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The Evolution of Nipple-Sparing Mastectomy (NSM)
Pages 1-10
This text is designed to present a comprehensive overview of the evolution, oncologic safety, surgical approaches and outcomes of NSM. The book is targeted at general surgeons, dedicated breast surgeons, and plastic surgeons. There is focus for surgeons just beginning their use of NSM, as well as a review of patient selection criteria, operative approaches, reconstruction options, and management of complications. Chapters are written by experts in the performance and reconstruction of NSM. Chapters are supplemented with appropriate illustrations and photos of NSM techniques and reconstructions.
Operative Approaches to Nipple-Sparing Mastectomy: Indications, Techniques, & Outcomes will become a valuable resource for surgeons, including those in-training, who have a focus on state-of-the-art breast cancer surgery.
The Evolution of Nipple-Sparing Mastectomy (NSM)
Pages 1-10
Nipple and Breast Anatomy
Pages 11-19
Patient Selection and Breast Imaging
Pages 21-36
The Inframammary Approach to Nipple-Sparing Mastectomy: The Georgetown University Hospital Experience
Pages 37-46
The Inframammary Approach to Nipple-Sparing Mastectomy: The UCSF Experience
Pages 47-52
The Vertical Infra-Areolar Approach to Nipple Skin-Sparing or Total Skin-Sparing Mastectomy
Pages 53-65
Nipple-Sparing Mastectomy in the Large, Ptotic Breast
Pages 67-74
Nipple-Sparing Mastectomy in the Community Setting
Pages 75-83
Reducing Complications and Margin Issues with Nipple-Sparing Mastectomy
Pages 85-100
Techniques to Avoid Nipple and Flap Necrosis
Pages 101-115
Using the Breast Reconstruction Risk Assessment (BRA) Score: An Individualized Risk Calculator to Assist Expectation Management and Reconstructive Decision Making in the Mastectomy Patient
Pages 117-126
Plastic Surgery Considerations in Reconstruction After Nipple-Sparing Mastectomy
Pages 127-134
Acellular Dermal Matrices: To Use or Not?
Pages 135-146
Prepectoral Reconstruction with Acellular Dermal Matrix (ADM) Strattice®
Pages 147-155
Subcutaneous Reconstruction Without Acellular Dermal Matrix
Pages 157-163
Nipple-Sparing Mastectomy in the Previously Radiated Patient
Pages 165-174
Experience with Postmastectomy Radiation Therapy in Nipple-Sparing Mastectomy
Pages 175-183
Management of Complications Following Nipple-Sparing Mastectomy
Pages 185-194
Fluorescence Imaging in Breast Reconstruction: Minimizing Complications and Improving Outcomes
Pages 195-208
The Science Behind Fat Grafting and Acellular Dermal Matrices
Pages 209-215
The Team Approach to Nipple-Sparing Mastectomy and Reconstruction
Pages 217-227
The Intraoperative Team Approach to Nipple-Sparing Mastectomy
Pages 229-233
The American Society of Breast Surgeons Nipple-Sparing Mastectomy Registry
Pages 235-248
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