Abstract:

E[forts to explore the cavities of the human body date back to Hippocrates, who pioneered "endoscopic" procedures by performing rectoscopy. The following 2400 years brought tremendous technical advances and an understanding of normal and abnormal human anatomy and physiology. In this century, organ transplantation, microsurgery, and most recently fetal surgery have stepped out of the realm of science fiction and into reality.

Authors:

Claudia Meuli-Simmen, M.D., University of Zurich, Zurich, Switzerland, Davies Medical Center, San Francisco, CA, Zoltan Szabo, Ph.D., F.I.C.S., MOET Institute, San Francisco, CA

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Abstract:

Conservative surgery of selected breast-cancer tumors up to 4 cm in size ~ives rise to eq~ivalen~ ~verall. survival rates in both retrospectIve and randomized chmcal trials. Although 90 percent of patients display satisfactory functional and cosmetic results when surgery is performed by highly competent teams, the remaining 10percent end up with severe breast deformities due to factors such as inappropriate selection of patients, poor surgical techniques, postradiation fibrosis and scar contractures. These patients also suffer from painful, hard, edematous breasts. Severe breast deformities are always associated with malpositioning and distortion of the nipple-areola complex. Significant contour abnormalities, characterized by retraction and depression, may hinder reconstruction by the plastic surgeon if the patient wishes to retain the residual breast.

Authors:

Jean-Yves Bobin, M.D., Centre Hospitalier Lyon Sud, Lyon, France, Emmanuel Delay, M.D., Michel Rivoire, M.D., Claude Bernard University, Lyon, France

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