Breast Reconstruction with Autologous Tissue: Art and Artistry (Graduate Textbook)

Discussing the most current and pioneering techniques in breast reconstruction without the use of implants, THE ARTISTRY OF BREAST RECONSTRUCTION WITH AUTOLOGOUS TISSUE is the volume every breast surgeon has been waiting for. Focusing not only on how to reconstruct breasts following mastectomy but also on how to achieve the highest degree of aesthetic success possible, this volume describes in detail Dr. Kroll's techniques in using autologous tissue. Over 500 photographs and custom illustrations demonstrate and compare the different techniques used in breast reconstruction with autologous tissue such as conventional (pedicled) TRAM flaps, free TRAM flaps, the extended latissimus dorsi myocutaneous flap, the Rubens fat pad free flap, among others. Also include are chapters on immediate and delayed reconstructions, shaping the breast mound, nipple and areolar reconstruction and choice of technique, follow-up and patient selection. Dr. Kroll's approach to reconstructive breast surgery equally encompasses art and science and both are fully represented in this volume. Cover ......Page 1 Preface......Page 6 Contents......Page 7 1 Goals of Breast Reconstruction......Page 9 2 Why Autologous Tissue?......Page 15 3 Why Use Free Flaps?......Page 25 4 Immediate Breast Reconstruction......Page 36 5 Delayed Breast Reconstruction......Page 47 6 Bilateral Breast Reconstruction......Page 58 7 Choice of Technique......Page 73 8 Conventional (Pedicled) TRAM Flap......Page 86 9 Free TRAM Flap......Page 104 10 Deep Inferior Epigastric Perforator Flap......Page 136 11 TRAM Flap Postoperative Care and Complications......Page 146 12 The Extended Latissimus Dorsi Myocutaneous Flap......Page 163 13 The Superior Gluteal Free Flap......Page 181 14 The Inferior Gluteal Free Flap......Page 192 15 The Rubens Fat Pad Free Flap......Page 202 16 Shaping the Breast Mound in Immediate Reconstruction......Page 211 17 Shaping the Breast Mound in Delayed Reconstruction......Page 237 18 Shaping the Breast Mounds in Bilateral TRAM Flap Breast Reconstruction......Page 258 19 Correction of Partial Mastectomy Defects......Page 272 20 Breast Mound Revision Surgery......Page 292 21 The Opposite Breast......Page 311 22 Nipple and Areolar Reconstruction......Page 324 23 Follow-Up of TRAM Flap Breast Reconstruction Patients......Page 344 Index......Page 361 Discussing the most current and pioneering techniques in breast reconstruction without the use of implants, this is the volume every breast surgeon has been waiting for. Focusing not only on how to reconstruct breasts following mastectomy but also on how to achieve the highest degree of aesthetic success possible, Dr. Kroll describes in detail his techniques in using autologous tissue. Over 500 photographs and custom illustrations demonstrate and compare the different techniques used in breast reconstruction with autologous tissue such as conventional TRAM flaps, free TRAM flaps, the extended latissimus dorsi myocutaneous flap, and the Rubens fat pad free flap. Also include are chapters on immediate and delayed reconstructions, shaping the breast mound, nipple and areolar reconstruction and choice of technique, follow-up and patient selection.