Surgical Atlas Of Perforator Flaps

The aims of this Atlas are to introduce the clinical applications of perforator flaps in plastic surgery and skin replacement. After a brief introduction of the concept and surgical rationale of perforator flaps, the book presents 24 different flaps from donor sites including upper limb, lower limb and the trunk. It shows the surgical dissection techniques of each flap step by step, from vascular anatomy, flap design and elevation to harvest and transfer. The book is composed of operative pictures, drawings and concise interpretation. Written by a group of micro surgeons and hand surgeons working in the fields of orthopedic, trauma, hand, plastic and reconstructive surgery, this Atlas offers a valuable reference work for medical researchers and doctors in microsurgery, orthopedic surgery and plastic and reconstructive surgery.

This Atlas is organized in a way with a combination of basic theory and clinical practices, and of real photos and text description in perforator flap. The book includes four parts: the first part is the overview of the definition, vascular physiology and main principles of clinical applications of the perforator flap, etc.; the second to fourth parts are the descriptions of the indication, applied anatomy, typical clinical cases and key points in harvesting technologies of the direct and indirect perforator flaps over the human body, etc. This Atlas is a useful reference for medical researchers and doctors relevant to microsurgery, hand surgery, orthopaedic surgery, and plastic and reconstructive surgery.

The first edition of Perforator Flaps: Anatomy, Technique, & Clinical Applications was a bestseller that sold out of its initial printing. This new edition has been updated to include ten new chapters and extensive updates on all existing chapters. Many new developments have taken place in the field, including the use of local perforator flaps, including free-style propeller flaps as well as the distal-based sural flap, which is effective for the lower extremity especially when microsurgical skills are unavailable. The editors, leading reconstructive surgeons and pioneers in the field of perforator flap surgery, have assembled a group of world-renowned experts who discuss perforator anatomy and clinical indications for the use of these flaps. The book outlines techniques for flap harvest, from the most basic to the highly advanced. Accompanying the book are four supplemental DVDs that demonstrate actual operating procedures.

Features coverage of 45 donor sites with thorough review of anatomy and potential anatomic variations; step-by-step instructions for 110 techniques for flap harvesting and fabrication, including many of the perforator flap harvesting details; and descriptions for 39 procedures for exposure to recipient site vessels. The authors share their perspectives on the advantages and disadvantages of each donor site, helping the surgeon to approach each dissection with confidence. More than 650 color illustrations, including 115 new drawings, provide a visual guide to anatomy and possible variations.

Expert guidance on the use of perforator flaps for reconstruction from leading pioneers in the field Nearly two decades ago, the first edition of Perforator Flaps: Anatomy, Technique, & Clinical Applications was published, thereby filling a gap in the literature, and providing invaluable clinical pearls on the use of soft tissue flaps for reconstructive surgery. Since the publication of the second edition, technological advances including MRI angiography, standard color duplex ultrasound, ultra-high frequency ultrasound, and indocyanine green enabled better understanding of select pertinent physiology and delineation of perforators anywhere in the body. Greater anatomical knowledge and the ability to map the course of individual perforators is reflected in the updated third edition by renowned global experts and editors of the prior editions, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, and Peter C. Neligan. The primary goal of the third edition is to discuss evidenced-based perforator concepts and techniques that have been incorporated into global practice worldwide. Although condensed into a single volume, the new edition follows a similar format as prior editions, with chapters divided into four sections. The first section provides a solid foundation of knowledge with discussion of rudimentary fundamentals. The second section illustrates the use of basic types of local perforator flaps; introduces the vascularized dermal graft; describes routine suprafascial flap dissections with perforators themselves as recipient and donor vessels; lymphatics reconstituted in concert with perforator flaps; and how to minimize donor site morbidity with "kiss" flaps. The third section outlines basic anatomy and techniques for common perforator flaps, while the fourth section provides a brief overview of suggested preferences for clinical applications, with both sections organized by body region. Key Features Fifty-nine chapters with contributions from leading worldwide experts present trailblazing opinions and how-to tutorials Sixty-one videos provide invaluable visual insights on how to successfully harvest donor sites, transfer tissue, and create a wide range of perforator flaps The latest updates including microsurgery, ICG angiography, lymphedema surgery, skin perforator flaps, and keystone flaps Algorithms and summary boxes offer quick access to essential information, while stepwise photos provide additional guidance on challenging techniques This must-have text and video resource provides reconstructive plastic surgeons with a solid foundation of vascular anatomy knowledge, techniques for particular selections, and utilization of perforator flaps for all clinical situations.

This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.

Discover a revolutionary approach to reconstructive surgery! Now in its Second Edition, The Atlas of Regional and Free Flaps for Head and Neck Reconstruction delivers clear, heavily illustrated coverage of regional skin, muscle, and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. The Atlas will prove invaluable information to otolaryngologists, plastic surgeons, and general surgeons, who use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction. The in-depth coverage that readers trust... * Clinically detailed full-color line drawings emphasize proper harvesting technique for all flaps. * Full procedural discussions address relevant anatomy, flap design and utilization, anatomic variations, preoperative and postoperative care, tips for avoiding potential pitfalls, and harvesting techniques for each donor site. * Use of fresh cadaver dissections provides the most realistic portrayal of step-by-step detail that gives the resident and attending surgeon a thorough understanding of each donor site. Plus a wealth of features NEW to the Second Edition... * New chapters address the submental flap, ulnar forearm flap, anterolateral thigh flap, paramedian forehead flap, cervicofacial advancement flap, and perforator flaps. * New content on skin-flap harvesting includes: addition of the coronoid harvest process to the temporalis chapter; addition of the osteocutaneous radial forearm flap to the radial forearm flap chapter; addition of scalp harvest to the chapter on the temporoparietal fascial flap; addition of scapular tip harvest for use in palatomaxillary reconstruction; and addition of harvest of the IMA and IMV recipient vessels and harvest of the TAC system of vessels to the recipient vessel chapter. * New demonstrations of flap insetting and design for a number of reconstructions