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Gland Surgery

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https://www.readbyqxmd.com/read/29998083/utilizing-large-volume-fat-grafting-in-breast-reconstruction-after-nipple-sparing-mastectomies
#1
Ran Y Stark, Michael N Mirzabeigi, R Jason Vonderhaar, Louis P Bucky
Nipple sparing mastectomy (NSM) has gained popularity especially in prophylactic mastectomies allowing improved cosmetics. Traditionally reconstruction has utilized implants or autologous tissue. With the development of large volume fat grafting additional reconstructive techniques can be utilized in NSM reconstruction. This can either complement a technique or be a standalone form of reconstruction. This paper is intended to serve as a broad overview of fat grafting and its potential role in reconstructing the breast following nipple sparing mastectomies...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998082/nipple-sparing-mastectomy-in-women-at-high-risk-of-developing-breast-cancer
#2
REVIEW
Rebecca S Lewis, Angela George, Jennifer E Rusby
Nipple-sparing mastectomy is a valuable addition to the options available for women at high risk of developing breast cancer. In this review, we summarize current knowledge about the high-risk genes, BRCA1 , BRCA2 and TP53 and the associated guidelines with regard to risk-reducing surgery. We consider other genetic risks and high-risk lesions. We discuss the literature on bilateral mastectomy for breast cancer risk-reduction, and the results of nipple-sparing mastectomy in particular. Finally, we report on patient satisfaction with these procedures and the impact that nipple-sparing mastectomy may have on women at high-risk of breast cancer...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998081/autologous-reconstruction-following-nipple-sparing-mastectomy-a-comprehensive-review-of-the-current-literature
#3
REVIEW
Paul Shay, Jordan Jacobs
As surgical methods continue to evolve and patients become more educated consumers of their medical care, both oncologic breast surgeons and reconstructive plastic surgeons should understand the current options for surgical management of breast cancer. This review evaluates the current autologous breast reconstruction options following nipple sparing mastectomy (NSM). A comprehensive review of the current literature discussing autologous reconstruction after NSM was performed. Fat grafting alone has been used to reconstruct small to medium sized-breasts over multiple injection sessions...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998080/the-evolution-of-mastectomy-surgical-technique-from-mutilation-to-medicine
#4
REVIEW
Matthew D Freeman, Jared M Gopman, C Andrew Salzberg
Breast surgeries for cancer and tumors were first described approximately 3,000 years ago, and since that time the standard of management has changed dramatically. From Egyptian papyri to Hippocratic theory, from Galen's dissections to Halsted's radical mastectomy, and from sentinel lymph node mapping to the development of nipple-sparing mastectomies, this review starts at the beginning and highlights breakthroughs and innovation in technique and medicine that have fundamentally changed the way breast cancer is managed...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998079/evaluation-of-skin-viability-in-nipple-sparing-mastectomy-nsm
#5
REVIEW
Michael R Zenn
Nipple sparing mastectomy (NSM) is quickly becoming the standard of care due to earlier stage of breast cancer diagnosis, increased prevalence of prophylactic mastectomies, improved surgical techniques, and the desire of women to keep their nipples. However, the procedure is plagued with problems of nipple and skin necrosis due to the inherent ischemic nature of mastectomy. Indocyanine green (ICG) technologies offer surgeons new information that is helpful in the battle to reduce these devastating complications...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998078/overview-of-indications-for-nipple-sparing-mastectomy
#6
REVIEW
Eleni Tousimis, Michelle Haslinger
The introduction of more targeted systemic therapies, better screening modalities with earlier diagnosis and dramatically improved reconstructive techniques has allowed more minimally invasive approaches to breast surgery. The recent introduction of nipple sparing mastectomy (NSM) has dramatically improved the cosmetic outcomes and quality of life (QoL) for patients undergoing mastectomy. This technique involves preservation of both the skin envelope including the nipple areolar complex commonly through a barely visible inframammary skin incision followed by immediate breast reconstruction...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998077/nipple-sparing-mastectomy-techniques-a-literature-review-and-an-inframammary-technique
#7
REVIEW
Andrew Y Ashikari, Pond R Kelemen, Bahar Tastan, C Andrew Salzberg, Roy H Ashikari
Nipple sparing mastectomy (NSM) has quickly become an accepted technique for patients with selected cancers and for risk reducing surgery. Much of its surgical acceptance over the last decade has been based on the low risk of nipple areolar complex (NAC) occurrence in breast cancer patients. Improved patient satisfaction due to improved cosmetic outcomes with reconstruction have also driven its popularity. We reviewed current English journals to determine the NSM techniques which achieve the lowest complications, best outcomes, and best patient satisfaction...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998076/nipple-sparing-mastectomy-and-the-evolving-direct-to-implant-breast-reconstruction
#8
REVIEW
Gudjon Leifur Gunnarsson, Lene Nyhøj Heidemann, Camilla Bille, Jens Ahm Sørensen, Jørn Bo Thomsen
In this paper, we describe the evolving use of the nipple-sparing mastectomy (NSM) and direct to implant breast reconstruction according to existing literature and our own experience. The surgical method enables superior aesthetic results resembling that of a natural breast while maintaining oncologic safety. Acellular dermal matrix enables direct to implant breast reconstruction by serving as a hammock and can be used with acceptable rates of complications. A successful nipple-sparing mastectomy and direct to implant breast reconstruction approach with acceptable postoperative complication rates relies upon quality of the mastectomy skin flaps and correct patient selection...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998075/nipple-sparing-mastectomy-and-direct-to-implant-breast-reconstruction-validation-of-the-safe-procedure-through-the-use-of-laser-assisted-indocyanine-green-fluorescent-angiography
#9
Roy de Vita, Ernesto Maria Buccheri
Background: Nipple sparing mastectomy (NSM) is a psychologically effective and oncological safe procedure followed by immediate breast reconstruction. Methods: Between January 2015 and September 2015 the authors conducted a retrospective review of 40 patients divided into two groups depending on breast volume and weight of mastectomy: group A, 20 patients with small breast; group B, 20 patients with medium breast for nipple sparing mastectomy and direct to implant (DTI) breast reconstruction using strict patient selection and a standardized surgical technique...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998074/evidence-based-outcomes-of-the-american-society-of-breast-surgeons-nipple-sparing-mastectomy-registry
#10
Sunny D Mitchell, Shawna C Willey, Peter Beitsch, Sheldon Feldman
Background: The American Society of Breast Surgeons (ASBrS) Nipple Sparing Mastectomy Registry (NSMR) is a prospective, non-randomized, IRB approved, multi-institutional registry. The purpose of this Registry is to provide a large, prospective, non-randomized database of patient characteristics, tumor characteristics, surgical technique, and outcome (both aesthetic and oncologic) of the nipple sparing mastectomy (NSM). Methods: Data is entered into the ASBrS NSMR, housed within the Mastery of Surgery Program, after patients consent to participation...
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29998073/nipple-sparing-mastectomy-indications-and-reconstruction
#11
C Andrew Salzberg
No abstract text is available yet for this article.
June 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770808/surgery-for-benign-thyroid-disease-in-2018
#12
EDITORIAL
Gianlorenzo Dionigi
No abstract text is available yet for this article.
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770319/the-use-of-trachway-for-electromyographic-emg-tube-placement
#13
I-Wen Chen, Jen-Yin Chen, Kuo-Mao Lan, Kuo-Chuan Hung
No abstract text is available yet for this article.
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770318/is-advocacy-for-active-surveillance-over-definitive-intervention-in-papillary-thyroid-microcarcinoma-applicable-to-european-patients
#14
EDITORIAL
Gianlorenzo Dionigi
No abstract text is available yet for this article.
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770317/metachronous-bilateral-ectopic-breast-carcinoma-a-case-report
#15
Anna Fachinetti, Corrado Chiappa, Veronica Arlant, Matteo Lavazza, Xiaoli Liu, Gianlorenzo Dionigi, Francesca Pia Pergolizzi, Antonina Catalfamo, Francesca Rovera
An incomplete regression of the mammary line during embryogenesis occurs in 0.2-6% of the population, which may result in the presence of ectopic breast tissue (EBT). The development of a carcinoma in the EBT is a rare event. The authors present a case report of a 76-year-old female patient, with a lobular carcinoma in an abdominal wall EBT submitted to surgery and adjuvant chemotherapy.
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770316/preputialplasty-can-be-considered-an-alternative-to-circumcision-when-how-why-experience-of-italian-centre
#16
Rossella Angotti, Francesco Molinaro, Francesco Ferrara, Chiara Pellegrino, Edoardo Bindi, Giulia Fusi, Mario Messina
Background: Phimosis is a condition in which the foreskin cannot be portrayed on the glans. It is a physiological and common condition in the pediatric age. The pathological form derives from an inflammatory or traumatic lesion. Circumcision is the most common surgical treatment of phimosis but it is a controversial practice, especially in occidental world. Methods: We enrolled 61 patients with pathological phimosis (22/balanoposthitis, 18/painful erection, 21/urinary discomfort) between 2015-2017...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770315/a-high-burden-of-comorbid-conditions-leads-to-decreased-survival-in-breast-cancer
#17
Ingrid A Woelfel, Leopoldo J Fernandez, Michael O Idowu, Kazuaki Takabe
Background: Despite our most advanced medical and surgical treatment 40,000 women die from breast cancer each year. The aging population and their increasing burden of comorbidities may not be able to realize the full benefit of treatments due to a combination of the side effects and patient frailty. The aim of this study was to characterize the comorbidities of breast cancer patients and to determine if the number of comorbidities is a significant contributor to survival. Methods: A database including patients from the year 2002 to 2012 was created to include health comorbidities from the electronic medical record...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770314/factors-leading-to-pancreatic-resection-in-patients-with-pancreatic-cancer-a-national-perspective
#18
David T Pointer, Zaid Al-Qurayshi, John B Hamner, Douglas P Slakey, Emad Kandil
Background: Resection is the only option for potential cure in pancreatic cancer. Patients admitted for resection may have the procedure deferred during their hospitalization. We aim to identify factors that lead pancreatic cancer patients to undergo resection. Methods: An analysis utilizing the Nationwide Inpatient Sample (NIS) database, 2003-2009. Study population included adults (≥18 years) with pancreatic cancer who underwent either pancreatic resection or other interventions...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770313/management-of-the-axilla-in-metaplastic-breast-carcinoma
#19
Brittany L Murphy, Robert T Fazzio, Tanya L Hoskin, Katrina N Glazebrook, Michael G Keeney, Elizabeth B Habermann, Tina J Hieken
Background: Metaplastic breast cancer (MBC), characterized by admixed epithelial, squamous or mesenchymal elements, constitutes <1% of breast cancers and has a poor prognosis but a paradoxically low reported rate of axillary lymph node (LN) involvement. Due to its rarity, data on appropriate axillary management is lacking, prompting this investigation of LN status and outcomes. Methods: We identified 41 MBC patients treated at our institution 2001-2011 who were followed for a median of 66 months...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770312/state-of-the-art-of-prostatic-arterial-embolization-for-benign-prostatic-hyperplasia
#20
REVIEW
Mario Petrillo, Filippo Pesapane, Enrico Maria Fumarola, Ilaria Emili, Marzia Acquasanta, Francesca Patella, Salvatore Alessio Angileri, Umberto G Rossi, Igor Piacentini, Antonio Maria Granata, Anna Maria Ierardi, Gianpaolo Carrafiello
Prostatectomy via open surgery or transurethral resection of the prostate (TURP) is the standard treatment for benign prostatic hyperplasia (BPH). Several patients present contraindication for standard approach, individuals older than 60 years with urinary tract infection, strictures, post-operative pain, incontinence or urinary retention, sexual dysfunction, and blood loss are not good candidates for surgery. Prostatic artery embolization (PAE) is emerging as a viable method for patients unsuitable for surgery...
April 2018: Gland Surgery
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