V. Suzanne Klimberg (editor) - Oncoplastic Breast Surgery Techniques for the General Surgeon

This Springer imprint is published by the registered company Springer Nature Switzerland AG

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This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their comorbidities. The goal of this book is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life, and overall survival of patients with breast disease and breast cancer. Oncoplastic breast surgery represents a third pathway between standard breast conservation and mastectomy. It allows wide excisions and removal of large portions of the breast without compromising the natural shape of the breast. It combines plastic surgery techniques for immediate breast reshaping with techniques of oncological resectional surgery. Surgical breast deformities are avoidable and unnecessary with preoperatively planned oncoplastic procedures.

Oncoplastic breast surgery combines tumor removal with breast reconstruction techniques. Oncoplasty became standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. Its goal is to avoid the breast distortion that accompanies breast cancer surgery and tumor removal. This type of surgery allows for immediate remodeling techniques to rebuild breast shape as breast tissue is being removed. Oncoplastic procedures may include breast lift, breast reduction, utilization of the skin and tissue flaps, and nipple skin-sparing techniques, all of which are covered in this book and performed or optimized by the general surgeon.

Advanced oncoplastic reconstruction should allow for coordinated efforts between the general surgeon and the plastic surgeon to include planned imaging in a multidisciplinary fashion. This book will help the general surgeon to provide improved oncologic as well as aesthetic results for patients.

We, the editors of the inaugural editionOncoplastic Techniques for the General Surgeonare indebted to each contributor for their invaluable time and efforts taken from their already busy academic and clinical practices to provide us with intraoperative photos and depictions of their oncoplastic techniques used in the breast. The authors have detailed not only best practices for conventional procedures but new and evolving techniques that are not found in the usual textbooks and atlases. We are very appreciative of the efforts of the contributors to detail the step-by-step instruction and that of the artists and illustrators atSpringer Naturein developing precise illustrations. Collectively, this collection of work is usable from the medical students and general surgeons seeking to improve results in private practice to professors learning and teaching new breast surgery techniques.

We would also like to thank the staff members of Springer Nature, Richard Hruska, Executive Editor, and Lillie Gaurano, Assistant Editor, both in Medicine & Life Science, Books, who have made the publication of thisinauguraloncoplastic book possible. In particular, we would like to thank Prakash Jagannathan, Project Coordinator for Development/Production, for his helpful day-to-day editorial exchanges with the contributing authors, artists, and editors, ensuring quality, accuracy, and coordination in the development of this book.

We and our authors are grateful to the multiple residents, fellows, students, and participating colleagues and patients who have supported our efforts with their insightful contributions, questions, and support in the treatment of breast disease that has been the basis for this book.