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World Journal of Surgery

, Volume 40, Issue 9, pp 2144–2148 | Cite as

Andreas Vesalius’ 500th Anniversary: First Description of the Mammary Suspensory Ligaments

  • Romy J. Brinkman
  • J. Joris HageEmail author
Surgical History

Abstract

Sir Astley Paston Cooper has, to date, been acknowledged to be the first to describe the suspensory ligaments of the breast, or Cooper’s ligaments, in 1840. We found these ligaments to be recorded in the first edition of ‘De Humani Corporis Fabrica Libri Septem’ by Andreas Vesalius, published in 1543. To commemorate Vesalius’ 500th birthday, we quote and discuss this earlier record. Vesalius’ record of the nature and function of the fleshy membrane between mammary gland and pectoral muscle, the hard fat intervening the mammary glands, and the fibers running from the fleshy membrane to the skin are a clear representation of posterior layer of the superficial fascial system, the fibro-adipose stroma surrounding and linking the mammary glandular elements, and the suspensory ligaments as we know them. Vesalius recorded the anatomy and function of the latter structures nearly 300 years before Sir Astley Paston Cooper did.

Keywords

Mammary Gland Superficial Layer Pectoral Muscle Overlie Skin Pectoralis Major Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflict of interest

There is no conflict of interest to be disclosed by either of the authors.

References

  1. 1.
    Di Fiore MSH (1974) Mammary gland, inactive and during pregnancy. In: di Fiore MSH (ed) Atlas of human histology, 4th edn. Lea Febiger, Philadelphia, pp 228–229Google Scholar
  2. 2.
    Johnson D, Shah P, Collins P, Wigley C (2008) Breast. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Chirchill Livingstone, p 974Google Scholar
  3. 3.
    Anastassiades OT, Spiliades C, Tsakraklides E, Gogas J (1983) Amount and distribution of solid and fatty tissues in the female breast and their relationship to carcinoma. Pathol Res Pract 176:200–215CrossRefPubMedGoogle Scholar
  4. 4.
    Ramsay DT, Kent JC, Hartmann RA, Hartmann PE (2005) Anatomy of the lactating human breast redefined with ultrasound imaging. J Anat 206:525–534CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Lockwood TE (1991) Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg 87:1009–1018CrossRefPubMedGoogle Scholar
  6. 6.
    de la Torre JI, Davis MR (2013) Anatomy for plastic surgery of the breast. In: Neligan PC (ed) Plastic surgery: the breast, vol 5, 3rd edn. Saunders Elsevier, London, pp 1–12Google Scholar
  7. 7.
    Nickell WB, Skelton J (2005) Breast fat and fallacies: more than 100 years of anatomical fantasy. J Hum Lact 21:126–130CrossRefPubMedGoogle Scholar
  8. 8.
    Cooper AP (1840) On the anatomy of the breast. Longman, Orme, Green, Brown, and Longmans, LondonGoogle Scholar
  9. 9.
    De Vesalius A (1998) Humani Corporis Fabrica Libri Septem, Basel, 1543. Octavo Corporation, Palo Alto CAGoogle Scholar
  10. 10.
    Richardson WF, Carman JB (1999) Andreas Vesalius on the fabric of the human body, book V: the organs of nutrition and generation San Francisco. Norman Publishing, CAGoogle Scholar
  11. 11.
    Richardson WF, Carman JB (1999) Andreas Vesalius on the fabric of the human body, book II: the ligaments and muscles. Norman, San FranciscoGoogle Scholar
  12. 12.
    Brinkman R, Hage J (2015) Andreas Vesalius’ 500th anniversary: initiation of the superficial fascial system and superficial musculoaponeurotic system concepts. Ann Plast Surg 76:138–142CrossRefGoogle Scholar
  13. 13.
    Cooper AP (1845) The anatomy and diseases of the breast. Lea Blanchard, PhiladelphiaGoogle Scholar
  14. 14.
    Gardner E, Gray DJ, O’Rahilly R (1975) Veins, lymphatic drainage, and breast. In: Gardner E, Gray DJ, O’Rahilly R (eds) Anatomy: a regional study of human structure. Saunders, Philadelphia, pp 98–103Google Scholar
  15. 15.
    Vesalius A (1543) De Fabrica Corporis Humani Libri Septem. 1st ed, Oporinus, BaselGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2016

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryNetherlands Cancer Institute-Antoni van Leeuwenhoek HospitalAmsterdamThe Netherlands

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