By Stephen S. Kroll
Discussing the most up-tp-date and pioneering concepts in breast reconstruction with no using implants, THE ARTISTRY OF BREAST RECONSTRUCTION WITH AUTOLOGOUS TISSUE is the amount each breast health care professional has been expecting. Focusing not just on find out how to reconstruct breasts following mastectomy but additionally on the way to in achieving the top measure of aesthetic luck attainable, this quantity describes intimately Dr. Kroll's suggestions in utilizing autologous tissue. Over 500 pictures and customized illustrations display and evaluate different concepts utilized in breast reconstruction with autologous tissue equivalent to traditional (pedicled) TRAM flaps, loose TRAM flaps, the prolonged latissimus dorsi myocutaneous flap, the Rubens fats pad unfastened flap, between others. additionally comprise are chapters on instant 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 technological know-how and either are totally represented during this quantity.
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Extra info for Breast Reconstruction with Autologous Tissue: Art and Artistry
Before abandoning the thoracodorsal vessels, however, 2% papaverine solution should be applied liberally to the thoracodorsal vessels for 15 minutes to ensure that the apparent small size is not just temporary, and due to spasm induced by the dissection. This is especially important if there has been traction on the artery, which is very sensitive to even minor injury and easily goes into spasm. 9–11 These vessels are almost always free of scarring from previous surgery and can be accessed by removing the third or fourth costal cartilage.
1995;48:540–545. 51 6 Bilateral Breast Reconstruction econstruction of both breasts can be done either synchronously or asynchronously. Asynchronous reconstruction occurs when the two breasts are reconstructed at different times. When this happens, each breast is reconstructed separately, performing what is essentially two unilateral reconstructions. If a transverse rectus abdominis myocutaneous (TRAM) flap1–4 was used for reconstruction of the first breast, another technique will have to be used for the second one because a TRAM flap can only be harvested once from each patient.
Hartrampf CR Jr, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients. Ann Surg. 1987;205:508–518. 16. Kroll SS, Netscher DT. Complications of TRAM flap breast reconstruction in obese patients. Plast Reconstr Surg. 1989;86:886–892. 17. Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. Scand J Plast Reconstr Surg. 1979;13:423. 18. McGraw JB, Papp C, Edwards A, McMellin A. The autogenous latissimus breast reconstruction.