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Breast cancer is one of the most common cancer forms worldwide and has become the commonest cancer in women in most parts of the world. Surgery remains the single best treatment modality and globally, breast conservations are on the rise with increasing Oncoplastic techniques. Oncoplastic techniques have evolved over the last decade with the increasing use of pedicled flaps to enable partial breast reconstruction. This handy guide fills a gap in available publications to describe current trends, to help advance the knowledge and update skills of the reader. After an historical introduction, chapters on pre-operative mapping and imaging, as well as on patient selection for each approach, over eleven chapters are devoted to specific flaps and to their combination. The crucial management of complications and radiotherapy planning are also developed in dedicated parts. With contributions from world-renowned plastic and oncoplastic breast surgeons, step-by-step videos linked to thesurgical chapters and a wealth of original photographs and illustrations, Pedicled Flaps in Partial Breast Reconstruction will be a valued reference for fellows, residents, practicing and highly experienced plastic surgeons, breast surgeons, and practitioners in related surgical sub-specialties, who will find this a useful tool in their day-to-day practice.
List of contents
Preface, Acknowledgement.- 1. History of Pedicled Perforator Flaps for Breast Reconstruction.- 2. Pre-operative mapping and imaging of perforator flaps.- 3. Choosing the right patient and the right approach - in Partial Breast Reconstruction with pedicled chest wall perforator flaps.- 4. The Thoracodorsal Artery Perforator (TDAP) Flap.- 5. Lateral Intercostal Artery Perforator (LICAP) flap.- 6. Serratus Anterior Artery Perforator (SAAP) flap.- 7. Lateral Thoracic Artery Perforator (LTAP) flap.- 8. Extended Thoracodorsal Artery Perforator (TDAP) Flap.- 9. Anterior Inferior Intercostal artery flap -AICAP FLAP.- 10. Superior Epigastric Artery Perforator (SEAP) FLAP.- 11. Subcostal Artery Perforator (SCAP) Flap: A New Application in Breast Reconstruction.- 12. The Latisimus Dorsi Miniflap.- 13. Pedicle perforator flaps with invisible scar.- 14. Chest Wall perforator flaps in breast-conserving surgery - Nottingham approach.- 15. Complications with Breast Volume Replacement Local Perforator Flaps: Avoidance, Recognition and Treatment.- 16. Radiotherapy and Local Chest Wall Perforator Flaps in Partial Breast Reconstruction.- 17. Tumour bed boost Radiotherapy and planning following partial breast reconstruction with chest wall perforator flaps.- 18. Quality of Outcomes.
