BMJ Clinical Review: General Surgery by Gophal K Mahadev, Eleftheria Kleidi, Mr Gopal K Mahadev,

By Gophal K Mahadev, Eleftheria Kleidi, Mr Gopal K Mahadev, Doctor Eleftheria Kleidi

This quantity offers with a chain of vital concerns in most cases surgical procedure together with the trendy administration of incisional hernias, splenic trauma, anal fistula and faecal incontinence in adults. concerns in oncology lined comprises ductal carcinoma of the breast, analysis and administration of anal intraepithelial neoplasia and anal melanoma, oesophageal melanoma and the prognosis and administration of gastric melanoma. between different stipulations mentioned are acute pancreatitis, ulcerative colitis, Crohn s sickness, gallstones and bariatric surgical procedure for weight problems and metabolic stipulations in adults.

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My breast felt quite comfortable, but sitting, standing straight, and rising from a chair or bed was painful because of the tissue that had been taken from my abdomen. After a week it became easier to move about, and after two weeks I was moving around as normal. I was over the moon about how natural the breast reconstruction looked and felt, even down to still having a mole in the same place. It is now 18 months since I had the surgery and my breast is complete, with a nipple and tattood areolar—it looks amazing.

Mammographic distance as a predictor of nipple-areola complex involvement in breast cancer. Am J Surg2008;195:391-4; discussion 94-5. Lambert PA, Kolm P, Perry RR. Parameters that predict nipple involvement in breast cancer. J Am Coll Surg2000;191:354-9. Gould DJ, Hunt KK, Liu J, Kuerer HM, Crosby MA, Babiera G, et al. Impact of surgical techniques, biomaterials, and patient variables on rate of nipple necrosis after nipple-sparing mastectomy. Plast Reconstr Surg2013;132:330e-8e. Jensen JA, Lin JH, Kapoor N, Giuliano AE.

Disadvantages • Flap failure (partial or complete) and fat necrosis • Donor site morbidity • Long operative time • Large scar (usually in the abdomen after a deep inferior epigastric perforator flap reconstruction) Autologous tissue reconstruction Autologous breast reconstruction uses the patient’s own tissue. It can be performed using pedicled flaps or free tissue transfers (free flaps). Pedicled flaps, such as the latissimus dorsi flap, maintain the existing blood supply to the transferred tissue so avoid microsurgery.

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