Defect Reconstruction with Inferomedial Pedicle Technique

A 41-year-old female presented to the hospital with chest pain and on exam was found to have a 1.5-cm centrally located mass on the right breast. The patient underwent bilateral mammogram, which noted an increased asymmetric density at the medial right br

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123

Oncoplastic Breast Surgery

Florian Fitzal • Peter Schrenk Editors

Oncoplastic Breast Surgery A Guide to Clinical Practice Second Edition

Editors Florian Fitzal, FEBS, MD Professor of Surgery Hospital of the Sisters of Charity and Cancer Comprehensive Center Medical University Vienna Linz Austria

Peter Schrenk, MD Allg. Öffentl. Krankenhaus Abt. Chirurgie II Linz Austria

ISBN 978-3-7091-1873-3 ISBN 978-3-7091-1874-0 DOI 10.1007/978-3-7091-1874-0

(eBook)

Library of Congress Control Number: 2015942456 Springer Vienna Heidelberg New York Dordrecht London © Springer-Verlag Vienna 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag GmbH Wien is part of Springer Science+Business Media (www.springer.com)

Acknowledgement

We would like to thank Bernard Ammerer for providing his expertise in drawing several illustrations within this second edition of the Oncoplastic Surgery book.

v

Contents

1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florian Fitzal and Peter Schrenk

Part I

1

Breast Conserving Oncoplastic Techniques: Round Block or Doughnut Technique

2

Round Block Lumpectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hisamitsu Zaha

5

3

Round Block Lumpectomy with Resection of the Nipple . . . . . Peter Schrenk

9

4

Doughnut Lumpectomy: Caveat I . . . . . . . . . . . . . . . . . . . . . . . . Florian Fitzal

13

5

Doughnut Lumpectomy: Caveat II . . . . . . . . . . . . . . . . . . . . . . . Hisamitsu Zaha

17

Part II

Breast Conserving Oncoplastic Techniques: Batwing Technique

6

Batwing Lumpectomy with Skin Resection . . . . . . . . . . . . . . . . Elias E. Sanidas

21

7

Hemibatwing No Man’s Land . . . . . . . . . . . . . . . . . . . . . . . . . . . Elias E. Sanidas

25

8

Batwing (Omega) Quadrantectomy . . . . . . . . . . . . . . . . . . . . . . Peter Schrenk

29

9

Batwing Quadrantectomy . . . . . . . . . . . . . . . . . . . . . . .