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  • Title
  • 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

Internal Mammary Perforator Preserving Nipple-Sparing Mastectomy (IMP-NSM) to Reduce Ischemic Complications

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Mardi R. Karin, MD; Arash Momeni, MD; Candice N. Thompson, MD
Stanford University School of Medicine

General SurgeryOncologic Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Review Breast MRI Blood Flow Patterns if Available
      1. 3. Mark Skin for IMP
        1. 4. Nipple-Sparing Mastectomy Skin Incision
          1. 5. Inject Tumescence
            1. 6. Raise Mastectomy Subcutaneous Flaps
              1. 7. Biopsy Under Nipple
                1. 8. Removing Pectoralis Fascia and Breast Tissue
                  1. 9. Internal Mammary Perforator (IMP) Preservation
                    1. 10. PECs and Serratus Blocks
                      1. 11. Post-op Remarks

                        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

                        1. Remove Pectoralis Fascia and Breast Tissue
                        2. Check Thickness of Mastectomy Flap

                        7. Biopsy Under Nipple

                        8. Removing Pectoralis Fascia and Breast Tissue

                        9. Internal Mammary Perforator (IMP) Preservation

                        10. PECs and Serratus Blocks

                        1. Sarratus Plane Block
                        2. PECs 1 & 2 Blocks

                        11. Post-op Remarks

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                        Authors

                        Filmed At:

                        Stanford University School of Medicine

                        Article Information

                        Publication Date
                        Article ID365
                        Production ID0365
                        Volume2023
                        Issue365
                        DOI
                        https://doi.org/10.24296/jomi/365