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SURGERY OF THE BREAST. PRINCIPLES AND ART, 2 VOLS.,Spear
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SURGERY OF THE BREAST. PRINCIPLES AND ART, 2 VOLS.,Spear

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SURGERY OF THE BREAST. PRINCIPLES AND ART, 2 VOLS.,Spear, S.
Publicado Diciembre 2010,Edición 3ª.Idioma Inglés,Páginas 1.792 Peso 5.300 gramos
Dimensiones 22 x 29 x 8 cms.

Description
This heavily illustrated two-volume atlas is the most comprehensive how-to reference on surgery of the breast. The world's leading surgeons describe and demonstrate the most advanced and successful techniques for all types of general surgery, aesthetic, and reconstructive procedures—oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, and augmentation mammoplasty. The text is illustrated throughout with over 4,100 drawings and full-color preoperative, intraoperative, and postoperative photographs. Editorial comments at the end of each chapter provide an alternative perspective and address current controversies.
This thoroughly updated Third Edition features a greatly expanded section on augmentation mammoplasty. Other new chapters cover deep inferior epigastric perforator flap breast reconstruction, skin preserving delayed breast reconstruction, and nipple-sparing mastectomy. Coverage also includes new information on managing oncoplastic surgery, surveillance following breast reconstruction, reconstruction following tumor recurrence, and the role of stem cells.

Contributing Authors vii
Foreword xv
Foreword to 1st Edition xvii
Foreword to 2nd Edition xix
Preface xxi
Acknowledgments xxiii
Volume 1
SECTION I:
Oncology and1
Incidence and Risk Factors . . . . . . .
The Epidemiology of Breast Cancer:3CELIA BYRNE
2
Diagnosis . . . . . . . . . . . . . . . . . .
Breast Cancer Screening and11COSTANZA COCILOVO
3
Breast . . . . . . . . . . . . . . . . . . . . .
Imaging of the Surgically Altered16ERINI MAKARIOU AND ANOUSHEH SAYAH
4
and Treatment in Augmented
Women . . . . . . . . . . . . . . . . . . . .
Breast Cancer Diagnosis, Prognosis,35NEAL HANDEL
5
Pathology of Breast Disorders . . . . 48BALJIT SINGH
6
High-risk Patient . . . . . . . . . . . . .
Defining and Managing the62THERESE S. CERMAK AND JENNIFER ENG-WONG
7
Oncoplastic Treatment Approach . . .
Ductal Carcinoma In Situ: An71MELVIN J. SILVERSTEIN
8
Mastectomy for Breast Cancer . . . . 96SHAWNA C. WILLEY AND
DONNA-MARIE E. MANASSEH
9
Dissection . . . . . . . . . . . . . . . . .
Sentinel Node Biopsy and Axillary107HIRAM S. CODY III
10
Issues . . . . . . . . . . . . . . . . . . . .
Breast Conservation: Oncologic118COSTANZA COCILOVO
11
Common and Challenging
Problems . . . . . . . . . . . . . . . . . .
Oncoplastic Surgery: Managing123ALEXANDRE MENDONÇA MUNHOZ
12
Mastectomy Defects: Classifications
and Methods . . . . . . . . . . . . . . .
Reconstruction of Partial140ALBERT LOSKEN
13
and Reconstruction of Breast
Cancer . . . . . . . . . . . . . . . . . . . .
Special Problems in the Treatment165ALBERT LOSKEN
14
Reconstruction of the Partial
Mastectomy Defect . . . . . . . . . . .
The Osnabrueck Experience With177KLAUS E. BRUNNERT
15
Conservation Patient . . . . . . . . .
Reconstruction of the Breast198SUMNER A. SLAVIN
16
of Breast Conservation Therapy
of the Large-breasted Patient . . .
Reduction Mammaplasty as Part213SCOTT L. SPEAR, KETAN M. PATEL, AND
PRANAY M. PARIKH
17
Breast Cancer: Breast-conserving
Therapy and Mastectomy . . . . . .
Follow-up After Surgery for Primary218ELIZABETH D. FELDMAN AND WAFA ALKHAYAL
18
Adjuvant Systemic Therapy . . . . . 228MINAL SHAH, CLAUDINE J. D. ISAACS, AND
MINETTA C. LIU
Contents
19
Breast-conserving Surgery . . . . .
Radiation Therapy Following242LAURIE W. CUTTINO AND FRANK A. VICINI
20
Therapy After Mastectomy . . . . .
Invasive Carcinoma: Radiation255JEFFERSON E.C. MOULDS
21
Assessment, Genetic Testing, and
Management Options . . . . . . . . .
Hereditary Breast Cancer: Risk264BETH N. PESHKIN
22
Reconstruction, Including Prosthetic,
Latissimus, and Transverse Rectus
Abdominus Myocutaneous Flap
Techniques . . . . . . . . . . . . . . . .
Prophylactic Simple Mastectomy and277DENNIS C. HAMMOND
23
Reconstruction: Indications,
Techniques, and Outcomes . . . . .
Nipple-sparing Mastectomy and287SCOTT L. SPEAR, SHAWNA C. WILLEY,
CATHERINE M. HANNAN, AND
COSTANZA COCILOVO
24
Nipple-sparing Mastectomy . . . . . 298G. PATRICK MAXWELL, PAT WHITWORTH, AND
ALLEN GABRIEL
25
Reconstructive Considerations . .
Breast Cancer in Men: Oncologic and308MAURICE Y. NAHABEDIAN
26
Treatments for Breast Cancer . . .
Psychological Impact of313JULIA H. ROWLAND
SECTION II:
Reconstruction
Breast27
Considerations in Breast
Surgery . . . . . . . . . . . . . . . . . . .
Informed Consent: Medicolegal331NEAL R. REISMAN
28
Silicone Gel Breast Implants . . . . 337MICHAEL J. MILLER
29
Manufacturing Past, Present, and
Future . . . . . . . . . . . . . . . . . . . .
Breast Implants: Materials and344WILLIAM P. ADAMS, JR AND JASON K. POTTER
30
Reconstruction With Adjustable
Implants . . . . . . . . . . . . . . . . . .
One-stage Immediate Breast357HILTON BECKER
31
Reconstruction With Shaped
Adjustable Implants . . . . . . . . . .
Immediate and Delayed Breast376MICHAEL SCHEFLAN
32
Reconstruction Using a Tissue
Expander and Implant . . . . . . . .
Immediate Two-stage Breast388LOUIS L. STROCK
33
Reconstruction . . . . . . . . . . . . . .
Acellular Dermis-assisted Breast406SCOTT L. SPEAR, PRANAY M. PARIKH, AND
NATHAN G. MENON
34
Reconstruction With Acellular
Dermal Matrix . . . . . . . . . . . . . .
Direct-to-Implant Breast412C. ANDREW SALZBERG AND R. MICHAEL KOCH
35
Implant Breast
Reconstruction . . . . . . . . . . . . . .
Delayed Two-stage Tissue Expander–420F. FRANK ISIK
36
Form-stable Implants . . . . . . . . .
Breast Reconstruction With429MAURIZIO NAVA, ANGELA PENNATI,
ANDREA SPANO, AND GIUSEPPE CATANUTO
37
Breast Reconstruction . . . . . . . .
Skin-preserving Delayed-Immediate438STEVEN J. KRONOWITZ AND
GEOFFREY L. ROBB
38
Reconstruction Using Semilunar
Expander and Purse-string
Closure . . . . . . . . . . . . . . . . . . .
Immediate Two-stage Breast450GINO RIGOTTI AND ALESSANDRA MARCHI
39
Radiated Breast . . . . . . . . . . . . .
Prosthetic Reconstruction in the460SCOTT L. SPEAR AND M. RENEE JESPERSEN
40
Secondary Prosthetic Cases . . . . . 476SCOTT L. SPEAR, M. RENEE JESPERSEN, AND
ADAM D. SCHAFFNER
41
The External Approach . . . . . . . .
Recreating the Inframammary Fold:492JAMES J. RYAN
42
The Internal Approach . . . . . . . .
Re-creating the Inframammary Fold:497SCOTT L. SPEAR, ALI N. MESBAHI, AND
MICHAEL BECKENSTEIN
43
Fold With the Superficial
Fascial System . . . . . . . . . . . . . .
Recreating the Inframammary512MAURIZIO NAVA, JOSEPH OTTOLENGHI, AND
EGIDIO RIGGIO
44
Flap Breast Reconstruction . . . . .
Latissimus Dorsi Musculocutaneous535DENNIS C. HAMMOND
45
Autologous Reconstruction with
Latissimus Muscle Only Flaps . . .
Endoscopic Delayed-Immediate555NEIL A. FINE AND KRISTINA O’SHAUGHNESSY
46
in Reconstruction of the
Radiated Breast . . . . . . . . . . . . .
The Latissimus Dorsi Flap563SCOTT L. SPEAR, JAY BOEHMLER, AND
MARK W. CLEMENS
47
Autologous Latissimus Dorsi
Flap With and Without Immediate
Nipple Reconstruction . . . . . . . .
Breast Reconstruction With an571EMMANUEL DELAY
48
Breast . . . . . . . . . . . . . . . . . . . .
Aesthetic Subunits of the597STEVEN P. DAVISON AND MARK W. CLEMENS
49
Breast . . . . . . . . . . . . . . . . . . . .
Reconstruction of the Irradiated607SCOTT L. SPEAR, MATTHEW L. IORIO, AND
PRANAY M. PARIKH
50
Breast Using Autologous Tissue
With Immediate Nipple
Reconstruction . . . . . . . . . . . . . .
One-stage Reconstruction of the623LAWRENCE B. COLEN AND JOHN M
CCRAW51
Reconstruction . . . . . . . . . . . . . .
Bipedicle TRAM Flap639KENNETH C. SHESTAK
52
Myocutaneous Flap Reconstruction:
The Single-pedicle, Whole-muscle
Technique . . . . . . . . . . . . . . . . .
Transverse Rectus Abdominis652MICHAEL R. ZENN AND JAMES W. MAY, JR.
53
Unipedicle TRAM Operation: The
Muscle-splitting Technique . . . . .
Breast Reconstruction With the660SCOTT L. SPEAR, CHRISTIAN A. PRADA,
DEREK L. MASDEN, AND J. WILLIAM LITTLE
54
Myocutaneous Flaps . . . . . . . . . .
Bilateral Transverse Rectus Abdominus670ONELIO GARCIA, JR.
55
Myocutaneous Flap Breast
Reconstruction . . . . . . . . . . . . . .
Free Transverse Rectus Abdominis681CHET L. NASTALA, STEVEN M. PISANO,
MINAS T. CHRYSOPOULO, AND PETER R. LEDOUX
56
Skin-sparing Mastectomy Through
a Periareolar Approach . . . . . . . .
Immediate Reconstruction After693JOAN E. LIPA
57
Mastectomy Using the Omental
Flap and Synthetic Mesh . . . . . . .
Immediate Reconstruction After Skinsparing705JOÃO CARLOS SAMPAIO GÓES AND
ANTONIO LUIZ V. MACEDO
58
Abdominal Flaps and Implants . . 712MAURICE Y. NAHABEDIAN
59
Myocutaneous Flaps With
Preoperative Delay . . . . . . . . . . .
Transverse Rectus Abdominis720PAUL R. CALLEGARI
60
Tissue Transfer: An Algorithmic
Approach . . . . . . . . . . . . . . . . . .
Breast Reconstruction With Free727JULIE E. PARK AND DAVID H. SONG
61
Reconstruction . . . . . . . . . . . . . .
Perforator Flaps in Breast736MARK W. CLEMENS AND
MAURICE Y. NAHABEDIAN
62
Flaps . . . . . . . . . . . . . . . . . . . . .
Anatomic Basis of Perforator745MICHEL SAINT-CYR
63
in Breast Reconstruction . . . . . . .
Pedicled Perforator Flaps757MOUSTAPHA HAMDI
64
Rectus Abdominis Musculocutaneous
Flaps . . . . . . . . . . . . . . . . . . . . .
Musculofascial-sparing Transverse770MICHAEL J. MILLER
65
Artery Perforator Flap Breast
Reconstruction . . . . . . . . . . . . .
Deep Inferior Epigastric778MARK W. CLEMENS AND
MAURICE Y. NAHABEDIAN
66
Perforator Flap in Breast
Reconstruction . . . . . . . . . . . . . .
The Superior Gluteal Artery790JULIE V. VASILE, ROBERT J. ALLEN, AND
JOSHUA L. LEVINE
67
Flap for Microsurgical Breast
Reconstruction . . . . . . . . . . . . . .
The Inferior Gluteal Artery Perforator803CONSTANCE M. CHEN, MARIA M. LoTEMPIO,
AND ROBERT J. ALLEN
68
Epigastric Artery Flap in Breast
Reconstruction . . . . . . . . . . . . . .
The Superficial Inferior808PIERRE M. CHEVRAY
69
Reconstruction . . . . . . . . . . . . . .
Gracilis Flaps for Breast818KAREN M. HORTON
70
Breast in Breast Reconstruction . . .
Options for Managing the Opposite830JAMES D. NAMNOUM AND DAVID OTTERBURN
71
Outcomes in Bilateral Breast
Reconstruction . . . . . . . . . . . . . .
Issues, Considerations, and838ELISABETH K. BEAHM AND
ROBERT L. WALTON
72
Nipple-Areola Reconstruction . . . 855SCOTT L. SPEAR AND JUSTIN E. WEST
73
Augmentation in Subsequent
Breast Reconstruction . . . . . . . .
Considerations of Previous875SCOTT L. SPEAR, MARK W. CLEMENS, AND
MICHAEL A. HOWARD
74
Breast Reconstruction . . . . . . . .
The Second Stage in Autologous884DAVID W. CHANG
75
Following Breast Reconstruction
With Abdominal Flaps . . . . . . . .
Biomechanical Considerations894MAURICE Y. NAHABEDIAN, SCOTT L. SPEAR, AND
CHRISTOPHER L. HESS
76
Deformities in the Reconstructed
Breast . . . . . . . . . . . . . . . . . . . .
Fat Injection to Correct Contour904SCOTT L. SPEAR AND ALI AL-ATTAR
77
Breast . . . . . . . . . . . . . . . . . . . .
Lipomodeling of the Reconstructed912EMMANUEL DELAY
78
Reconstruction . . . . . . . . . . . . . .
Surveillance Following Breast930VALERIE LEMAINE, COLLEEN M. M
AND ANDREA PUSIC
CCARTHY,79
Following Tumor Recurrence . . .
Reconstruction of the Breast934MELISSA A. CROSBY AND DAVID W. CHANG
80
Stem Cells and the Breast . . . . . . 940EDWARD P. BUCHANAN, VICTOR W. WONG, AND
GEOFFREY C. GURTNER
81
Postoperative Breast Pain . . . . . .
Management of Chronic947IVICA DUCIC, ETHAN E. LARSON, AND
MATTHEW L. IORIO
Volume 2
SECTION III:
Mammaplasty and Mastopexy
Reduction82
and Mastopexy: General
Considerations . . . . . . . . . . . . . .
Reduction Mammaplasty955DENNIS C. HAMMOND
83
and Reduction: The “Round
Block” . . . . . . . . . . . . . . . . . . . .
Periareolar Benelli Mastopexy960LOUIS C. BENELLI
84
Wall–based Flap and Pectoralis
Muscle Loop . . . . . . . . . . . . . . .
Mastopexy With Chest972RUTH GRAF, ANDRÉ RICARDO DALL’OGLIO
TOLAZZI, THOMAS BIGGS, AND
MARIA CECÍLIA CLOSS ONO
85
Implants: Superolaterally Based
Rotation Flap . . . . . . . . . . . . . .
A Mastopexy Technique Without985BARBARA B. HAYDEN
86
and Mastopexy Without
Undermining . . . . . . . . . . . . . . .
Vertical Scar Breast Reduction990CLAUDE LASSUS
87
Vertical Mastopexy . . . . . . . . . . 1007JUAN DIEGO MEJIA AND FOAD NAHAI
88
Reduction and Mastopexy . . . . .
Vertical Mammaplasty for Breast1016ALBERT DE MEY, DIANE FRANCK, AND
CHRISTOPHE ZIRAK
89
Short Horizontal Scar . . . . . . .
Vertical Mammaplasty With a1025DANIEL A. MARCHAC
90
Alone . . . . . . . . . . . . . . . . . . .
Breast Reduction by Liposuction1035MARTIN MOSKOVITZ
91
the Superomedial Pedicle . . . . .
Vertical Breast Reduction Using1045ELIZABETH J. HALL-FINDLAY
92
Inferior Pedicle Reduction
Mammaplasty . . . . . . . . . . . . . .
The Short Scar Periareolar1063DENNIS C. HAMMOND
93
Reduction Technique . . . . . . . .
The Circumvertical Breast1078A. ALDO MOTTURA
94
Reduction: Basic Concepts . . . .
Inferior Pedicle Technique in Breast1088NAVIN K. SINGH AND MARWAN R. KHALIFEH
95
Reduction: Practical Steps . . . . .
Inferior Pedicle Technique in Breast1097SAUL HOFFMAN
96
Using the Central Mound
Technique . . . . . . . . . . . . . . . .
Reduction Mammaplasty1107DANIEL P. LUPPENS AND MARK A. CODNER
97
Medial Pedicles and Inverted-T
Incisions . . . . . . . . . . . . . . . . .
Reduction Mammaplasty Using1116ETHAN E. LARSON AND MAURICE Y. NAHABEDIAN
98
The L Short-scar Mammaplasty . 1128ARMANDO CHIARI, JR. AND JAMES C. GROTTING
99
Reduction . . . . . . . . . . . . . . . .
The No-vertical-scar Breast1144SIMON G. TALBOT AND JULIAN J. PRIBAZ
100
Free Nipple Graft Technique . . .
Breast Reduction With the1156SCOTT L. SPEAR AND M. RENEE JESPERSEN
101
in the Irradiated Breast . . . . . . .
Reduction Mammoplasty1170SCOTT L. SPEAR AND AMER SABA
102
After Massive Weight Loss . . . .
Breast Reduction and Mastopexy1174J. PETER RUBIN AND JOSEPH MICHAELS
103
and Mastopexy After Massive
Weight Loss . . . . . . . . . . . . . . .
Strategies in Breast Reduction1185DENNIS J. HURWITZ
104
Gynecomastia . . . . . . . . . . . . . . 1205FRANK LISTA AND JAMIL AHMAD
105
Corrections After Breast
Reduction and Mastopexy . . . . .
Complications and Secondary1211SCOTT L. SPEAR AND KAREN KIM EVANS
SECTION IV:
Mammaplasty
Augmentation106
General Considerations . . . . . . .
Augmentation Mammaplasty:1227G. PATRICK MAXWELL, MATTHEW B. BAKER, AND
ALLEN GABRIEL
107
Tissue-based Planning for
Breast Augmentation . . . . . . . .
The High Five Process:1246WILLIAM P. ADAMS JR.
108
Patient: Psychological Issues . . .
The Augmentation Mammoplasty1254REBECCA COGWELL ANDERSON AND
JASON C. LEVINE
109
Augmentation . . . . . . . . . . . . .
Patient Education in Breast1261CAROLINE A. GLICKSMAN
110
Augmentation Mammaplasty . . .
The Inframammary Approach to1271DENNIS C. HAMMOND
111
Augmentation Mammaplasty . . .
The Periareolar Approach to1277SCOTT L. SPEAR, JEFFREY M. JACOBSON, AND
ELAN REISIN
112
Augmentation . . . . . . . . . . . . .
Subfascial Breast1283RUTH MARIA GRAF, MARIA CECÍLIA CLOSS ONO,
AND ANDRÉ RICARDO DALL’OGLIO TOLAZZI
113
Augmentation . . . . . . . . . . . . . .
Transaxillary Breast1290LOUIS L. STROCK
114
Augmentation . . . . . . . . . . . . .
Transumbilical Breast1300RICHARD V. DOWDEN AND
MARIANNE A. FULLER
115
Anatomic, High-cohesiveness
Silicone Gel Implants (European
Experience) . . . . . . . . . . . . . . .
Breast Augmentation With1322PER HEDÉN
116
Form-stable Gel Implant for Primary
Breast Augmentation . . . . . . . .
The Highly Cohesive, Style 4101346BRADLEY P. BENGTSON
117
Lipoaugmentation . . . . . . . . . . 1366SYDNEY R. COLEMAN AND ALESIA P. SABOEIRO
118
Reconstruction Using BRAVA
External Breast Expansion
and Autologous Fat Grafting . .
Breast Augmentation and1374ROGER K. KHOURI AND DANIEL DEL VECCHIO
119
Patient With Tuberous Breasts and
Other Complex Anomalies . . . .
Augmentation Mammaplasty in the1401DENNIS C. HAMMOND
120
in Women With Thoracic
Hypoplasia . . . . . . . . . . . . . . .
Augmentation Mammaplasty1410SCOTT L. SPEAR, JESSE A. GOLDSTEIN, AND
CHRISTOPHER V. PELLETIERE
121
With Poland Syndrome . . . . . . .
Breast Reconstruction in Patients1416JAMES D. NAMNOUM
122
Mastopexy . . . . . . . . . . . . . . . .
Augmentation With Periareolar1425SCOTT L. SPEAR AND MARK L. VENTURI
123
General Considerations . . . . . . .
Augmentation Mastopexy:1434DENNIS C. HAMMOND
124
Augmentation Mammaplasty . . .
Managing Complications of1447NEAL HANDEL
125
Implant Malposition . . . . . . . . .
Neo-subpectoral Technique for1473SCOTT L. SPEAR, M. RENEE JESPERSEN, AND
SAMIR S. RAO
126
Distortion Following Submuscular
Breast Augmentation . . . . . . . .
Outcome Assessment of Breast1481SCOTT L. SPEAR AND JAIME SCHWARTZ
127
Surgery of the Breast . . . . . . . .
Bioprosthetic Materials for Plastic1488G. PATRICK MAXWELL AND ALLEN GABRIEL
128
Treatment and Prevention of
Implant-associated Breast
Deformities . . . . . . . . . . . . . . .
Acellular Dermal Matrix for the1495SCOTT L. SPEAR AND MITCHEL SERUYA
129
After Augmentation Mammaplasty
by Conversion to the Subpectoral
or “Dual-plane” Position . . . . .
Correction of Capsular Contracture1503SCOTT L. SPEAR AND MICHAEL COHEN
130
and Anatomic Description,
Classification and Definitions,
and Options for Repair and
Reinforcement . . . . . . . . . . . . .
The Inframammary Fold: Histologic1510BRADLEY P. BENGTSON
131
Anatomic Form-stable Silicone
Gel Implants . . . . . . . . . . . . . .
Revision Augmentation With1516MITCHELL H. BROWN
132
Augmented Breast . . . . . . . . . .
Correction of Ptosis in the Previously1532NEAL HANDEL

 



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