By Jatoi I., Kaufmann M., Petit J.-Y.
New advancements within the surgical administration of breast disorder surgical procedure day-by-day. New innovations for tumor resection, reconstructive surgical procedure, lymph node evaluation and plastic surgery are surfacing as a result of new calls for out there. The remedies are aimed toward these sufferers clinically determined with breast sickness who want caliber clinical remedy and require both interesting aesthetic effects. this is often a world textual content that outlines the administration of either the malignant and benign illnesses of the breast. prime quality illustrations accompany the textual content to spotlight the main points of surgical suggestions. An emphasis at the thoughts that offer strong beauty results is the underlying subject of this article.
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Extra resources for Atlas of Breast Surgery
Treatment of gynecomastia with liposuction. (Indication for liposuction only in cases of fatty tissue or in addition for body conturing) Surgery for Benign Breast Diseases Chapter 4 Leave some tissue under skin so blood supply is guaranteed Fig. 10. 1 Incision Lines for Excisional Biopsy It is important to remember that natural lines of skin tension, known as Langer lines, extend outwards circumferentially from the nipple–areola complex. Therefore, at or above the level of the nipple, when performing an excisional biopsy, the incision should never be placed perpendicular to the natural lines of skin tension (Figs.
23. Guidance for correct approach during needle-localized biopsy. The posterior glandular approach (1 on right) is recommended, whereas periareolar (2 on right) is not recommended. 4 Needle-Localized Biopsy 3 Fig. 24. 5 Microductectomy This technique is used to excise a single breast duct, usually to diagnose the cause of nipple discharge from a single duct. If bloody nipple discharge arises from a single duct, it is often attributable to a papilloma. Surgical procedures around the nipple–areola complex are uncomfortable for the patient, and many surgeons prefer to use a general anesthetic.
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. 7). When performing an ultrasound-guided biopsy, local anesthetic is injected around the intended biopsy site. A small incision is made with a number 11blade scalpel to allow entry of the biopsy needle into the breast.
Atlas of Breast Surgery by Jatoi I., Kaufmann M., Petit J.-Y.