BreastReconTiwari
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Plastic Surgery: Plastic Surgery: Breast Breast Reconstruction Reconstruction Pankaj Tiwari, MD Pankaj Tiwari, MD Assistant Professor Assistant Professor The Ohio State University Medical Center Department of Plastic Surgery
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Transcript of BreastReconTiwari
Plastic Surgery:Plastic Surgery:Breast ReconstructionBreast Reconstruction
Pankaj Tiwari, MDPankaj Tiwari, MDAssistant ProfessorAssistant Professor
The Ohio State University Medical CenterDepartment of Plastic Surgery
Gaspar Tagliacozzi (1545-1599)
“We restore, repair, and make whole those parts . . . which nature has given but which fortune has taken away.”
Plastic SurgeryPlastic Surgery
Cosmetic vs. ReconstructiveCosmetic vs. Reconstructive MultidisciplinaryMultidisciplinary Combined proceduresCombined procedures
DelayedDelayed ImmediateImmediate
Head to ToeHead to Toe Young to OldYoung to Old
Oncologic DefectsOncologic Defects
Breast Breast LumpectomyLumpectomy Mastectomy Mastectomy
Mastectomy
Defect
Lumpectomy DefectLumpectomy Defect
Tissue Expander/Implant Tissue Expander/Implant ReconstructionReconstruction
Tissue expanders placed initiallyTissue expanders placed initially Serial expansionsSerial expansions
Average 5-6 visitsAverage 5-6 visits Exchange for permanent implantsExchange for permanent implants
SalineSaline Silicone Silicone
Silicone Implant Silicone Implant ReconstructionReconstruction
12/13/2010
Free TRAM FlapFree TRAM Flap
MicrovasculaMicrovascular Tissue r Tissue TransferTransfer
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
The Ohio State University Medical Center
Superior Gluteal Artery Superior Gluteal Artery Perforator FlapPerforator Flap
Inferior Gluteal Artery Inferior Gluteal Artery Perforator FlapPerforator Flap
ReferencesReferences
Thorne CH. Thorne CH. Grabb & SmithGrabb & Smith’’s Plastic Surgery 6s Plastic Surgery 6thth Edition Edition. Philadelphia, PA: Lippincott . Philadelphia, PA: Lippincott Williams & Wilkins; 2007.Williams & Wilkins; 2007.
Brown DL, Borschel GH. Brown DL, Borschel GH. Michigan Manual of Plastic Surgery. Michigan Manual of Plastic Surgery. Philadelphia, PA: Lippincott Philadelphia, PA: Lippincott Williams & Wilkins; 2004.Williams & Wilkins; 2004.
Kroll S, Sharma S, Koutz C, et al. Postoperative Morphine Requirements of Free TRAM and Kroll S, Sharma S, Koutz C, et al. Postoperative Morphine Requirements of Free TRAM and DIEP Flaps. DIEP Flaps. Plast. Reconstr. Surg. Plast. Reconstr. Surg. 107: 338-341, 2001.107: 338-341, 2001.
Bajaj A, Chevray P, Chang D. Comparison of Donor-Site Complications and Functional Bajaj A, Chevray P, Chang D. Comparison of Donor-Site Complications and Functional Outcomes in Free Muscle-Sparing TRAM Flap and Free DIEP Flap Breast Reconstruction. Outcomes in Free Muscle-Sparing TRAM Flap and Free DIEP Flap Breast Reconstruction. Plast. Reconstr. Surg. Plast. Reconstr. Surg. 117: 737-745, 2006.117: 737-745, 2006.
National Cancer Institute. BRCA1 and BRCA2: Cancer Risk and Genetic Testing. Available National Cancer Institute. BRCA1 and BRCA2: Cancer Risk and Genetic Testing. Available at: at: http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA. Accessed April 7. Accessed April 7thth, 2010., 2010.
FP Cammisa, DB Glasser, JC Otis, MA Kroll, JM Lane and JH Healey. FP Cammisa, DB Glasser, JC Otis, MA Kroll, JM Lane and JH Healey. J Bone Joint Surg Am. J Bone Joint Surg Am. 1990;72:1541-1547.1990;72:1541-1547.
