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ARTERIAL BLOOD SUPPLY OF THE BREAST: REVISED ANATOMIC DATA RELATING TO RECONSTRUCTIVE SURGERY

ARTERIAL BLOOD SUPPLY OF THE BREAST: REVISED ANATOMIC DATA RELATING TO RECONSTRUCTIVE SURGERY Abstract The literature on surgical reconstruction of the breast is surprisingly lacking in adequate descriptions of the blood supply. Many of the procedures in common use appear to have been developed without regard for the preservation of vascularization.1 Still others are based on a concept of the blood supply which more recent studies prove to be erroneous. Yet preservation of the arterial blood supply is one of the most essential factors in the success of mammaplasty. The breast is a highly vascular organ. Its surgical reconstruction requires wide undermining of skin flaps, excision of large masses of fat and glandular tissue, with rotation and fixation of the remaining parts. In the course of the operation a number of vessels are likely to become severed or twisted, with resultant interference with vascularization. When there is accurate knowledge of the vascular anatomy this contingency can be avoided.2 The following factors are References 1. Maliniac, J. W.: The Pendulous Hypertrophic Breast: Comparative Values of Present-Day Methods of Repair and the Procedure of Choice , Arch. Surg. 31:587 ( (Oct.) ) 1935.Crossref 2. Maliniac, J. W.: Prevention of Necrosis in Plastic Repair of the Breast , Am. J. Surg. 26:292, 1934.Crossref 3. Manchot, C.: Die Hautarterien des menschlichen Körpers , Leipzig, F. C. W. Vogel, 1889. 4. Rauber, A. A.: Lehrbuch der Anatomie des Menschen , ed. 14, Leipzig, Georg Thieme, 1932-1938. 5. Spalteholz, W.: Handatlas der Anatomie des Menschen , ed. 12, Leipzig, S. Hirzel, 1937. 6. Kaufmann, R.: Artères de la glande mammaire chez la femme , Ann. d'anat. path. 10:925, 1933. 7. Testut, J. L.: Traité d'anatomie humaine , ed. 8, Paris, Gaston Doin, 1928-1931. 8. Rouvière, in discussion on Kaufmann.6 9. Salmon, M.: Les artères de la peau , Paris, Masson & Cie, 1936, p. 137. 10. The following material was used for injection: linseed oil, 600 Gm.; powdered colophane, 1,000 Gm.; crystallized phenol, 500 Gm.; lead tetroxide, 2,500 Gm.; ether, 500 Gm. 11. Gitis, M. K., and Livshits, D. L.: Arterial Supply of the Female Breast , Sovet. khir. , 1936, no. (6) , p. 981. 12. The materials for injection were: (1) a suspension of lead tetroxide, liquid petrolatum and turpentine oil, (2) a suspension of official (Russian) mercurial ointment in turpentine oil and (3) a mixture of lead tetroxide in celloidin. 13. Marcus, G. H.: Untersuchungen über die arterielle Blutversorgung der Mamilla , Arch. f. klin. Chir. 179:361, 1934. 14. Biesenberger, H.: Eine neue Methode der Mammaplastik , Zentralbl. f. Chir. 57:2971, 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ARTERIAL BLOOD SUPPLY OF THE BREAST: REVISED ANATOMIC DATA RELATING TO RECONSTRUCTIVE SURGERY

Archives of Surgery , Volume 47 (4) – Oct 1, 1943

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1943 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1943.01220160013003
Publisher site
See Article on Publisher Site

Abstract

Abstract The literature on surgical reconstruction of the breast is surprisingly lacking in adequate descriptions of the blood supply. Many of the procedures in common use appear to have been developed without regard for the preservation of vascularization.1 Still others are based on a concept of the blood supply which more recent studies prove to be erroneous. Yet preservation of the arterial blood supply is one of the most essential factors in the success of mammaplasty. The breast is a highly vascular organ. Its surgical reconstruction requires wide undermining of skin flaps, excision of large masses of fat and glandular tissue, with rotation and fixation of the remaining parts. In the course of the operation a number of vessels are likely to become severed or twisted, with resultant interference with vascularization. When there is accurate knowledge of the vascular anatomy this contingency can be avoided.2 The following factors are References 1. Maliniac, J. W.: The Pendulous Hypertrophic Breast: Comparative Values of Present-Day Methods of Repair and the Procedure of Choice , Arch. Surg. 31:587 ( (Oct.) ) 1935.Crossref 2. Maliniac, J. W.: Prevention of Necrosis in Plastic Repair of the Breast , Am. J. Surg. 26:292, 1934.Crossref 3. Manchot, C.: Die Hautarterien des menschlichen Körpers , Leipzig, F. C. W. Vogel, 1889. 4. Rauber, A. A.: Lehrbuch der Anatomie des Menschen , ed. 14, Leipzig, Georg Thieme, 1932-1938. 5. Spalteholz, W.: Handatlas der Anatomie des Menschen , ed. 12, Leipzig, S. Hirzel, 1937. 6. Kaufmann, R.: Artères de la glande mammaire chez la femme , Ann. d'anat. path. 10:925, 1933. 7. Testut, J. L.: Traité d'anatomie humaine , ed. 8, Paris, Gaston Doin, 1928-1931. 8. Rouvière, in discussion on Kaufmann.6 9. Salmon, M.: Les artères de la peau , Paris, Masson & Cie, 1936, p. 137. 10. The following material was used for injection: linseed oil, 600 Gm.; powdered colophane, 1,000 Gm.; crystallized phenol, 500 Gm.; lead tetroxide, 2,500 Gm.; ether, 500 Gm. 11. Gitis, M. K., and Livshits, D. L.: Arterial Supply of the Female Breast , Sovet. khir. , 1936, no. (6) , p. 981. 12. The materials for injection were: (1) a suspension of lead tetroxide, liquid petrolatum and turpentine oil, (2) a suspension of official (Russian) mercurial ointment in turpentine oil and (3) a mixture of lead tetroxide in celloidin. 13. Marcus, G. H.: Untersuchungen über die arterielle Blutversorgung der Mamilla , Arch. f. klin. Chir. 179:361, 1934. 14. Biesenberger, H.: Eine neue Methode der Mammaplastik , Zentralbl. f. Chir. 57:2971, 1930.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1943

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