Rotation of the Pedicle

Closure of the Pillars

The pedicle is then rotated into position. It usually rotates between 30° and 90°; it should only be rotated enough to sit easily without compression or kinking. The pillars need to be sutured first before this is determined.

The inferior border of the medial pedicle is now the medial pillar. Depending on how aggressive the lateral resection has been, there may not be much tissue left for a lateral pillar. The pillars do not extend down to the inframammary fold; rather they extend 5 to 7 cm - thereby following a similar pattern to the Wise pattern - but in the parenchyma, not the skin. The area of the breast inferiorly has been cleared out, and the pillar sutures usually start about halfway up the vertical opening.

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Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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