Oncoplastic surgical techniques pdf

Oncoplastic surgery ops has emerged as a new approach for extending breast conserving surgery bcs possibilities, reducing both mastectomy and reexcision rates, while avoiding breast deformities. The incorporation of oncological and plastic surgery techniques allows for the complete resection of local disease while achieving superior cosmetic outcome. Oncoplastic surgical techniques are most often used with early stages of breast cancer where clean margins are achievable after a lumpectomy. The integration of oncoplastic techniques with a concomitant contralateral symmetrization procedure is a novel surgical approach that allows wide excisions and prevents breast deformities. Analysis of patient reported outcome pro revealed that 88 % of the cohort was satis. Pdf oncoplastic breast surgery techniques a new look at. For these reasons, we use oncoplastic surgical techniques. Extremely radical and radical surgical treatment of breast cancer was investigated with regard to indication, prognosis and local recurrence in comparison to current standard breastconserving procedures. The primary advantage of this surgical technique is the oncoplastic surgical techniques for personalized breast conserving surgery.

Knowledge and understanding of vascular supply of breast parenchyma and the nippleareola complex is a very important key to success. This study reports volume displacement surgical techniques, which allow the use of remaining breast tissue after bcs by glandular reshaping or reduction techniques for better cosmetic results. Principles and techniques in oncoplastic breast cancer surgery. Volume displacement article pdf available march 2012 with. Oncoplastic breast surgery techniques a new look at surgical treatment of breast cancer. Pdf surgical techniques for personalized oncoplastic surgery in. These techniques are directed basically towards proper control of breast cancer plus ensuring an optimal post surgical aesthetic outcome. Nineteen oncoplastic surgeries were performed by the same breast surgeon. Pdf on sep 1, 2018, daniela cristina camarotti camara escorel ribeiro and others published oncoplastic surgery in conservative surgical treatment of locally advanced breast cancer.

Techniques in oncoplastic surgery builds on and expands the authoritative procedures presented in the first edition, adding and updating the content with uptotheminute concepts, techniques, and innovations in. Even though aesthetic techniques have improved, 4% 20% of patients who undergo bcs may still be dissatisfied with the aesthetic outcome 2. Given that labc requires the removal of extensive areas viewing oncologic safety, mastering oncoplastic surgical techniques are important to achieve optimal and safe results. These may take place either at the same time as a partial or total mastectomy immediate reconstruction or at a later date delayed. The second part focuses on special operation techniques to improve the cosmetic outcome after breast conserving surgery and mastectomy.

These techniques are best suited for the following patients. The term oncoplastic surgery refers to surgery on the basis of oncological principles during which the techniques of plastic surgery are used, mostly for reconstructive and cosmet ic reasons. Surgical techniques for personalized oncoplastic surgery. Your actions are so meaningful to me, and by this way you let others know the book is good. School of oncoplastic surgery oncoplastic surgery with. Conservative and radical oncoplastic approches in the. A basic understanding of therapeutic mammoplasty and breast reconstruction techniques and management of complications 4. Alexandre munhoz describes the modern oncoplastic breast surgery as a combination of oncologic and plastic surgery techniques to obtain oncologically sound and. Ops is based upon the integration of plastic surgery techniques for immediate reshaping after wide excision for breast cancer. Pdf surgical techniques for personalized oncoplastic. The combination of plastic surgery techniques with oncologic surgery oncoplastic surgery gives the surgeon a new tool for the treatment of breast cancer.

Guidance for the commissioning of oncoplastic breast surgery. In terms of strengths and weaknesses, the chapter entitled oncoplastic breast conservation surgery is perhaps the best in the book. The recently completed national mastectomy and breast reconstruction audit nmbra involving more than 18,000 women examined a broad. Health, general breast cancer care and treatment diagnosis research breast reconstruction methods mammaplasty plastic surgery surgery, plastic. Some commonly used volume displacement procedures are described in the article.

Recently, advances in oncoplastic techniques have reduced surgical trauma and thus are capable of preserving the breast form and quality of. Oncoplastic surgery op represents a major advance in breast cancer surgery. Techniques in oncoplastic surgery 2nd edition pdf the new edition includes increased videodvd coverage, new chapters on brava tissue expansion, flaps, and increased detail on megafilling the breast with fat. In the second edition of this book, the authors describe the history, rationale, principles, and techniques for oncoplastic breast surgery. Intermediate oncoplastic surgery skills course with mastotrainer and cadaver lab closed moderators. Recently, advances in oncoplastic techniques have reduced surgical trauma and thus are. The first prominent advantage of the new technique is to avoid making the incision where it is aesthetically important. Alexandre mendonca munhoz simultaneous application of lumpectomy and reconstructive techniques local control with wider excision without compromising oncologic principles provides. Oncoplastic surgery merges the principles of oncology and plastic surgery, utilizing fullthickness breast flap advancement to address tissue defects and improve cosmesis from breastconserving surgery bcs. Oncoplastic techniques in the conservative surgical. Oncoplastic surgical techniques for personalized breast. After much consideration, and significant research on how things are unfolding, we have made the decision to postpone our may queenstown sos meeting.

Each case is dedicated to a particular surgical technique, using classifications of good, bad, and ugly to point out potential pitfalls and to optimize post surgery results. Pdf breast cancer is the most common cancer among polish women 1, thus, the problem of surgical treatment of breasts, especially with regard to. It is a varied surgery composing of many different techniques. Oncoplastic breast cancer surgery is one of the fastestgrowing domains in breast surgery. The dynamic field of oncoplastic breast surgery seeks to combine the goals of both oncology and plastic surgery, utilizing recent innovations and new techniques to provide patients with the best possible outcomes. Oncoplastic breast conserving surgery is a modern surgical approach that allows a surgical treatment that covers oncology and reconstruction aspects avoiding cosmetic sequelae. Breast surgery was revolutionized with the use of oncoplastic reshaping techniques minimi. Oncoplastic surgery involves both volume displacement and volume replacement techniques. Pdf oncoplastic breast surgery has become a popular choice of treatment for breast reconstruction after mastectomy. The audience is breast surgical oncology trainees, practitioners, and plastic surgeons who practice oncoplastic breast surgery. Oncoplastic breast surgery techniques a new look at surgical treatment of breast cancer article pdf available in current issues in pharmacy and medical sciences 3.

Volume displacement, authorjung dug yang and jeong woo lee and young kyoo cho and wan wook kim and seung ook hwang and jin hyang jung and ho yong park, booktitle. Oncoplastic techniques provide more women with the option of lumpectomy with immediate reconstruction, rather than mastectomy. They have structured the book as a multiauthor book that is divided into five sections covering these topics in partial breast reconstruction. It provides the surgeon the ability to excise large areas of the breast in the oncologic resection without compromising, and possibly improving, its aesthetic appearance. Breastconservation surgery bcs is established as a safe option for most women with early breast cancer. Clear surgical margins were obtained in all patients. Feasibility of oncoplastic techniques in the surgical. Oncoplastic surgery of the breast 9780702076800 us. An oncoplastic breast surgical technique for managing inferior pole lesions. This book summarizes the basic principles and techniques using evidencebased data. Multiple oncoplastic breast surgery techniques can be used for the resection of clbc with satisfying cosmetic outcomes. First, volume replacement technique combines resection with glandular reshaping or reduction mammoplasty. Techniques for breast conservation in a patient with moderate to largesized breasts abhishek chatterjee, md, mba1, deniz dayicioglu, md2,3, nazanin khakpour, md2, and brian j. The oncoplastic techniques are related to volume displacement or replacement procedures including local flaps.

Techniques in oncoplastic surgery 2nd edition pdf free download this second edition of partial breast reconstruction. Oncoplastic breast surgery techniques a new look at. Oncoplastic surgical techniques in breastconserving therapy. Fundamental principles and basic concepts are clearly outlined, and numerous techniques are presented by acknowledged experts from across the world. The basic concepts of oncoplastic breast surgery and the tools needed prior to starting these types of. The oncoplastic techniques are related to volume displacement or replacement procedures including local flaps, latissimus dorsi myocutaneous. The demand for oncoplastic breast surgery has increased significantly in recent years. This book presents 50 cases, encompassing a broad range of oncoplastic breast surgeries.

The role of consultant outside the medical statements of uttmost value, consultant is usually. Oncoplastic surgery in breast conserving surgery oncoplastic. Oncoplastic techniques allow extensive resections for. The school of oncoplastic surgery sos has been closely monitoring the developments regarding the covid19 viral outbreak. Bcs followed by radiation treatment comprises breastconserving therapy bct. The initial reports of aesthetic techniques coupled with oncologic treatment were published in the 1990s. Volume replacement and displacement techniques in oncoplastic surgery. Even with the improvement of the oncoplastic surgery techniques, the chance of breast deformity or breast or nac asymmetry is considerably high when the tumor is located in the uiq.

Outcome of different oncoplastic surgical ops techniques. A novel level i oncoplastic surgery technique for tumors. Oncoplastic surgery refers to several surgical techniques by which segments of malignant breast tissue are removed to achieve wide surgical margins while the remaining glandular tissue is transposed to achieve the best possible cosmetic outcome. Selection of surgical techniques and patientreported outcome in a cohort of 1,035 patients mahdi rezai, md1, sarah knispel1,2, stephanie kellersmann1,2, hildegard lax4, rainer kimmig, phd2,and peter kern, md1,2. There was no marked deformity in the breast after surgery. Selection of oncoplastic surgical technique in asian. Surgical techniques for personalized oncoplastic surgery in.

As previously described, the choice of oncoplastic surgical technique resulting in better cosmetics depends on the patients breast size, tumor location, the excised volume, and the volume of the remaining breast tissue after surgery. Volume displacement oncoplastic surgery can remove up to a. Oncoplastic methods enable large tumor resections by marrying extirpative surgery with breast reduction surgery. When a simple mammaplasty technique cannot be used, there are other options that surgeons and patients can discuss. An understanding of breast conservation surgical techniques including approaches to tumours in difficult breast positions 3. Oncoplastic breast surgery entails complete tumor extirpation, partial reconstruction of wide local excisions, and symmetrizing surgery for the contralateral breast. The surgeon must also take into account the volume and shape of the other breast and in some cases, alter the healthy breast as well to maintain a balanced appearance.

People with breast cancer are increasingly being offered a choice of procedures to restore their. Oncoplastic surgery pdf author florian fitzal isbn 3709118735 file size 45. In general, oncoplastic surgery can be performed by mammaplasty techniques. This technique is a combination of oncology and plastic surgery. This is often done with mastopexy or breast reduction techniques among others. This book demonstrates why oncoplastic and reconstructive surgery represents such an exciting tool for surgeons who undertake breast surgery. Oncoplastic breast surgery includes rapidly growing breast surgical techniques. Required reading material will be provided prior to the course. The afternoon session will provide a handson surgical cadaver skills lab including a mastotrainer section for supervised practice of procedures. Recently, advances in oncoplastic techniques have reduced surgical trauma and thus are capable of preserving the breast form and quality of life. Introduction oncoplastic techniques for breast reconstruction br are becoming a new standard of care in the management of breast cancer patients. This is a prospective study of 101 patients who were operated on for breast carcinoma between july 1985. Techniques in oncoplastic surgery builds on and expands the authoritative procedures presented in the first edition, adding and updating the content with uptotheminute concepts, techniques, and. Oncoplastic and reconstructive breast surgery springerlink.

Oncoplastic surgical techniques for the partial mastectomy. Surgical techniques involving breast cancer have recently evolved in 3. Volume replacement and displacement techniques in oncoplastic. A novel level i oncoplastic surgery technique for tumors loc. Oncoplastic surgery is not only limited to breastconserving surgery, as the techniques and principles of plastic surgery can be applied to mastectomy as well. When a large lumpectomy is required that will leave the breast distorted, the remaining tissue is sculpted to realign the nipple and areola and restore a natural appearance to the breast shape. Oncoplastic surgery refers to several surgical techniques by which segments of malignant breast tissue are removed to achieve wide surgical margins while the remaining glandular tissue is. Oncoplastic bcs can be performed in one of the following two ways.

The term oncoplastic breast surgery was coined in the mid1990s. Oncoplastic breast surgery a guide to clinical practice. This intermediate course is designed for general surgeons and breast surgeons who understand beginner level oncoplastic surgery, and who want to learn more advanced oncoplastic surgical techniques. Techniques in oncoplastic surgery builds on and expands the authoritative procedures presented in the first edition, adding and updating the content with uptotheminute concepts, techniques, and innovations in oncoplastic breast surgery, all elucidated with hundreds of color images and. Keeping it simple with 5 essential volume displacement techniques for breast conservation in a patient with moderate to largesized breasts. Introduction oncoplastic breast surgery obs, which combines the concepts of oncologic and plastic surgery, is becoming a. Partial breast reconstruction techniques in oncoplastic. Principles and techniques in oncoplastic breast cancer.

These 5 large volume displacement oncoplastic surgical techniques allow the breast surgeon to have excellent access to most regions of the breast and the ability to excise large volumes of tissue with the advantage of excellent aesthetic closure. The field of oncoplastic surgery has greatly evolved over the past several years. Is oncoplastic surgery a contraindication for accelerated. Conservative and radical oncoplastic approches in the surgical. For extensive resections, we have developed an oncoplastic atlas of surgical techniques based on tumor location. The primary advantage of this surgical technique is the oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast jung dug yang, jeong woo lee, wan wook kim 1, jin hyang jung, ho yong park. Oncoplastic surgical techniques, in turn, certainly permit the excision of the entire preoperatively inkmarked tumor area regardless of tumor response. This second edition of partial breast reconstruction. Oncoplastic techniques for breastconserving surgery bcs can provide.

In selected cases, this approach has allowed us to perform wide resections and obtain good oncologic control with favorable cosmesis. Techniques in oncoplastic surgery builds on and expands the authoritative procedures presented in the first edition, adding and updating the content with uptotheminute concepts, techniques, and innovations in oncoplastic breast surgery, all. This is a very useful book that succinctly outlines a number of different techniques to assure both cosmetic and oncologic outcomes in breast cancer surgery. Pdf oncoplastic breast surgery techniques a new look. Oncoplastic surgery is an evolving field in breast surgery combining the strengths of breast surgical oncology with plastic surgery. Oncoplastic techniques for breastconserving surgery bcs can provide adequate or even wide surgical margins around large andor segmentally distributed breast cancers using closure techniques that help preserve the shape and appearance of the breast. However, these procedures are often not taught in standard training for breast surgeons, and a simple guide for surgeons to start performing basic oncoplastic breast surgery techniques is not available. We summarise the general approach to oncoplastic lumpectomy for surgeons who recognise the limitations of standard lumpectomy for large breast cancers.

Oncoplastic principles in breast conserving surgery. Consultant is usually an expert or an experienced professional in a specific field and has a wide knowledge of the subject. Surgical techniques for personalized oncoplastic surgery in breast cancer patients with small to moderatesized breasts part 1. Mar 28, 2012 oncoplastic bcs can be performed in one of the following two ways. Additionally, it permits wider excision of the tumor, with a superior mean volume of the specimen and potentially reducing the incidence of margin involvement. Jul 24, 20 breastconservation surgery bcs is established as a safe option for most women with early breast cancer. Oncoplastic breastconserving surgery bcs can be performed in one of the following two ways. Reconstructive surgery, breast cancer, breast conservative therapy, oncoplastic breast surgery. In order to address this issue, new surgical techniques, socalled oncoplastic techniques, have been introduced in recent years to optimize the efficacy of conservative surgery both in terms of local control and cosmetic results. Oncoplastic surgery combines the latest plastic surgery techniques with breast surgical oncology. Improved decision making and patient selection for these techniques level 1 oncoplastic.

The technique used for reconstruction depends on a number of factors, most importantly tumor location and size, tumor to breast size ratio, and patient desires. The mean diameter and weight of the excised specimens were 20 mm and 74 g. In order to address this issue, new surgical techniques, so. Czerniecki, md, phd2 abstract oncoplastic surgery is an evolving field in breast surgery combining the strengths of breast surgical oncology with plastic surgery. A retrospective analysis of 6 breasts of 4 patients, who received breastconserving oncoplastic surgery for lowrisk breast cancer between 2002. This approach is continuing to gain practice acceptance due to increased emphasis on both optimum cosmetic outcome and maintenance of a sound oncologic basis. Oncoplastic and reconstructive surgery combines the most uptodate techniques in plastic surgery with surgery for breast cancer, providing optimal oncologic and aesthetic results by means of a. Attendees will be assigned to stations to practice skin markings and intermediate oncoplastic surgical techniques. Oncoplastic approaches to breastconserving surgery may require a close partnership among surgeons who specialize in surgical oncology and plastic surgery. Using oncoplastic surgical techniques for breast preservation, breast surgeons can achieve widened surgical margins at the same time that the shape and appearance of the breast is preserved and. Proper patient selection and careful planning after proper radiological and clinical assessment are the two essential prerequisites before undertaking oncoplastic breast surgery. Oncoplastic techniques in breastconserving surgery uptodate. For example, we do not know which breast reconstruction technique delivers the best outcome for any individual patient and we do not yet know the most cost effective technique.