The average areolar diameter was 35 mm for type A, B and D incisions, and 45 mm for type C. There was a need for postoperative nipple-areolar complex plasty (NAC-P) in 75 % of the cases following type A, B and D incisions, and 35 % of the cases treated using type C incisions. Conclusion: The type C incision is superior with regard to the cost and cosmetic outcomes, because fewer of these patients request postoperative NAC-P.
The Tennis Racquet Incision: Level 1 Oncoplastic technique for breast conserving surgery: The New Zealand Experience. Authors: U Shan, C Keane, C Askew. Hospital Address: Whangarei Hospital, Northland DHB, New Zealand.
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Conclusion: Factors such as Wise pattern and tennis racquet incision, BMI and breast mass and sternal notch to nipple length adversely affect skin sparing mastectomy flap morbidity. These factors should be factored in to patient selection and operative planning especially for obese and large breasted women undergoing skin sparing mastectomy with immediate breast reconstruction.
Methods. The records of 111 consecutive breast cancer patients, who received SSM and IBR from 2003 to 2012, were reviewed retrospectively. Four types of skin incisions were used. Type A was the so-called tennis racquet incision, type B was a periareolar incision and mid-axillary incision, type C was the so-called areola-sparing with mid-axillary incision and type D was a small transverse elliptical incision and transverse axillary incision.
Four types of skin incisions were used. Type A was the so-called tennis racquet incision, type B was a periareolar incision and mid-axillary incision, type C was the so-called areola-sparing with ...
borders of the breast and the axilla.18 Meretoja et al. (2008)9 found the tennis racquet incision had a ﬁve times greater incidence of wound edge necrosis compared with periareolar incision, however, thesamplesizewassmall(n¼60with15havingcomplications).In our study the incidence of wound edge necrosis was twice as high
She established the nurse led breast clinic, developed the electronic breast triaging system and health pathways for GPs in Northland. She was a member of the National Training Committee supervising trainees for 8 years. Awarded Best Oral presentation on ‘Tennis Racquet Incision’ ORBS Nottingham 2015. Andrew Spillane
• The tennis racket method uses both circular line of the NAC, (like periareolar technique ) with a wedge- shaped incision from the external circular line around the tumor . 4- Tennis Racket Method 47. • Removal of the breast tissue within the wedge-shaped incision is done with de-epithelization between the two circular incision lines .
It is particularly suitable for the upper-inner quadrant, whose resection carries a high risk of breast deformity. Operation starts with a large omega-shaped skin incision involving the upper breast quadrants. Resection occurs perpendicular to thoracic surface, providing clear margins, until it reaches pectoral fascia.