By Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)
Written by way of across the world acclaimed experts, Breast, Endocrine and Surgical Oncology provides pertinent and concise process descriptions spanning benign and malignant difficulties and minimally invasive methods. problems are reviewed while applicable for the organ procedure and challenge, making a booklet that's either entire and obtainable. phases of operative techniques with suitable technical concerns are defined in an simply comprehensible demeanour. The textual content is illustrated all through by way of images that depict anatomic or technical principles.
Forming a part of the sequence, Surgery: problems, dangers and Consequences, this quantity Breast, Endocrine and Surgical Oncology provides a worthwhile source for all basic surgeons and citizens in education. different healthcare companies also will locate this an invaluable resource.
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Some may regard it as a lesser type of mastectomy, but it should include >99 % of breast tissue. Mammography is done to exclude or define pathology. An inframammary peri-areolar incision is often used and can be extended laterally. The nipple-areolar complex may be preserved without devascularizing the nipple, especially if later reconstruction is desired. Cosmesis is achieved by tapering the edges and/or liposuction. Reconstruction is sometimes performed, either immediate or delayed. Hemostasis and suction drainage can reduce hematoma formation.
The ducts do not travel only in a radial direction, but often branch and overlap adjacent ducts. If possible, it is important to properly identify the duct in question and ensure that it is excised. A ductoscope or a lacrimal probe can often help identify the abnormal discharging duct at the time of surgery. The nipple may be inverted and require eversion, increasing the difficulty of cannulation or resection. 6. Complications are not usually severe or frequent, however, some can occur. Most cases of bloody nipple discharge are caused by benign intraductal papillomas.
The nipple-areolar complex and main breast mass may vary considerably between individuals, with age and posture. A breast mass can be located anywhere within the breast. The size and nature of the mass and breast essentially determines the placement and type of incision, surgical result, and cosmesis. The possibility of mastectomy or further surgery is often a consideration in preoperative placement of incision. Care should be taken to avoid downward repositioning of the nipple with large excisions, notably the lower breast tissue.
Breast, Endocrine and Surgical Oncology by Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)