Minimally Invasive Breast Surgery

• Clinical cases provide a visual resource of surgical options • Easy to follow format shows step by step each technique

This book describes in detail three different techniques for minimally invasive video-assisted breast surgery: nipple-sparing mastectomy with a hand-held external retractor, with a single-port device, and with robotic assistance. All three techniques can be employed for radical treatment of breast cancer or for risk reduction surgery, and the last two are brand new. The techniques are clearly explained with the aid of numerous high-quality illustrations. All surgical stages are covered in detail, and helpful information is provided on key aspects of surgical anatomy, diagnostic workup, instrumentation, and postoperative management. Nipple Sparing Mastectomy is the first manual to cover these techniques, which are likely to become standard in the field of oncological breast surgery. It will be invaluable for breast surgeons who are skilled in nipple-sparing mastectomy and oncoplastic techniques or are working in breast units that offer genetic counseling to high-risk patients.

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, a large majority of suspicious findings at screening subsequently prove to be benign. It is therefore important to be able to identify benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70% of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. This book examines in detail vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data.

Covering the history of breast cancer, theory of radiofrequency ablation (RFA), resection of carcinoma, imaging before and after non-surgical ablation therapy and quality of life, this book focuses on extensive breast-conserving treatment for the preservation of a cosmetically acceptable breast. It investigates the feasibility of percutaneous, minimally invasive techniques to ablate breast tumors and several modalities such as cryosurgery, laser ablation, thermoablation and high-intensity focused ultrasound. Non-surgical Ablation Therapy for Early-stage Breast Cancer centers on RFA and provides insights into cryoablation and focused ultrasound surgery. RFA has been shown to be effective for treating tumors in many types of tissue, including liver, bone, brain, kidney, pancreas and prostate. As such this book is a valuable resource for breast and general surgeons, radiation oncologists and medical oncologists in all areas. The extensive discussions enable scholars to gain radiological expertise and a basic understanding of molecular biology, leading to better surgery without scalpels.

As minimal access approaches to cancer diagnosis, staging, and therapy become more widely used, it is vital for general surgeons, along with laparoscopists, surgical oncologists and medical oncologists, to stay up to date. The editors, a team consisting of a renowned surgical oncologist and a laparoscopic specialist, aim to provide a resource for the practicing general surgeon using basic minimally invasive techniques. The book discusses diagnosis including biopsy with microinstrumentation, staging, and palliative and curative resection. Specific tumor sites are addressed, including esophagus, stomach, spleen, small bowel, pancreato-biliary, hepatic resection, and colo-rectal resection. Minimally invasive approaches to the thoracic and retroperitoneal areas are included. The book provides a thorough overview of basic cancer biology, instrumentation, and ultrasound. Additionally, Greene and Heniford explore controversial issues such as port-site recurrence and the effect of pneumoperitoneum on the spread of cancer cells in the abdomen. Many photographs and line drawings, including 16 in full color, illustrate the principles discussed in the text. A must-have for every practicing general surgeon, laparoscopic fellow, and general surgery resident.

Minimally Invasive Percutaneous Spinal Techniques, by Daniel H. Kim, MD, FACS, Kyung Hoon Kim, MD, and Yong Chul Kim, MD, helps you apply methods of spinal pain relief that involve less risk and shorter recovery times. Focusing on the broad appeal of this goal for you and your patients, this volume will help surgeons and specialists in various areas of pain management provide less invasive alternatives and faster recovery procedures for those suffering with spinal injuries. Step-by-step techniques are well-illustrated in the book and demonstrated extensively online. Get accurate, step-by-step guidance by reviewing full-color, richly illustrated descriptions of various techniques. Make the most of extensive surgical videos demonstrating many of the procedures from the book on expertconsult.com. Reduce the risk associated with invasive spinal procedures by considering new perspectives on pain management techniques that can be used by specialists from various disciplines. Address the growing need for less invasive surgeries with shorter recovery times among a large and aging population with musculoskeletal problems.

The ultimate guide to aesthetic surgery from world famous aesthetic surgeon Foad Nahai The Art of Aesthetic Surgery: Principles and Techniques, Third Edition: Fundamentals and Minimally Invasive Surgery – Volume 1 by internationally revered aesthetic surgeon Foad Nahai, distinguished section editors Farzad Nahai, W. Grant Stevens, and Jeffrey Kenkel, and an array of new contributors is part of an encyclopedic, three-volume masterwork. Considered the quintessential resource on cosmetic surgery since its inception, readers can purchase each volume separately or as a set, including a bonus e-book with access to online videos. Volume one includes six sections and 39 chapters featuring practice fundamentals, business basics, nonsurgical cosmetic treatments, hair transplantation, brow lift, and eyelid surgery. The non-cosmetic section has been substantially updated with new topics such as a scientific approach to cosmeceuticals, non-light-based skin resurfacing, and innovative treatments for the face and neck. New business basic chapters include a philosophical discussion of why to offer aesthetic medicine in an aesthetic surgery practice and evidence-based pricing strategies that work. Key Highlights Thousands of high-quality illustrations enhance understanding of state-of-the-art approaches Discussion of important topics including psychological considerations, patient safety, sedation and anesthesia Practice management topics such as optimal correction and patient retention, leveraging social media for marketing, and how to hire and train a superstar patient coordinator This critically acclaimed resource provides trainees and experienced practitioners with a solid foundation for learning basic principles and techniques in aesthetic surgery, with the ultimate goal of improving patient outcomes, developing innovations, and advancing the specialty.

In May 1997 the Faculty of Surgery from the University of Athens and elsewhere gathered with colleagues in Athens for the third time in 6 years to continue our discussions on the progress, problems, realization, and future of laproscopic surgery. The topics were rather inclusive with regard to the issues that defined the field, and the assembled investigators, educa tors, and clinicians brought a rich experience and clear vision of the field in the coming years. The decision had been made months before to collect our thoughts and experience as a colloquium of the state of laproscopic surgery in the tenth year following the report of Mouret on laparoscopic cholecy stectomy, not as the proceedings of the specific meeting. At the end of a decade of mercurial advance, heated debate, professional turmoil, and very little science, it was clear that general surgery would never be the same. Laproscopic surgery is now fully established and requires accommodation in the curriculum, practice, and research of surgery for the foreseeable future. This book is called a colloquium on laparoscopy because it collects the thoughts of many workers in the form of consensus presentations. It is offered to any surgeon who is ready to survey this field with clear eyes, absent of emotion or hyperbole, in our evolution of a better standard of care for surgical patients.

Minimally Invasive Surgical Procedures—Advances in Research and Application: 2012 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Minimally Invasive Surgical Procedures in a concise format. The editors have built Minimally Invasive Surgical Procedures—Advances in Research and Application: 2012 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Minimally Invasive Surgical Procedures in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Minimally Invasive Surgical Procedures—Advances in Research and Application: 2012 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

This volume in the Techniques in Aesthetic Plastic Surgery Series gives you the very latest on the hottest areas in aesthetic breast surgery. Generously illustrated with many color operative photographs, line drawings and cases, the book focuses on the newest techniques and how to use them to get the best possible results. Positioning, marking, alternative options, surgical pitfalls and expert tips, tricks, and comments are presented in clear, clinical terms. Each portable volume is augmented with a fully searchable DVD containing video clips of key procedures, performed by experts as well as operative tricks and hints. Contains detailed full-color illustrations for clear visual guidance to each operative step. Includes a DVD with video clips of key procedures performed by an expert so you can see them performed in real time. Discusses common pitfalls to help you improve the quality of your technique. Features experts' "tricks of the trade" so you can learn the best approach to getting the optimal results. Provides international authorship for true breadth and depth of knowledge. Uses a consistent format, style, and approach throughout to make finding information easier. Includes coverage of implant selection, breast reduction, augmentation tips and tricks, and fat injections.

This atlas presents an extensive collection of single-incision laparoscopic operations in general surgery performed from 2008 to 2013 in Shengjing Hospital of China Medical University. 2000 operations are reported in it. All the figures in it were collected using real time recordings of the operations which will be particularly interesting to the readers. In each specific surgery, authors provide its key surgical steps, complications and management and contraindication. This atlas is intended for clinical surgeons who can evolve these operations soon after reading about them. Patients will also benefit from this book because of the combination of minimal invasiveness and cosmetic effect of single-incision laparoscopic surgery.

The Breast: Comprehensive Management of Benign and Malignant Diseases, 4th Edition, by Kirby I. Bland, MD, and Edward M. Copeland, III, MD, is a surgical reference that offers the most comprehensive, up-to-date resource on the diagnosis and management of, and rehabilitation following, surgery for benign and malignant diseases of the breast. With its multidisciplinary approach, sweeping updates, new contributors, and authoritative guidance, you’ll have exactly what you need to inspire patient confidence and provide the best possible outcomes. Features multidisciplinary advice from experts in surgery, radiation and medical oncology, pathology, molecular biology, pharmacokinetics, and genetics for a well-rounded perspective to enhance patient outcomes. Includes more than 1,500 figures and tables that offer high quality depictions of surgery and treatment procedures. Offers step-by-step guidance through both text and clinical boxes that makes the material relevant to everyday practice. Provides cross-referencing between chapters, as well as references to carefully selected journal articles, that makes further research easier. Uses a new full-color design to highlight key areas of the text and help you focus on important concepts. Presents updated coverage including an expanded section on pathology...and new chapters on granular cell tumors, targeted therapies, integration of radiotherapy and chemotherapy to keep you current. Includes revised chapters on the psychosocial consequences of breast cancer, lifestyle interventions for breast cancer patients, and patient and family resources that equip you to offer complete and compassionate care. Provides additional information on genetics to keep you up to date with the latest genetic discoveries linked to breast cancer and breast diseases. Features the work of many new contributors who provide the latest and freshest perspectives.

The world is littered with misinformation about plastic surgery. Cosmetic surgery has become the medical profession's unofficial reality television star, and it is more popular than ever. Every celebrity has her share of rumors and myths. Plastic surgery is no diff errant. Consumers are frustrated by an over whelming mass of information from uncertain sources and a shortage of facts. Plastic Surgery Myths Dispelled shatters the rumors and sets the record straight. Written by a board certified plastic surgeon, this guide empowers you to make well-informed decisions about cosmetic surgery. It is enjoyable to read and will make plastic surgery make sense!

Topics include: Defining the problem/proof of concept; The reconstructive model; Do ADM’s change the rationale for immediate vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM’s; Pocket reinforcement/bottoming out; ADM’s in the irradiated breast; Emerging applications; Comparison of different ADM materials; Tips and pearls; Economic considerations

Each volume in the Early Detection and Treatment of Cancer Series is packed with practical, authoritative information designed to cover the full range of diagnostic procedures, including pathologic, radiologic, bronchoscopic, and surgical aspects. You’ll be able to determine the safest, shortest, least invasive way to reach an accurate diagnosis; stage the disease; and choose the best initial treatment for early stages. Based on current evidence in the literature, authors provide clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed to diagnose and stage each type of cancer. Practical, authoritative, and highly-illustrated, this volume in the brand new Early Detection and Treatment of Cancer series covers current protocols and the latest advances in diagnostic imaging and molecular and serologic markers for breast cancer. Apply expert advice on the best “next-step plan for different presentations and tips for less invasive protocols. Get clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed for accurate diagnosis and staging. Clear figures, tables, and boxes illustrate step-by-step care of the full range of problems encountered. The small size and convenient format make this an ideal purchase for diagnostic reference. Outlines the steps after diagnosis to guide you through formulating a treatment or patient care plan. Emphasizes important points—such as the promising new breast cancer vaccine, sentinel node biopsy, and hormone receptor tests—with “key points boxes at the beginning of each chapter and pedagogic features throughout. Summarizes the process of accurately diagnosing and staging cancer in a logical, almost algorithmic, approach for easy reference. Discusses the treatment of early-stage disease so you have clear options for care. Complements the procedures outlined in the text with full-color photographs and line drawings to reinforce your understanding of the material.

The book contains the information of various aspects of newer developments and recent advances in the field of central nervous system (CNS) tumor molecular biology, tumor progression, clinical presentation, imaging and management. The authors from different reputed institutions shared their knowledge on this open access platform to disseminate their knowledge at global level. As it is obvious in the current text, the field of neurooncology is heterogeneous and under continuous development with addition of new knowledge and information on regular basis. The collective contributions from experts attempt to provide updates regarding ongoing research and developments pertaining to CNS tumor genetics and molecular aspects and their applied aspect in reference to patient management.

This book describes in detail the various techniques of minimally invasive thyroidectomy that have emerged in recent years and presents the new supportive equipment, including intraoperative monitoring and energy devices. In addition, the basic preoperative techniques that are a prerequisite to successful thyroidectomy are covered, and individual chapters are devoted to complications, outcomes, and post-thyroidectomy quality of life. Important related topics are also discussed, including guidelines for managing papillary and medullary thyroid cancer and the surgical management of metastatic lymph nodes. Both the editors and the authors are internationally renowned experts, and they include the founders of several of the techniques described. The up-to-date text is supplemented by many color pictures and medical illustrations, making the book very user-friendly and ideal for the busy surgeon or endocrinologist who is interested in the management of thyroid diseases.

"Today, nonsurgical cosmetic treatments, such as injectables, continue to gain in popularity, whereas the decline we had seen in some surgical approaches to facial rejuvenation seems to be reversing. Nowhere is this change more dramatic than in the area of brow rejuvenation. Another important trend has been the emphasis on volume enhancement in periorbital and facial rejuvenation, as well as surgery of the breast. In keeping with these trends, we have increased coverage of nonsurgical treatments and injectables and have added new sections and chapters dealing with volume and its role in facial rejuvenation and the role of fat grafting in breast surgery"--

Each year, Elsevier’s Advances in Surgery reviews the latest techniques, data, and evidence in general surgery. A distinguished editorial board, led by Dr. John L. Cameron of Johns Hopkins, identifies current areas of major progress and controversy, and invites specialists from around the world to contribute comprehensive, detailed reviews on these topics.

The field of spine surgery is in a state of flux, with minimally invasive and open surgical procedures vying for dominance. A new volume in the Minimally Invasive Orthopaedic Surgery series, Minimally Invasive Spine Surgery weighs the pros and cons of today’s open versus minimally invasive techniques, allowing you to choose the approaches that will best meet your patients’ needs. In each chapter, accomplished experts describe the advantages, indications, setup, technical aspects, and problem areas associated with a given minimally invasive procedure, including critiques from surgeons who favor a standard open approach – to give you a balanced, objective foundation for surgical decision making.