Breast Reconstruction with Autologous Tissue: Art and by Stephen S. Kroll
By Stephen S. Kroll
Discussing the most up-tp-date and pioneering recommendations in breast reconstruction with out using implants, THE ARTISTRY OF BREAST RECONSTRUCTION WITH AUTOLOGOUS TISSUE is the amount each breast health care provider has been looking forward to. Focusing not just on how one can reconstruct breasts following mastectomy but in addition on how one can in attaining the top measure of aesthetic good fortune attainable, this quantity describes intimately Dr. Kroll's recommendations in utilizing autologous tissue. Over 500 images and customized illustrations display and examine the several 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 comprise are chapters on rapid and behind schedule reconstructions, shaping the breast mound, nipple and areolar reconstruction and selection of approach, 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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Extra resources for Breast Reconstruction with Autologous Tissue: Art and Artistry
Schusterman MA, Kroll SS, Miller MJ, et al. The free TRAM flap for breast reconstruction: a single center’s experience with 211 consecutive cases. Ann Plast Surg. 1994;32:234–242. 11. Grotting JC, Urist MM, Maddox WA, Vasconez LO. Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction. Plast Reconstr Surg. 1989;83:842–844. References 12. Williams JK, Carlson GW, Bostwick J, Bried JT, Mackay G. The effects of radiation treatment after TRAM flap breast reconstruction.
The quality of result that can be obtained in a patient with previous irradiation (Fig 5-6) is therefore less optimal than that which can usually be achieved in a nonirradiated patient. To avoid disappointment, patients should be made aware of this prior to reconstruction. In a previously irradiated patient, scar tissue is likely to be more dense and difficult to release than in a nonirradiated patient, and a vertical releasing incision in the lower mastectomy flap (Figs 5-7 and 5-8; also see chapter 17) is more likely to be required.
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.