Lesson 1Perioperative management and complication surveillance: flap failure, seroma, infection, donor-site morbidity, and long-term surveillanceThis part handles around-operation improvements, covering blood clot stop, pain control, and fluid handle, and details early and late problem watch for flap fail, fluid, infection, give-site sickness, and long-term rebuild check-up.
Better recovery and pain pathsAnti-germ use and infection stopSpot and handle flap riskFluid, blood pool, and wound openGive-site shape and work issuesLong-term check and scan rulesLesson 2Oncologic context and timing: immediate vs delayed reconstruction, impact of adjuvant therapy and recurrence surveillanceThis part explains how tumor grow, stage, and edges affect rebuild timing, comparing right away, late, and late-right away ways, and looks at how chemo, ray, and watch needs shape rebuild planning.
Tumor stage and edge status thinksRight away vs late vs late-right awayTeam with cancer med teamChemo effects on wound healRay planning and area thinksEffect on scan and come-back spotLesson 3Implant-specific issues: capsular contracture, infection, implant rupture, and use of acellular dermal matrix and fat grafting adjunctsThis part focuses on implant problems, like cover shrink, infection, break, wrong place, and wave, and reviews roles of no-cell skin matrix, net, and fat add to better hold and shape.
Risks for cover shrinkSpot and handle implant infectionSpot and handle implant breakUse of no-cell skin matrix and netFat add to better shape and coverStop and fix implant wrong placeLesson 4Comparative risks and benefits: surgical risk profiles, aesthetic outcomes, longevity, need for revisions, and sensory recoveryThis part compares implant and own-tissue rebuild for operation risk, recovery, beauty last, even, need for fixes, effect on body work, and feel recovery, helping fit patient talk.
Short operation risks by methodHospital stay, recovery, and work backBeauty last and drop over timeFix rates and usual second operationsEffect on core power and shoulder workFeel changes and possible re-nerveLesson 5Influence of prior treatments: radiation effects on tissues, timing modification, and strategies to mitigate complicationsThis part looks at how past lump cut, full cut, and ray change tissue quality, blood flow, and problem risk, and talks timing changes, step ways, and add methods to cut ray problems.
Check rayed skin and soft tissueEffect of past lump and full cutTime rebuild around ray therapyStep ways in high-risk patientsUse fat add to better rayed areasWhen to pick own-tissue over implantLesson 6Shared decision-making and expectation management: symmetry, revisions, scar patterns, and psychosocial support resourcesThis part details planned team decisions, covering get patient values, talk real even and mark patterns, outline fix chance, and mix mind-social help, survivor care, and body image talk resources.
Get goals, life way, and risk takeExplain likely marks and breast evenTalk fix chance and timesUse picture helps and before-after photosCheck for worry and body image issuesTeam mind and peer helpLesson 7Implant-based reconstruction: direct-to-implant vs two-stage expander-implant — indications and surgical stepsThis part contrasts straight-to-implant and two-step expander-implant rebuild, detailing reasons, patient pick, pocket make, device choice, during steps, and ways to better safety, even, and long results.
Patient pick and no-go'sBefore chest vs under chest pocket choiceTwo-step expander fill rulesDuring implant size and pickHandle full cut skin flapsWays to cut implant loss riskLesson 8Microsurgical principles for free flap reconstruction: anastomosis technique, ischemia time, flap monitoring methodsThis part reviews main tiny-surgery ideas for free flap breast rebuild, covering vessel pick, join methods, lack-blood time cut, during fix, and after flap watch using exam and add tech.
Take vessel pick and readyEnd-to-end vs end-to-side joinWays to cut lack-blood timeUse of joiners and tiny vessel stitchesDuring check of flap blood flowAfter flap watch rulesLesson 9Autologous reconstruction: pedicled flaps (latissimus dorsi) and free flaps (DIEP, TRAM, SIEA) — flap selection principles and donor-site considerationsThis part outlines own-tissue rebuild choices, focusing on attached back flap and free flaps like DIEP, TRAM, SIEA, stressing flap pick, give-site sickness, blood flow, and match flap size to breast aims.
Back flap reasons and limitsDIEP flap structure and hole pickTRAM flap types and belly wall effectSIEA flap goods and steady issuesMatch flap size to breast sizeHandle give-site marks and shapeLesson 10Preoperative evaluation for reconstruction: imaging, oncologic clearance, PET/CT/MRI role, vascular mapping (CTA) for perforator flapsThis part covers full before check, including story, exam, breast and give-site scans, cancer clear, and roles of PET/CT, MRI, and CTA blood map in planning safe implant and hole flap rebuild.
Story, other sickness, and risk levelsBreast scan review and cancer clearCheck belly and other give sitesRole of MRI in implant and flap planningPET/CT for stage and treat orderCTA map for hole flap pick
