OPERATIVE APPROACHES TO NIPPLE-SPARING MASTECTOMY. INDICATIONS, TECHNIQUES, & OUTCOMES

1. The Evolution of Nipple-Sparing Mastectomy
2. Nipple and Breast Anatomy
3. Patient Selection and Breast Imaging
4. The Inframammary Approach: The Georgetown Experience
5. The Inframammary Approach: The UCSF Experience
6. The Vertical Infra-Areolar Approach
7. NSM in the Large Ptotic Breast
8. NSM in the Community Hospital Setting
9. Reducing Complications and Margin Issues with NSM
10. Techniques to Avoid Nipple and Flap Necrosis
11. Using the Breast Reconstruction Risk Assessment (BRA) Score
12. Plastic Surgery Considerations in Reconstruction after NSM
13. Acellular Tissue Matrices-To Use or Not?
14. Pre-pectoral Reconstruction with Strattice
15. Pre-pectoral Reconstruction without ADM
16. NSM in the Previously Radiated Patient
17. Experience with Post-Mastectomy Radiation Therapy in NSM
18. Management of Complications after NSM
19. Florescence Imaging in Breast Reconstruction: Minimizing Complications and Improving Outcomes
20. The Science Behind Fat Grafting and ADMs
21. The Team Approach to NSM and Reconstruction
22. The Intraoperative Team Approach to NSM
23. The American Society of Breast Surgeons NSM Registry.

This text is designed to present a comprehensive overview of the evolution, oncologic safety, surgical approaches and outcomes of NSM. The book is targeted at general surgeons, dedicated breast surgeons, and plastic surgeons. There is focus for surgeons just beginning their use of NSM, as well as a review of patient selection criteria, operative approaches, reconstruction options, and management of complications. Chapters are written by experts in the performance and reconstruction of NSM. Chapters are supplemented with appropriate illustrations, photos, and video demonstrations of NSM techniques and reconstructions.
Operative Approaches to Nipple-Sparing Mastectomy: Indications, Techniques, & Outcomes will become a valuable resource for surgeons, including those in-training, who have a focus on state-of-the-art breast cancer surgery.

Features
• Chapters are supplemented with appropriate illustrations, photos of NSM techniques and reconstructions
• Presents a comprehensive overview of the evolution, oncologic safety, surgical approaches and outcomes of NSM
• Chapters are written by experts in the performance and reconstruction of NSM

Authors
• Jay K. Harness, MD, FACSClinical Professor of SurgeryUniversity of California, IrvineSt. Joseph Hospital Center forCancer Prevention & TreatmentOrange, CaliforniaUSA
• Shawna C. Willey, MD, FACSProfessor of Clinical SurgeryDirector, MedStar Regional Breast Health ProgramVice-Chair, Department of SurgeryMedStar Georgetown University HospitalWashington, DCUSA