This document discusses oncoplastic surgery level 2 techniques. Level 2 techniques involve the resection of 20-50% of breast volume and require skin excision and mammoplasty techniques for reshaping. It presents a classification system for level 2 oncoplastic surgery techniques based on the quadrant of the breast involved, and provides examples of specific techniques for each quadrant, such as the batwing technique for the upper inner quadrant and the racquet technique for the upper outer quadrant. The goal of these techniques is to increase breast conservation rates by redistributing volume loss through therapeutic mammoplasty procedures.

1. ONCOPLASTIC SURGERY LEVEL 2 TECHNIQUES Krishna B. CLOUGH, Claude NOS, Isabelle SARFATI Therapeutic mammoplasties

4. INCREASING BREAST CONSERVATION RATES Development of new surgical techniques: Redistribution of volume loss by mammoplasty

8. LOWER POLE

9. " SUPERIOR PEDICLE " TECHNIQUE Clough K.B. et al, AnnChirPlastEsth 1990

10. LOWER POLE

11. LOWER POLE

20. DANGEROUS ! AVOID LONG GLANDULAR FLAPS

21. DIVERSIFICATION OF OPS TECHNIQUES Berry JPRAS 2009

23. ONCOPLASTIC SURGERY ATLAS Ann Surg Oncol 2010

24. QUADRANT PER QUADRANT LEVEL 2 TECHNIQUES

25. LOWER INNER QUADRANT

26. LOWER INNER QUADRANT

27. LOWER INNER QUADRANT

28. LOWER INNER QUADRANT

29. LOWER INNER QUADRANT

31. UPPER INNER QUADRANT

32. " BATWING " TECHNIQUE Silverstein et al, LancetOncol. 2005

33. UPPER POLE TUMORS

34. " ROUND BLOCK " TECHNIQUE

40. UPPER POLE

41. INFERIOR PEDICLE MAMMOPLASTY

43. UPPER OUTER QUADRANT

44. UPPER OUTER QUADRANT

45. " RACQUET " TECHNIQUE

52. LOWER OUTER QUADRANT

53. "J" TECHNIQUE LOWER OUTER QUADRANT

58. Resection 220 g

59. RETROAREOLAR CANCERS

69. www.idsein.fr

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