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Operative Procedures in Breast Surgery by Dhananjay Kulkarni

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A concise, accessible, and authoritative guide to breast surgeryIn How to Perform Operative Procedures in Breast Surgery, a team of accomplished breast surgeons deliver a practical, step-by-step handbook for the surgical procedures and techniques commonly used in breast surgery. The authors cover all aspects of routinely performed breast operations and include everything from their indications, to consent procedures, pre-operative preparation, operative steps, post-operative care, and common and uncommon complications. This book also explains various oncoplastic concepts and techniques to improve the outcomes for breast operative procedures such as lipofilling, perforator flaps, and mammoplasty. The book further provides readers with unique techniques and tips pioneered and practised by the authors over many years.The format of the book is straightforward and concise, contained in short bullet points that make it easy to read, digest, and retain the information contained within. Clear diagrams offer a better understanding of the most important anatomical considerations.

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,Table of Contents
Cover
Table of Contents
Title Page
Copyright Page
Foreword
Preface
1 Starting a New Breast Surgical Procedure
2 Pre‐operative, Intra‐operative and Post‐operative Tips for Breast
Surgery
3 Anatomy of Breast
Embryology
Breast
Suspensory Ligament of Cooper (Astley Cooper in 1840)
Grades of Ptosis
Regnault’s Classification of Ptosis
Surface Marking for Breast
Planning Breast‐Conserving Surgery
Axillary Tail of Spence (Scottish Surgeon)
Nipple and Areola
Arterial Blood Supply
Venous Drainage
Nerve Supply
Lymphatic Drainage of the Breast
Subareolar Plexus of Sappey
4 Breast Clinic Procedures
Fine‐Needle Aspiration Cytology

, Breast Core Biopsy
Punch Biopsy
Cyst Aspiration
Seroma Aspiration
5 Microdochectomy and Total Duct Excision
Surgical Anatomy
Marking/Incision Planning
Total Duct Excision
Microdochectomy
6 Sentinel Node Biopsy
Introduction
Anatomy
Internal Mammary Nodes
Targeted Axillary Dissection
7 Axillary Node Clearance
Introduction
Indications
Anatomy
8 Wide Local Excision of Breast Cancer
Introduction
Indications
Localisation
Preparation
Operative Technique
Cavity Margins
Closure
Complications
Post‐operatively

, 9 Marking and Procedure of Mastectomy, Skin‐Sparing Mastectomy,
Goldilocks Mastectomy
Surgical Anatomy
Marking/Incision Planning
10 Extended Latissimus Dorsi Myocutaneous Flap
Introduction
Indications
Contraindications
Anatomy
Operative Technique
Mini‐LD Flap
11 Free Tissue Transfer in Reconstructive Breast Surgery
Introduction
Indications/Contraindications
Operative Technique
Post‐operative Care
12 Autologous Fat Transfer in Breast Surgery
Introduction
Indications
Operative Technique
13 Local Perforator Flaps in Reconstructive Breast Surgery
Introduction
Indications
Preoperative Tips
14 How to Select an Implant in Post‐Mastectomy Reconstruction
Breast Implant Types
Implant vs Expander?
15 Pre‐pectoral Implant Reconstruction
Pre‐Op Workup and Consent

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Uploaded on
August 25, 2026
Number of pages
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Written in
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