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Titlebook: Breast Reconstruction with Autologous Tissue; Hisham Fansa,Christoph Heitmann Book 2019 Springer Nature Switzerland AG 2019 Tumor excision

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Mastectomy,in the right indications. Skin- and nipple-sparing mastectomies (SSM and NSM) have shifted the paradigm in breast reconstruction. Leaving the skin intact requires a primary reconstruction and involves the plastic surgeon early in the surgical and oncological concept.
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Autologous Reconstruction: Free Flaps,n both of the arteries lies within the muscle and is very variable. It is not always sufficient to nourish the desired amount of tissue. Harvesting the muscle can result in weakness of herniation of the abdominal wall leading to pain or additional mesh stabilization surgery.
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Sentinel Lymph Node and Axillary Dissection,of infiltration. If a frozen section examination is not possible or if a metastasis appears later in the workup, the axillary dissection must be carried out in a second operation. Isolated tumour cells and micrometastases in the SLN are not an indication for axillary lymphadenectomy.
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Adaptable Management, Review and Audit,of infiltration. If a frozen section examination is not possible or if a metastasis appears later in the workup, the axillary dissection must be carried out in a second operation. Isolated tumour cells and micrometastases in the SLN are not an indication for axillary lymphadenectomy.
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Oncoplastic Surgery,mastectomy to (1) allow better local oncologic control. (2) The breast is shaped to improve the aesthetic outcome, which includes (3) the contralateral side, as symmetry is an essential part of breast aesthetics. (4) Some studies advocate a primary reconstruction of the breast avoiding cavities whic
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Sentinel Lymph Node and Axillary Dissection,any approaches to lymph node infiltration caused by cancer. Since the removal of axillary lymph nodes can lead to high morbidity and ultimately the survival rate is not improved by an aggressive lymph node dissection, the removal of sentinel lymph nodes has become popular. The sentinel lymph node (S
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