S. Spear – Surgery of the Breast. Principles and Art (Third edition, 2 Volume set)

Описание

The primary mission of a physician is to help his or her patients.
The higher mission of a medical textbook is to help other physicians
help even more patients. Although I have been asked
before to write other books on other medical subjects, I preferred
to wait until I thought I had something truly substantial
to add on a subject that would help other surgeons in some special
way that other text had not yet accomplished. As mentioned,
with the many changes in breast surgery during the last
two decades and the increasing need for interspecialty collaboration
and cooperation, the seeds of this book were thus sown.
I saw an opportunity to write and edit a unifying text/atlas that
embraced the plastic surgery principles as espoused by Gilles
and Millard and yet span the entire breadth of this discipline
from breast oncology to breast augmentation. At the same time,
in the Millard tradition, my goal is to show others that beautiful
or normal-looking results are not only obtainable but critical for
this important area. This book is thus written for plastic surgeons,
general surgeons, gynecologists, oncologists, or anyone
else who is looking for a unified source of information for practical
and principled surgical management of the breast.
Although the section dealing with oncology is primary text in
nature, most of the remaining chapters are in atlas format, thus
allowing the reader to pursue the surgical approach espoused
within the text. In total, there are over 130 chapters with over
150 contributing authors. In order to have the most expertise in
as many areas as possible, we chose a multiauthored approach
to the subject rather than a single-authored text. With a singleauthor
book, the scope necessarily would have been more limited
or the tone less authoritative. The atlas format is meant to
provide a “how-to” outline for many procedures. The text chapters,
on the other hand, are meant as resources regarding
important oncologic, reconstructive, or other principles. The
first edition of this text was developed with the help of Bill
Wood, Chief of Surgery at Emory University in Atlanta, and Bill
Little, my predecessor as Chief of Plastic Surgery at Georgetown
University. The second edition included some additional new
talent, who have returned for the third edition. I am grateful to
Shawna Willey, head of the Breast Oncology Section at Georgetown
University Hospital; Dennis Hammond, a practicing plastic
surgeon in Grand Rapids, Michigan; Maurice Nahabedian,
my plastic surgery colleague here at Georgetown; and Geoff
Robb, Chief of Plastic Surgery at the M.D. Anderson Hospital,
all of whom have helped me tremendously as associate editors
of this third edition.
In the preface to the first edition, I mentioned key principles
as proposed by Ralph Millard, which I have hoped to carry
forward in my practice and in this text. Just to review, some of
the most critical and relevant principles that are highlighted in
this text include:
• Know the ideal beautiful normal.
• Diagnose before treating.
• Tissue losses should be replaced in kind whenever possible.
• Reconstruct in units.
• Make a plan, a pattern, and a second plan (a lifeboat).
• Consider the secondary donor area.
• Follow up with a critical eye.
• Teaching our specialty is its best legacy.
Although there are other good books written about the
breast, none that I know of has tackled this diverse subject so
broadly and yet tried to focus on the critical issues in so many
different areas. If this text helps other physicians and, in particular,
other surgeons treat their patients, then I will feel that it
has succeeded