Internal Mammary Perforator Preserving Nipple-Sparing Mastectomy (IMP-NSM) to Reduce Ischemic Complications
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Review Breast MRI Blood Flow Patterns if Available
- 3. Mark Skin for IMP
- 4. Nipple-Sparing Mastectomy Skin Incision
- 5. Inject Tumescence
- 6. Raise Mastectomy Subcutaneous Flaps
- 7. Biopsy Under Nipple
- 8. Removing Pectoralis Fascia and Breast Tissue
- 9. Internal Mammary Perforator (IMP) Preservation
- 10. PECs and Serratus Blocks
- 11. Post-op Remarks
- Remove Pectoralis Fascia and Breast Tissue
- Check Thickness of Mastectomy Flap
- Sarratus Plane Block
- PECs 2 Block
