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Operative Approaches to Nipple-Sparing Mastectomy


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Table of Contents

The Evolution of Nipple-Sparing Mastectomy.- Nipple and Breast Anatomy.- Patient Selection and Breast Imaging.- The Inframammary Approach: The Georgetown Experience.- The Inframammary Approach: The UCSF Experience.- The Vertical Infra-Areolar Approach.- NSM in the Large Ptotic Breast.- NSM in the Community Hospital Setting.- Reducing Complications and Margin Issues with NSM.- Techniques to Avoid Nipple and Flap Necrosis.- Using the Breast Reconstruction Risk Assessment (BRA) Score.- Plastic Surgery Considerations in Reconstruction after NSM.- Acellular Tissue Matrices-To Use or Not?.- Pre-pectoral Reconstruction with Strattice.- Pre-pectoral Reconstruction without ADM.- NSM in the Previously Radiated Patient.- Experience with Post-Mastectomy Radiation Therapy in NSM.- Management of Complications after NSM.- Florescence Imaging in Breast Reconstruction: Minimizing Complications and Improving Outcomes.- The Science Behind Fat Grafting and ADMs.- The Team Approach to NSM and Reconstruction.- The Intraoperative Team Approach to NSM.- The American Society of Breast Surgeons NSM Registry.

About the Author

Jay K. Harness, MD, FACSClinical Professor of SurgeryUniversity of California, IrvineSt. Joseph Hospital Center forCancer Prevention & TreatmentOrange, CaliforniaUSA
Shawna C. Willey, MD, FACSProfessor of Clinical SurgeryDirector, MedStar Regional Breast Health ProgramVice-Chair, Department of SurgeryMedStar Georgetown University HospitalWashington, DCUSA

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