Breast Reconstruction with Autologous Tissue: Art and by Stephen S. Kroll

April 3, 2017 | Cancer | By admin | 0 Comments

By Stephen S. Kroll

Discussing the most up-tp-date and pioneering recommendations in breast reconstruction with no using implants, THE ARTISTRY OF BREAST RECONSTRUCTION WITH AUTOLOGOUS TISSUE is the quantity each breast health care provider has been watching for. Focusing not just on easy methods to reconstruct breasts following mastectomy but in addition on the best way to in achieving the top measure of aesthetic luck attainable, this quantity describes intimately Dr. Kroll's concepts in utilizing autologous tissue. Over 500 images and customized illustrations show and examine different innovations utilized in breast reconstruction with autologous tissue similar to traditional (pedicled) TRAM flaps, unfastened TRAM flaps, the prolonged latissimus dorsi myocutaneous flap, the Rubens fats pad loose flap, between others. additionally contain are chapters on quick and not on time reconstructions, shaping the breast mound, nipple and areolar reconstruction and selection of strategy, follow-up and sufferer choice. Dr. Kroll's method of reconstructive breast surgical procedure both encompasses paintings and technology and either are totally represented during this quantity.

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Example text

Such recurrences are rare, so their early detection is not of great importance to the majority of patients. Bilateral Immediate Breast Reconstruction Bilateral breast reconstruction is becoming increasingly common, both for patients with bilateral breast cancer and for some patients with unilateral tumors who are at unusually high risk for a second primary tumor in the opposite breast, such as those with familial breast cancer (Fig 4-3). 20 Usually the technique chosen in our institution is the bilateral TRAM flap, with half of the TRAM flap used for each breast.

1991;172:17–20. 15. Hartrampf CR Jr, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients. Ann Surg. 1987;205:508–518. 16. Kroll SS, Netscher DT. Complications of TRAM flap breast reconstruction in obese patients. Plast Reconstr Surg. 1989;86:886–892. 17. Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. Scand J Plast Reconstr Surg. 1979;13:423. 18. McGraw JB, Papp C, Edwards A, McMellin A. The autogenous latissimus breast reconstruction.

Clin Plast Surg. 1998;25:251–259. ) See color insert, p. I-11. easily take 10 hours to complete. With obese patients, the required time and work are greatly increased. If experienced surgical assistance is available, the time can be reduced somewhat,7 but the procedure is always long and exhausting. Should there be intraoperative complications, the surgery can be greatly prolonged, making the procedure stressful for the operative team. If the surgical teams are not careful about hemostasis, blood loss can be significant and transfusion with all its attendant risks can be required.

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