150 likes | 249 Views
Breast Oncoplasty - Videos. Dr. S.V.S. Deo MS, FACS Associate Professor, Surgical Oncology All India Institute of Medical Sciences New Delhi.
E N D
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
Hartramf et al TRAM Delay Types - Vascular, Flap delay Technique B/L Inf.Epi. Vessel Ligation 7-15 days gap TRAM Recon Introduction
Nipple Areola Sparing SSM + Delayed TRAM Flap Reconstruction
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