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ONCOPLASTIC SURGERY LEVEL 2 TECHNIQUES  Krishna B. CLOUGH, Claude NOS, Isabelle SARFATI    Therapeutic mammoplasties
ONCOPLASTIC SURGERY :  A CLASSIFICATION  ,[object Object],[object Object],[object Object],[object Object],Avoid deformities Reduce reexcisions
ONCOPLASTIC SURGERY :  A CLASSIFICATION  ,[object Object],[object Object],[object Object],[object Object],[object Object],Increase breast conservation rates
INCREASING BREAST CONSERVATION RATES  Development of new surgical techniques: Redistribution of volume loss by mammoplasty
[object Object],WHO NEEDS OP SURGERY ?
WHO NEEDS OP SURGERY ?  ,[object Object]
 
LOWER POLE
" SUPERIOR PEDICLE "  TECHNIQUE Clough K.B. et al, AnnChirPlastEsth 1990
LOWER POLE
LOWER POLE
 
" LEVEL 2 " MAMMOPLASTY TECHNIQUES ,[object Object],[object Object],?
 
 
 
 
 
 
DANGEROUS ! AVOID LONG GLANDULAR FLAPS
DIVERSIFICATION  OF OPS TECHNIQUES Berry JPRAS 2009
" LEVEL 2 " MAMMOPLASTY TECHNIQUES ,[object Object],[object Object],[object Object],[object Object]
ONCOPLASTIC SURGERY  ATLAS Ann Surg Oncol 2010
QUADRANT PER QUADRANT  LEVEL 2 TECHNIQUES
LOWER INNER QUADRANT
LOWER INNER QUADRANT
LOWER INNER QUADRANT
LOWER INNER QUADRANT
LOWER INNER QUADRANT
 
UPPER INNER QUADRANT
" BATWING "  TECHNIQUE Silverstein et al, LancetOncol. 2005
UPPER POLE TUMORS
  " ROUND BLOCK "  TECHNIQUE
 
 
 
 
 
UPPER POLE
INFERIOR PEDICLE MAMMOPLASTY
 
UPPER OUTER QUADRANT
UPPER OUTER QUADRANT
" RACQUET "  TECHNIQUE
 
 
 
 
 
 
LOWER OUTER QUADRANT
   "J"  TECHNIQUE LOWER OUTER QUADRANT
 
 
 
 
Resection 220 g
RETROAREOLAR CANCERS
 
 
 
CURRENT SERIES   240 CASES Level 2 OPS ,[object Object],[object Object],[object Object]
 
BREAST CANCER SURGERY ,[object Object],[object Object],Breast surgery : two bullet rifle   1.Lumpectomy 2.Mastectomy
[object Object],[object Object],[object Object],[object Object],ONCOPLASTIC SURGERY 2.OPS 1.Lumpectomy 3.Mastectomy
ONCOPLASTIC SURGERY  LEVEL 2 TECHNIQUES  ,[object Object],[object Object],[object Object],[object Object],[object Object]
ONCOPLASTIC MASTERCLASS  PARIS B.CENTER  ,[object Object],[object Object],[object Object],[object Object],[object Object]
www.idsein.fr
3-5 May 2011 29-31 0ctober 2011 [email_address]

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EASO2011 BRS 7 Clough

Notes de l'éditeur

  1.    The r i sults after the excision (CLIC) , then we perform deepidermisation of an inferior pedicle and (CLIC) this is the r i sult at the end of the surgery and before symetrization of the controlateral breast.