Atlas of Breast Surgery by Jatoi I., Kaufmann M., Petit J.-Y.

By Jatoi I., Kaufmann M., Petit J.-Y.

New advancements within the surgical administration of breast illness surgical procedure day-by-day. New innovations for tumor resection, reconstructive surgical procedure, lymph node evaluation and plastic surgery are surfacing because of new calls for out there. The remedies are geared toward these sufferers clinically determined with breast disorder who desire caliber scientific therapy and require both enjoyable aesthetic effects. this can be a world textual content that outlines the administration of either the malignant and benign ailments of the breast. top of the range illustrations accompany the textual content to spotlight the main facets of surgical innovations. An emphasis at the recommendations that supply stable beauty results is the underlying subject of this article.

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1. 1 Incision Lines for Excisional Biopsy 5 Fig. 1. Semicircular incision in the lower quadrant for breast-conserving surgery is not recommended Fig. 2. 2 Variants of Incisions and Extent of Breast Cancer Surgery In the late nineteenth century, William Halsted promulgated radical mastectomy as the optimal treatment for primary breast cancer. This operation involves removal of the breast, underlying pectoralis muscle, and ipsilateral axillary lymph nodes. The incision for this procedure, illustrated in Fig.

Caution should be used when stabilizing the lesion by hand. The biopsy needle is thrust forward about 2 cm when fired, and can injure the assisting hand. The tissue samples are placed in formaldehyde, and submitted to pathology. The surgeon should inspect the tissue samples in the formaldehyde. If the tissue floats, this generally indicates that the sample is not adequate, and additional tissue should be obtained. After obtaining adequate tissue, a band-aid is placed over the cut. For nonpalpable lesions, visualization with either ultrasound or mammography is required to obtain core biopsy samples (Fig.

The wound should be packed open with a strip of gauze. Patients should be taught to change the dressings on a daily basis until the wound granulates and closes. If a patient presents with a subareolar abscess, a lacrimal duct probe can be placed into the abscess cavity and brought out through the affected breast duct on the surface of the nipple, as illustrated (Fig. 6). Large abscess cavities on the posterior aspect of the breast are sometimes drained through an incision in the inframammary fold, placing a drainage catheter into the abscess cavity (Fig.

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