alloplastic reconstruction) may also influence necrosis rates. Intraoperative measures such as indocyanine green angiography and autologous skin banking, and the postoperative use of nitroglycerin paste for high-risk patients and warming blankets for autologous reconstruction are methods to help prevent and minimize the morbidity of skin necrosis. Herein, we share our institution’s approaches to predicting and mitigating skin necrosis, and methods of optimizing outcomes for breast reconstruction patients.

Breast Cancer Management for Surgeons

Breast Cancer Management for Surgeons PDF

Author: Lynda Wyld

Publisher: Springer

Published: 2017-11-29

Total Pages: 731

ISBN-13: 3319566733

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This textbook provides a comprehensive overview of the state of the art knowledge of breast cancer management for the modern breast surgeon. It covers all aspects of multidisciplinary care including primary breast and axillary surgery, reconstruction and oncoplastic techniques, external beam radiotherapy and newer techniques such as tomotherapy, intraoperative radiotherapy and brachytherapy. In addition, systemic therapies including chemotherapy, the latest biological targeted therapies and endocrine therapies are covered. Readers can find out about other important aspects of breast cancer such as genetics, screening, imaging and long-term health among others. Chapters take the reader through the basics up to the highest levels of knowledge in an easy to understand format with management algorithms to aid clinical care, generous referencing of the best literature and figures and photographs to illustrate each section. Published with the official approval of the European Society of Surgical Oncology (ESSO) and the European Society of Breast Cancer Specialists (EUSOMA), the book is written by a panel of recognised leaders in the field and is an indispensable guide for the practicing breast specialist and senior specialists in training, wishing to update their knowledge with the latest trends or polish off their training before accreditation.

Operative Approaches to Nipple-Sparing Mastectomy

Operative Approaches to Nipple-Sparing Mastectomy PDF

Author: Jay K. Harness

Publisher: Springer

Published: 2016-12-01

Total Pages: 256

ISBN-13: 3319432591

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This text is designed to present a comprehensive overview of the evolution, oncologic safety, surgical approaches and outcomes of NSM. The book is targeted at general surgeons, dedicated breast surgeons, and plastic surgeons. There is focus for surgeons just beginning their use of NSM, as well as a review of patient selection criteria, operative approaches, reconstruction options, and management of complications. Chapters are written by experts in the performance and reconstruction of NSM. Chapters are supplemented with appropriate illustrations and photos of NSM techniques and reconstructions. Operative Approaches to Nipple-Sparing Mastectomy: Indications, Techniques, & Outcomes will become a valuable resource for surgeons, including those in-training, who have a focus on state-of-the-art breast cancer surgery.

Oncoplastic and Reconstructive Breast Surgery

Oncoplastic and Reconstructive Breast Surgery PDF

Author: Cicero Urban

Publisher: Springer Science & Business Media

Published: 2013-02-15

Total Pages: 450

ISBN-13: 8847026520

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Oncoplastic and reconstructive surgery combines the most up-to-date techniques in plastic surgery with surgery for breast cancer, providing optimal oncologic and aesthetic results by means of a single procedure. This book demonstrates why oncoplastic surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and diverse techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos of procedures are available via the publisher’s website. Reconstructive Breast Cancer Surgery will serve as an ideal reference work that will help surgical fellows and specialists to learn about indications and selection of patients, to master technical skills, and to manage complications effectively.

Medical-Surgical Nursing

Medical-Surgical Nursing PDF

Author: Sharon Mantik Lewis

Publisher: Mosby Incorporated

Published: 2003-12-01

Total Pages: 2176

ISBN-13: 9780323026963

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Package includes Medical-Surgical Nursing: Assessment and Management of Clinical Problems Two Volume text and Virtual Clinical Excursions 2.0

Breast Cancer Survivorship

Breast Cancer Survivorship PDF

Author: Alistair Ring

Publisher: Springer

Published: 2016-12-01

Total Pages: 288

ISBN-13: 3319418580

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This book discusses the impact on women of the diagnosis and treatment of early breast cancer. Readers will learn about the risks of breast cancer recurrence and interventions to reduce these, such as endocrine therapy and bisphosphonate therapy, as well as the role of lifestyle factors such as diet and exercise. The long-term effects of treatment on fertility, the heart and other systems are discussed, as well the psychological burden for women who are increasingly likely to be cured from their cancer. Each chapter provides background and a practical guide in the management of women after the initial phase of diagnosis and treatment. Authored by a multidisciplinary team this book provides all the relevant expertise as well as different perspectives, providing a holistic picture of early breast cancer consequences. From oncologists to general practitioners as well as specialist nurses, gynaecologists, psychologists and other healthcare professionals involved in the long-term care of women with breast cancer, this book provides a timely and indispensable guide to practitioners caring for early breast cancer survivors.

DC Dutta's Textbook of Gynecology

DC Dutta's Textbook of Gynecology PDF

Author: Hiralal Konar

Publisher: JP Medical Ltd

Published: 2014-04-30

Total Pages: 704

ISBN-13: 9351520684

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Fully revised, new edition presenting latest developments in gynaecology. Includes numerous graphics and diagrams and an interactive DVD ROM. Previous edition published in 2007.

Radioguided Surgery

Radioguided Surgery PDF

Author: Giuliano Mariani

Publisher: Springer Science & Business Media

Published: 2010-05-10

Total Pages: 319

ISBN-13: 0387383271

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This multidisciplinary textbook is designed to be the standard on the subject and is geared for use by physicians who are involved in the care and/or diagnosis of cancer patients. Comprehensive coverage is provided on all aspects of radioguided surgery. Practical information is readily accessible and throughout there is an emphasis on improved decision making. Tables present the indications, performance, and interpretation of procedures at a glance. A wealth of illustrations, including a full-color insert, enhances the application of new concepts.

Breast Cancer

Breast Cancer PDF

Author: Adnan Aydiner

Publisher: Springer

Published: 2018-10-29

Total Pages: 615

ISBN-13: 3319969471

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This book is a practical guide to the management of patients with breast malignancies. It serves as a quick reference book that gives the most up-to-date routine practical management strategies of breast cancer. Written and edited by leading experts, this handbook focuses on the application of conventional and novel treatment strategies to the care of patients with malignant breast disease and all stages of breast cancer. The chapters provide evidence-based treatment strategies for all patient subsets. Surgical, radiation, and medical treatment options are all discussed for each stage of breast cancer. It also includes the definitions of statistical terminologies and their usage in clinical practice and research. This is a comprehensive yet concise resource for residents, fellows, and early-career practitioners.