Forewords |
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xiii | |
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James C. Grotting |
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xv | |
Preface |
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xvii | |
Editors |
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xix | |
Contributors |
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xxi | |
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SECTION I GENERAL TRENDS. PRINCIPLES, AND MATERIALS |
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1 Latest Trends In Breast Reconstruction |
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3 | (6) |
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3 | (3) |
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6 | (3) |
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2 The Biological Rationale For Oncoplastic Surgical Procedures |
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9 | (4) |
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3 Biological Reactions To Reconstructive Materials |
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13 | (20) |
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3.1 Biological Reactions to Acellular Dermal Matrices (ADMs) |
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13 | (6) |
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3.2 Breast Implant-Associated Anaplastic Large Cell Lymphoma |
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19 | (3) |
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3.3 Biological Reactions to Autologous Fat Grafting |
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22 | (8) |
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30 | (3) |
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SECTION II PATIENT SELECTION-BREAST-CONSERVING SURGERY OR MASTECTOMY? |
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4 Oncologic Considerations |
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33 | (22) |
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33 | (3) |
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36 | (12) |
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48 | (2) |
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50 | (3) |
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53 | (2) |
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5 Reconstructive Perspectives |
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55 | (6) |
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5.1 Breast Surgeon's Perspective |
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55 | (3) |
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5.2 Reconstructive Surgeon's Perspective |
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58 | (3) |
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61 | (8) |
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6.1 The Role of Patient Choice |
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61 | (3) |
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6.2 Patients' Expectations |
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64 | (2) |
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Guidubaldo Querei delta Rovere |
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66 | (3) |
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7 Preoperative Radiological Assessment |
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69 | (8) |
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8 Oncoplastic Parenchymal Resection |
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77 | (6) |
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77 | (3) |
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80 | (3) |
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9 Intraoperative Assessment |
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83 | (6) |
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83 | (3) |
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86 | (3) |
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10 Timing Of Oncoplastic Repair |
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89 | (12) |
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96 | (5) |
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SECTION III BREAST-CONSERVING SURGERY AND PARTIAL BREAST RECONSTRUCTION (ONCOPLASTIC REPAIR) |
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11 Immediate Repair Before Radiotherapy |
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101 | (46) |
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11.1 Local Tissue Rearrangement |
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101 | (8) |
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11.1.1 Extreme Oncoplasty (USA) |
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101 | (6) |
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11.1.2 My Approach (Europe) |
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107 | (2) |
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11.2 Dermoglandular Reduction Mammoplasty |
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109 | (15) |
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109 | (7) |
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11.2.2 Our Approach (Europe) |
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116 | (8) |
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124 | (23) |
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124 | (7) |
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11.3.2 Our Approach (Europe) |
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131 | (16) |
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12 Postoperative Margin Assessment (Re-Excision Or Completion Mastectomy) |
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147 | (6) |
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13 Delayed Oncoplastic Repair-Before Radiotherapy |
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153 | (10) |
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160 | (3) |
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14 Delayed Oncoplastic Repair-After Radiotherapy |
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163 | (30) |
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163 | (8) |
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171 | (18) |
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14.2.1 Our Approach (USA) |
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171 | (4) |
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14.2.2 Our Approach (Europe) |
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175 | (14) |
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189 | (4) |
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15 Mastectomy And Whole Breast Reconstruction: Skin-Sparing And Nipple-Sparing Mastectomy |
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193 | (12) |
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193 | (5) |
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15.2 Reconstructive Aspects |
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198 | (5) |
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203 | (2) |
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16 Nipple-Sparing Mastectomy |
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205 | (8) |
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16.1 Incisions for Nipple-Sparing Mastectomy |
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205 | (3) |
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16.2 Nipple-Sparing Mastectomy in Breast Ptosis |
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208 | (2) |
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210 | (3) |
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SECTION V MASTECTOMY AND WHOLE BREAST RECONSTRUCTION (TIMING AND PATIENT SELECTION) |
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17 Timing Of Reconstruction |
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213 | (14) |
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17.1 Patients Who May Require Postmastectomy Irradiation |
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213 | (8) |
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17.2 Patients Who Will Require Postmastectomy Radiation |
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221 | (5) |
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226 | (1) |
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18 HOW TO CHOOSE THE OPTIMAL METHOD OF WHOLE BREAST RECONSTRUCTION |
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227 | (14) |
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227 | (7) |
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18.2 Our Approach (South America) |
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234 | (7) |
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Alexandre Mendonga Munhoz |
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SECTION VI MASTECTOMY AND WHOLE BREAST RECONSTRUCTION (METHODS AND TECHNIQUES) |
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19 Implant-Based Whole Breast Reconstruction (Without Irradiation) |
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241 | (38) |
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19.1 One-Stage Implant Reconstruction |
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241 | (11) |
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19.1.1 Our Approach (USA) |
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241 | (4) |
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19.1.2 My Approach (Europe) |
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245 | (7) |
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19.2 Two-Stage Implant Reconstruction |
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252 | (5) |
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19.2.1 Our Approach (USA) |
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252 | (3) |
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19.2.2 Our Approach (South America) |
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255 | (2) |
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19.3 Acellular Dermal Matrix with Implants |
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257 | (7) |
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257 | (3) |
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19.3.2 Our Approach (Europe) |
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260 | (4) |
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19.4 Fat Grafting with Implants |
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264 | (13) |
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19.4.1 Our Approach (Europe) |
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264 | (5) |
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19.4.2 My Approach (Europe) |
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269 | (8) |
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277 | (2) |
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20 Implant-Based Whole Breast Reconstruction (With Irradiation) |
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279 | (22) |
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20.1 Timing of Reconstruction |
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279 | (8) |
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20.1.1 Our Approach (USA) |
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279 | (4) |
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20.1.2 My Approach (Europe) |
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283 | (4) |
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20.2 Technique for Reconstruction |
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287 | (6) |
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20.2.1 Our Approach (USA) |
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287 | (3) |
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20.2.2 Our Approach (Europe) |
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290 | (3) |
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20.3 Impact of Acellular Dermal Matrices (ADMs) and Fat Grafting on Irradiated Breast Reconstruction |
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293 | (6) |
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293 | (4) |
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20.3.2 Our Approach (Europe) |
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297 | (2) |
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299 | (2) |
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21 Fat Grafting Exclusively For Whole Breast Reconstruction |
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301 | (8) |
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21.1 Our Approach (Europe) |
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301 | (2) |
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21.2 Stem Cell Expansion and Growth Factor Stimulation |
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303 | (2) |
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21.3 The Bioengineered Breast |
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305 | (2) |
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307 | (2) |
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22 Standard Autologous Tissue Flaps For Whole Breast Reconstruction |
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309 | (30) |
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22.1 Latissimus Dorsi Flap (with Implant) |
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309 | (3) |
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22.2 Totally Autologous Latissimus Dorsi Flap |
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312 | (8) |
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22.3 Pedicled Transverse Rectus Abdominis Myocutaneous (TRAM) Flap |
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320 | (6) |
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22.4 Free Transverse Rectus Abdominis Myocutaneous (TRAM) Flap |
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326 | (6) |
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22.5 Deep Inferior Epigastric Perforator (DIEP) Flap |
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332 | (6) |
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338 | (1) |
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23 Advanced Autologous Tissue Flaps For Whole Breast Reconstruction |
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339 | (32) |
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23.1 Thoracodorsal Perforator (TAP) Flap |
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339 | (3) |
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23.2 Robotic Latissimus Dorsi Muscle Harvest |
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342 | (3) |
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345 | (4) |
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23.4 Profunda Artery Perforator (PAP) Flap |
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349 | (2) |
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23.5 Boomerang Gluteal Artery Perforator (GAP) Flap |
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351 | (5) |
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23.6 Transverse Upper Gracilis (TUG) Flap |
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356 | (6) |
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23.7 Lumbar Artery Perforator (LAP) Flap |
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362 | (9) |
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SECTION VII REVISIONAL BREAST RECONSTRUCTION (FOLLOWING BOTH PARTIAL AND WHOLE BREAST RECONSTRUCTION) |
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24 Breast Revision Following Breast Conservation And Oncoplastic Repair |
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371 | (8) |
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25 Breast Revision After Implant-Based Breast Reconstruction |
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379 | (4) |
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Alexandre Mendonga Munhoz |
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26 Breast Revision After Mastectomy, Whole Breast Reconstruction, And Postmastectomy Radiation Therapy |
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383 | (8) |
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387 | (4) |
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SECTION VIII TECHNIQUES FOR DELIVERY OF RADIOTHERAPY |
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27 Partial Or Whole Breast Radiotherapy After Breast-Conserving Surgery? |
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391 | (8) |
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28 Postmastectomy Radiotherapy After Whole Breast Reconstruction |
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399 | (6) |
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28.1 Postmastectomy Radiotherapy after Breast Reconstruction Does Not Interfere with Radiation Delivery |
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399 | (3) |
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28.2 Postmastectomy Radiotherapy after Whole Breast Reconstruction: Does Breast Reconstruction Interfere with Radiation Delivery? |
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402 | (3) |
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29 Partial Breast Radiotherapy After Breast-Conserving Surgery |
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405 | (12) |
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29.1 Targeted Radiotherapy as Part of Breast-Conserving Therapy |
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405 | (6) |
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29.2 Postoperative Radiotherapy |
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411 | (6) |
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411 | (3) |
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29.2.2 Linear Accelerator |
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414 | (3) |
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30 Whole Breast Radiotherapy (Boost) After Partial Mastectomy |
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417 | (16) |
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30.1 Boost or No Boost to Tumor Bed with Whole Breast Radiotherapy after Partial Mastectomy |
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417 | (4) |
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30.2 Options for Delivery of Radiotherapy Boost Dose after Partial Mastectomy |
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421 | (2) |
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30.3 Intraoperative Brachytherapy plus Postoperative Linear Accelerator for Whole Breast Radiotherapy |
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423 | (2) |
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30.4 Intraoperative Linear Accelerator Plus Postoperative Linear Accelerator for Whole Breast Radiotherapy |
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425 | (2) |
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427 | (6) |
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SECTION IX TECHNIQUES FOR LYMPH NODE TRANSFER |
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31 Transfer Of Vascularized Lymph Node Tissue |
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433 | (10) |
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31.1 Our Approach (Taiwan) |
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433 | (4) |
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31.2 Our Approach (Europe) |
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437 | (6) |
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SECTION X NIPPLE-AREOLA COMPLEX RECONSTRUCTION |
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32 Nipple-Areola Complex Reconstruction |
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443 | (12) |
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32.1 Nipple-Areola Complex Reconstruction (with and without Biologicals) |
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443 | (5) |
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448 | (3) |
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451 | (4) |
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SECTION XI TRAINING--BREAST SURGERY AS A SPECIALTY |
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33 The Modern Specialist Breast Surgeon |
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455 | (4) |
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34 Breast Surgical Training |
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459 | (6) |
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34.1 American Training System |
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459 | (2) |
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34.2 European Training System |
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461 | (2) |
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463 | (2) |
Index |
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