Breast Oncoplasty - Videos

Dr. S.V.S. Deo MS, FACS

Associate Professor, Surgical Oncology

All India Institute of Medical Sciences

New Delhi

These PowerPoint presentations are free to download only for academic purposes, with due acknowledgements to authors and this website.

Nipple Areola Sparing SSM + Delayed TRAM Flap

Reconstruction

Introduction

• Nipple Areola - Crucial for cosmoses• Nipple Areola Sparing safe - Suitable patients• Conventional TRAM- Flap necrosis - 5-20%• Techniques – Decrease Flap Necrosis &

Increase Flap vascularity Free TRAM Super Charged TRAM Delayed TRAM – Vascular Ligation

Introduction

• Hartramf et al TRAM Delay• Types - Vascular, Flap

delay• Technique B/L Inf.Epi. Vessel Ligation• 7-15 days gap• TRAM Recon

Nipple Areola Sparing SSM + Delayed TRAM Flap Reconstruction

Partial Breast Reconstruction using

Mini LD Flap

Partial Breast Reconstruction using Mini LD Flap

• To Improve cosmoses in BCT patients

- Poor Tumor Breast ratio

- Lower / Central quadrant tumors

• Breast Oncoplasty Procedures

- Volume redistribution

- LD fill / Partial BR

Partial Breast Reconstruction using Mini LD Flap

Partial B. R using Mini LD Flap Pre .op vs Post .op

Skin Sparing MRM + TRAM Flap Breast

Reconstruction

Pre-Op & Late Post OpSSM + TRAM