Complications in Breast Reduction, An Issue of Clinics in Plastic Surgery, E-Book

 
 
Elsevier (Verlag)
  • 1. Auflage
  • |
  • erschienen am 20. April 2016
  • |
  • 100 Seiten
 
E-Book | ePUB mit Adobe DRM | Systemvoraussetzungen
E-Book | PDF mit Adobe DRM | Systemvoraussetzungen
978-0-323-44282-4 (ISBN)
 

This issue of Clinics in Plastic Surgery, devoted to Complications in Breast Reduction, is guest edited by Dr. Dennis C. Hammond. Articles in this issue include: Assessing Risk and Avoiding Complications in Breast Reduction; Management of Shape Distortion After Vertical Breast Reduction; Management of Shape Distortion After Wise Pattern Breast Reduction; Management of Shape Distortion After SPAIR Mammaplasty; Management of the Ischemic NAC After Breast Reduction; Nipple Reconstruction After NAC Necrosis Following Breast Reduction; Management of Recurrent Macromastia; Management of Occult Cancer After Breast Reduction; Mammographic Management of the Post-reduction Breast; Management of Asymmetry After Breast Reduction; Management of the High Riding Nipple After Breast Reduction; Breast Reduction in the Burned Breast; Avoiding Complications in Gigantomastia; and Avoiding Medicolegal Risk in Breast Reduction.

  • Englisch
  • Philadelphia
  • |
  • USA
Elsevier Health Sciences
  • 5,86 MB
978-0-323-44282-4 (9780323442824)
032344282X (032344282X)
weitere Ausgaben werden ermittelt
  • Front Cover
  • Complications in Breast Reduction
  • Copyright
  • Contributors
  • EDITOR
  • AUTHORS
  • Contents
  • Preface: Complications in Plastic Surgery
  • Assessing Risk and Avoiding Complications in Breast Reduction
  • Reduction Mammaplasty and Breast Cancer Screening
  • The Management of Breast Cancer Detected by Reduction Mammaplasty
  • Avoiding the Unfavorable Outcome with Wise Pattern Breast Reduction
  • Managing Complications in Vertical Mammaplasty
  • The Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty: Management of Complications
  • Management of Asymmetry After Breast Reduction
  • Management of Recurrent or Persistent Macromastia
  • Management of the High-Riding Nipple After Breast Reduction
  • Management of the Ischemic Nipple-Areola Complex After Breast Reduction
  • Managing Necrosis of the Nipple Areolar Complex Following Reduction Mammaplasty and Mastopexy
  • Breast Reduction in the Burned Breast
  • Avoiding Complications in Gigantomastia
  • Medicolegal Issues in Breast Reduction
  • CLINICS IN PLASTIC SURGERY
  • FORTHCOMING ISSUES
  • July 2016
  • October 2016
  • January 2017
  • RECENT ISSUES
  • January 2016
  • October 2015
  • July 2015
  • Preface:Complications in Plastic Surgery
  • Assessing Risk and Avoiding Complications in Breast Reduction
  • Key points
  • INTRODUCTION
  • ASSESSMENT OF RISK HISTORY
  • ASSESSMENT OF RISK: PHYSICAL EXAMINATION
  • AVOIDANCE OF COMPLICATIONS: GENERAL CONSIDERATIONS
  • AVOIDANCE OF COMPLICATIONS: TECHNIQUE SELECTION
  • AVOIDANCE OF HEMATOMA
  • AVOIDANCE OF SKIN ISCHEMIA, SKIN LOSS, AND WOUND SEPARATION
  • AVOIDANCE OF NIPPLE-AREOLA COMPLEX ISCHEMIA
  • AVOIDANCE OF UNATTRACTIVE SCARS
  • AVOIDANCE OF VOLUME AND NIPPLE-AREOLA COMPLEX ASYMMETRY
  • AVOIDANCE OF NIPPLE-AREOLA COMPLEX MALPOSITION
  • AVOIDANCE OF NIPPLE RETRACTION
  • SUMMARY
  • REFERENCES
  • Reduction Mammaplasty and Breast Cancer Screening
  • Key points
  • INTRODUCTION
  • Preoperative Screening Recommendations
  • IMAGING FINDINGS POSTREDUCTION MAMMAPLASTY
  • MAMMOGRAPHY
  • ULTRASOUND AND MRI
  • FOLLOWING ONCOPLASTIC BREAST REDUCTION
  • SUMMARY
  • REFERENCES
  • The Management of Breast Cancer Detected by Reduction Mammaplasty
  • Key points
  • INTRODUCTION
  • FACTORS INFLUENCING THE INCIDENCE OF OCCULT BREAST CANCER FOUND AFTER REDUCTION MAMMAPLASTY
  • Age
  • Family History of Cancer
  • Previous Breast Biopsy Showing High-Risk Pathology
  • Personal History of Breast Cancer
  • Thoroughness of Preoperative Examination: Imaging
  • Thoroughness of Postoperative Examination: Pathology
  • MANAGEMENT OF INCIDENTALLY DETECTED BREAST CANCER
  • SUMMARY
  • REDUCTION MAMMAPLASTY AND THE RISK OF BREAST CANCER
  • SCREENING FOR BREAST CANCER AFTER REDUCTION MAMMAPLASTY
  • REFERENCES
  • Avoiding the Unfavorable Outcome with Wise Pattern Breast Reduction
  • Key points
  • INTRODUCTION
  • HISTORICAL CONSIDERATIONS
  • DESIGNING SKIN FLAPS TO MINIMIZE SHAPE DISTORTION
  • CREATING THE PEDICLE TO MINIMIZE SHAPE DISTORTION
  • CLOSURE
  • NIPPLE POSITION
  • MANAGING SCARS TO OPTIMIZE OUTCOMES
  • POSTOPERATIVE REVISION
  • SUMMARY POINTS FOR AVOIDING THE UNFAVORABLE OUTCOME WITH WISE PATTERN BREAST REDUCTION
  • REFERENCES
  • Managing Complications in Vertical Mammaplasty
  • Key points
  • INTRODUCTION
  • PATIENTS AND TECHNIQUE SELECTION
  • THE MODIFIED LEJOUR TECHNIQUE
  • TECHNIQUE, MATERIALS, AND METHODS
  • COMPLICATIONS
  • Minor Complications
  • Major Complications
  • SUMMARY
  • REFERENCES
  • The Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty
  • Key points
  • INTRODUCTION
  • TECHNIQUE
  • COMPLICATIONS
  • Standard Operative Complications
  • Delayed wound healing
  • Fat necrosis
  • Late seroma scar contracture
  • Shape distortion
  • Asymmetry
  • Nipple-areolar complex distortion
  • Areolar herniation
  • Infected Teflon suture
  • Rehypertrophy
  • SUMMARY
  • REFERENCES
  • Management of Asymmetry After Breast Reduction
  • Key points
  • INTRODUCTION
  • ASYMMETRY OF THE NIPPLE-AREOLA COMPLEX
  • ASYMMETRIES OF BREAST MOUND VOLUME AND SHAPE
  • DISCUSSION
  • REFERENCES
  • Management of Recurrent or Persistent Macromastia
  • Key points
  • INTRODUCTION
  • BACKGROUND
  • ETIOLOGY
  • Inadequate Primary Volume Reduction
  • Inadequate Breast Shape
  • Breast Tissue Hypertrophy
  • PREOPERATIVE CONSIDERATIONS
  • History and Physical Examination
  • Previous Operative Records
  • Informed Consent
  • TIMING OF REPEATED BREAST REDUCTION
  • OPERATIVE TECHNIQUE
  • Understanding the Blood Supply of the Nipple-Areola Complex
  • Skin Marking and Pedicle Selection
  • Infiltration
  • De-epithelialization
  • Excision of Breast Tissue
  • Liposuction
  • Closure
  • SUMMARY
  • REFERENCES
  • Management of the High-Riding Nipple After Breast Reduction
  • Key points
  • INTRODUCTION
  • SUMMARY/DISCUSSION
  • INDIRECT CORRECTION OF THE NIPPLE-AREOLA COMPLEX POSITION
  • INFERIOR BREAST PARENCHYMA RESECTION
  • SUPERIOR BREAST VOLUME ADDITION
  • DIRECT CORRECTION OF THE NIPPLE-AREOLA COMPLEX POSITION
  • V-Y INFERIOR NIPPLE REPOSITIONING
  • RECIPROCAL TRANSPOSITION FLAPS
  • REFERENCES
  • Management of the Ischemic Nipple-Areola Complex After Breast Reduction
  • Key points
  • INTRODUCTION
  • ANATOMIC CONSIDERATIONS
  • Vascular Nutrition of the Breast
  • RISK FACTORS CONTRIBUTING TO NIPPLE-AREOLA COMPLEX NECROSIS
  • Be Alert to
  • ASSOCIATED RISK FACTORS
  • PREOPERATIVE CONTROL
  • INTRAOPERATIVE EVALUATION
  • Vitality of the Nipple-Areola Complex During Closure Is an Important Factor to Be Checked in Every Mammaplasty Procedure
  • INTRAOPERATIVE NIPPLE-AREOLA COMPLEX PERFUSION EVALUATION
  • INTRAOPERATIVE NIPPLE-AREOLA COMPLEX REPERFUSION MANEUVERS
  • POOR NIPPLE VASCULARITY
  • FREE NIPPLE-AREOLA COMPLEX GRAFT INDICATIONS
  • WHEN TO THINK ABOUT A FREE NIPPLE-AREOLA COMPLEX GRAFT
  • COMPLICATIONS OF FREE NIPPLE GRAFTING
  • POSTOPERATIVE CONTROL: HYPOTHERMIA AND PAIN
  • NECROTIC WOUND MANAGEMENT
  • Initial Treatment
  • First 30 days
  • After Debridement of All Necrotic Tissue
  • After 30 days
  • CAN WE PREDICT NIPPLE-AREOLA COMPLEX VIABILITY?
  • INTRAOPERATIVE PROCEDURE TO CHECK TISSUE PERFUSION WITH INDOCYANINE GREEN
  • TREATMENT OF SEQUELAE
  • Different Available Options
  • SUMMARY
  • SUPPLEMENTARY DATA
  • REFERENCES
  • Managing Necrosis of the Nipple Areolar Complex Following Reduction Mammaplasty and Mastopexy
  • Key points
  • INTRODUCTION
  • PREVENTING ISCHEMIA OF THE NIPPLE AREOLAR COMPLEX
  • MANAGING ISCHEMIA OF THE NIPPLE AREOLAR COMPLEX
  • RECONSTRUCTION OF THE NECROTIC NIPPLE AND AREOLA
  • REFERENCES
  • Breast Reduction in the Burned Breast
  • Key points
  • INTRODUCTION
  • RISKS OF OPERATING ON BURNED BREASTS
  • EVALUATION OF THE HYPERTROPHIC BURNED BREAST
  • PRINCIPLES FOR REDUCING THE BURNED BREAST
  • Improve Breast Contour by Releasing Scar Contractures
  • Delay Until Grafts Are Sufficiently Healed and Breasts Are Fully Developed
  • Be Conservative When Designing the Resection Pattern
  • Consider Balancing Procedures at the Same Time
  • TECHNICAL CONSIDERATIONS
  • Inferior Pedicle Mammaplasty
  • Breast marking
  • Excision and closure
  • Superior Pedicle Mammaplasty
  • Breast marking
  • Excision and closure
  • Recreation of the Inframammary Fold
  • SUMMARY/DISCUSSION
  • REFERENCES
  • Avoiding Complications in Gigantomastia
  • Key points
  • INTRODUCTION
  • DEFINITION
  • CAUSES
  • ANATOMY
  • EVALUATION
  • Treatment Options
  • Preoperative Counseling
  • Other Preoperative Considerations
  • Surgical Management
  • Complications
  • Nipple-Areola Complex Necrosis
  • Hematoma
  • Seroma
  • Wound Dehiscence
  • Wound Infection
  • Nipple-Areola Complex Sensation Disturbances
  • SUMMARY
  • REFERENCES
  • Medicolegal Issues in Breast Reduction
  • Key points
  • GENERAL RISKS
  • SPECIFIC RISKS
  • SIZE AND SHAPE ARE ALWAYS AN ISSUE FOR THE PATIENT SEEKING BREAST REDUCTION
  • SYMMETRY
  • PATHOLOGY OF THE BREAST SPECIMEN
  • REVISION POLICY-FINANCIAL POLICY
  • PHOTOGRAPHS AND PATIENT PRIVACY
  • INFORMED CONSENT
  • REFERENCES
  • FURTHER READINGS
  • Index

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