Upload
carson-tipton
View
226
Download
0
Tags:
Embed Size (px)
Citation preview
Breast Oncoplasty - Videos
Dr. S.V.S. Deo MS, FACS
Associate Professor, Surgical Oncology
All India Institute of Medical Sciences
New Delhi
These PowerPoint presentations are free to download only for academic purposes, with due acknowledgements to authors and this website.
Nipple Areola Sparing SSM + Delayed TRAM Flap
Reconstruction
Introduction
• Nipple Areola - Crucial for cosmoses• Nipple Areola Sparing safe - Suitable patients• Conventional TRAM- Flap necrosis - 5-20%• Techniques – Decrease Flap Necrosis &
Increase Flap vascularity Free TRAM Super Charged TRAM Delayed TRAM – Vascular Ligation
Introduction
• Hartramf et al TRAM Delay• Types - Vascular, Flap
delay• Technique B/L Inf.Epi. Vessel Ligation• 7-15 days gap• TRAM Recon
Nipple Areola Sparing SSM + Delayed TRAM Flap Reconstruction
Partial Breast Reconstruction using
Mini LD Flap
Partial Breast Reconstruction using Mini LD Flap
• To Improve cosmoses in BCT patients
- Poor Tumor Breast ratio
- Lower / Central quadrant tumors
• Breast Oncoplasty Procedures
- Volume redistribution
- LD fill / Partial BR
Partial Breast Reconstruction using Mini LD Flap
Partial B. R using Mini LD Flap Pre .op vs Post .op
Skin Sparing MRM + TRAM Flap Breast
Reconstruction
Pre-Op & Late Post OpSSM + TRAM