By Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)
Written via across the world acclaimed experts, Breast, Endocrine and Surgical Oncology provides pertinent and concise process descriptions spanning benign and malignant difficulties and minimally invasive systems. issues are reviewed while acceptable for the organ process and challenge, making a ebook that's either accomplished and available. levels of operative methods with suitable technical concerns are defined in an simply comprehensible demeanour. The textual content is illustrated all through via pictures that depict anatomic or technical principles.
Forming a part of the sequence, Surgery: problems, dangers and Consequences, this quantity Breast, Endocrine and Surgical Oncology provides a important source for all common surgeons and citizens in education. different healthcare prone also will locate this an invaluable resource.
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Extra info for Breast, Endocrine and Surgical Oncology
If skin flaps are raised to remove a superficial mass, care should be taken not to make the flaps too thin, causing reduced blood supply to the skin, resulting in necrosis, tissue loss, or skin dimpling. If skin necrosis occurs, the necrotic skin must be excised if the area is extensive or it may be treated with local wound care if it is small. 8 R. Rainsbury et al. Consent and Risk Reduction Main Points to Explain • • • • • • GA risk Wound infection Bleeding/hematoma Abscess formation Cosmetic deformity Further surgery Localization Biopsy of Mammographically Detected Lesions (Hookwire or Carbon-Track Localization) Description General anesthesia is usually used, but local anesthesia and IV sedation may be used.
Pneumothorax is an extremely rare, but serious complication, requiring prompt recognition, arising from needle puncture or dissection in a frail, thin person. Poor cosmesis, dimpling, skin necrosis, and hypertrophic scarring are usually less severe, but more frequent complications. There may be some temporary paresthesia surrounding the incision. Patients often describe it as burning or shooting pain. Acute postoperative pain is usually controlled with oral pain medication. Chronic pain is rare.
Most cases of bloody nipple discharge are caused by benign intraductal papillomas. Carcinoma is the cause of bloody nipple discharge in approximately 5–10 % of cases. Accurate identification of the discharging duct is important for microdochectomy. The discharging duct should be checked, noted, and marked preoperatively by the operating surgeon. Occasionally the duct may not produce any blood on the day of the operation. Blind resection should not be attempted, rather the operation should be delayed until the blood can be expressed.
Breast, Endocrine and Surgical Oncology by Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)