Advertisement

Superior Pedicle Techniques

  • Flavia Kuroda
  • Cicero Urban
  • Mario Rietjens
Chapter

Abstract

There are many algorithms and approaches for mastopexy and reduction patterns in oncoplastic surgery, including different skin reduction patterns, nipple and areola complex pedicles, and breast tissue rearrangements. Superior pedicle breast techniques are one of the most popular and useful in practice. Vertical and wise pattern techniques are highly versatile options for tumors in inferior quadrants of the breast. Careful patient selection, coordinated team planning, and meticulous intraoperative management are the keys to favorable surgical outcomes. So, in this chapter it was discussed their indications, surgical techniques, and outcomes.

Keywords

Breast reconstruction Plastic surgery Aesthetic surgery Cosmetic surgery Medical oncology Clinical oncology Lumpectomy Oncoplastic surgery 

Supplementary material

Video 29.1.

(MP4 225156 kb)

Video 29.2.

(MOV 2443039 kb)

References

  1. 1.
    Barnea Y, Inbal A, Barsuk D, Menes T, Zaratski A, Leshem D et al (2014) Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction. Can J Surg 57(4):E134–E140CrossRefGoogle Scholar
  2. 2.
    Clough KB, Cuminet J, Fitoussi A, Nos C, Mosseri V (1998) Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg 41(5):471–481CrossRefGoogle Scholar
  3. 3.
    Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A (2022) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347(16):1227–1232CrossRefGoogle Scholar
  4. 4.
    Rietjens M, Urban C, Rey P, Mazzarol G, Maisonneuve P (2007) Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast 16(4):387–395CrossRefGoogle Scholar
  5. 5.
    Chang MM, Huston T, Ascherman J, Rohde C (2012) Oncoplastic breast reduction: maximizing aesthetics and surgical margins. Int J Surg Oncol 2012, Article ID 907576, 8 pGoogle Scholar
  6. 6.
    Piper M, Peled AW, Sbitany H (2015) Oncoplastic breast surgery: current strategies. Gland Surg [Internet] 4(2):154–163Google Scholar
  7. 7.
    Spear S, Patel K, Parikh P (2011) Reduction mammaplasty as part of breast conservation therapy of large-breasted patient. In: Spear S (ed) Surgery of the breast: principles and art, third edn. Lippincott Williams & Wilkins, Philadelphia, pp 213–217Google Scholar
  8. 8.
    Iwuchukwu OC, Harvey JR, Dordea M, Critchley AC, Drew PJ (2012) The role of oncoplastic therapeutic mammoplasty in breast cancer surgery—a review. Surg Oncol 21(2):133–141CrossRefGoogle Scholar
  9. 9.
    Hamdi M, Blondeel P, Van Landyt K, Mnstrey S (2005) Vertical scar mammaplasty with a superior pedicle. In: Hamdi M, Hammond DC, Nahai F (eds) Vertical scar mammaplasty. Springer, Berlin, pp 37–46CrossRefGoogle Scholar
  10. 10.
    Pitanguy I (1967) Surgical treatment of breast hypertrophy. J Plast Reconstr Aesthet Surg 20:78–85Google Scholar
  11. 11.
    Berry MG, Fitoussi AD, Curnier A, Couturaud B, Salmon RJ (2010) Oncoplastic breast surgery: a review and systematic approach. Br J Plast Surg 63(8):1233–1243Google Scholar
  12. 12.
    McCulley S, Macmillan R (2005) Planning and use of therapeutic mammoplasty—Nottingham approach. Br J Plast Surg 58(7):889–901CrossRefGoogle Scholar
  13. 13.
    Lejour M (1994) Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 94:100–114CrossRefGoogle Scholar
  14. 14.
    Hall-Findaly E (1999) A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg 104(3):748–759CrossRefGoogle Scholar
  15. 15.
    Lassus C (1987) Breast reduction: evolution of a technique—a single vertical scar. Aesthetic Plast Surg 11:107–112CrossRefGoogle Scholar
  16. 16.
    Urban C, Lima R, Schunemann E, Spautz C, Rabinovich I, Anselmi K (2011) Oncoplastic principles in breast conserving surgery. Breast 20(Suppl 3):S92–S95CrossRefGoogle Scholar
  17. 17.
    Clough K, Kaufman GJ, Nos C, Buccimazza I, Sarfati I (2010) Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol 17(5):1375–1391CrossRefGoogle Scholar
  18. 18.
    Clough KB, Oden S, Ihrai T, Massey E, Nos C, Sarfati I (2013) Level 2 oncoplastic surgery for lower inner quadrant breast cancers: the LIQ-V mammoplasty. Ann Surg Oncol 20:3847–3854CrossRefGoogle Scholar
  19. 19.
    Gainer SM, Lucci A (2011) Oncoplastics: techniques for reconstruction of partial breast defects based on tumor location. J Surg Oncol 103(4):341–347CrossRefGoogle Scholar
  20. 20.
    Losken A, Styblo T, Carlson G, Jones G, Amerson B (2007) Management algorithm and outcome evaluation of partial mastectomy defects treated using reduction or mastopexy techniques. Ann Plast Surg 59(3):235–242CrossRefGoogle Scholar
  21. 21.
    Smith B, Bertagnolli M, Klein B, Batter S, Chang M, Douville L (1992) Evaluation of the contralateral breast. The role of biopsy at the time of treatment of primary breast cancer. Ann Surg 216(1):17–21CrossRefGoogle Scholar
  22. 22.
    Petit J, Rietjens M, Contesso G, Bertin F, Gilles R (1997) Contralateral mastoplasty for breast reconstruction: a good opportunity for glandular exploration and occult carcinomas diagnosis. Ann Surg Oncol 4(6):511–515CrossRefGoogle Scholar
  23. 23.
    Clough K, Lewis J, Couturaud B, Fitoussi A, Nos C, Falcou M (2003) Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 237(1):26–34CrossRefGoogle Scholar
  24. 24.
    Haloua M, Krekel N, Winters H, Rietveld D, Meijer S, Bloemers F et al (2013) A systematic review of oncoplastic breast conserving surgery: current weaknesses and future prospects. Ann Surg 257(4):609–620CrossRefGoogle Scholar
  25. 25.
    Santos G, Urban C, Edelweiss M, Zucca-Matthes G, de Oliveira V, Arana G et al (2015) Surgery and lumpectomy in breast cancer patients. Ann Surg Oncol 22(8):2500–2508CrossRefGoogle Scholar
  26. 26.
    Munhoz A, Montag E, Arruda E, Al E (2006) Superior-medial dermoglandular pedicle reduction mammaplasty for immediate conservative breast surgery reconstruction: technical aspects and outcome. Ann Plast Surg 57:502–508CrossRefGoogle Scholar
  27. 27.
    Nos C, Fitoussi A, Bourgeois D, Fourquet A, Salmon RJ, Ciough KB (1998) Conservative treatment of lower pole breast cancers by bilateral mammoplasty and radiotherapy. Eur J Surg Oncol 24:508–514CrossRefGoogle Scholar
  28. 28.
    Clough K, Nos C, Salmon R (1995) Conservative treatment of breast cancers by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg 96:363–370CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Flavia Kuroda
    • 1
  • Cicero Urban
    • 2
  • Mario Rietjens
    • 3
  1. 1.Breast UnitOur Lady of Grace HospitalCuritibaBrazil
  2. 2.Breast UnitOur Lady of Grace Hospital and Positivo University Medical SchoolCuritibaBrazil
  3. 3.Division of Plastic and Reconstructive SurgeryEuropean Institute of OncologyMilanItaly

Personalised recommendations