Breast surgery

This chapter provides essential information for common breast operations. Techniques of fine-needle aspiration cytology and core biopsy are described. Operations include incision and drainage of breast abscess, excision of benign breast lump, and wide local excision. Mastectomy, sentinel node biopsy, axillary clearance, and fine wire localization are described. Other operations include microdochectomy and the Hadfield–Adair procedure. Breast reconstruction operations include implant-based reconstruction, latissimus dorsi myocutaneous flap, transvers rectus abdominis myocutaneous pedicled flap (TRAM) and free TRAM, and deep inferior epigastric perforation (DIEP) free flap. Reduction mammoplasty operations described are inferior pedicle mammoplasty and medial pedicle breast reduction (Hall Findlay or Snowman technique).