The Keystone Perforator Island Flap Concept

The Keystone Perforator Island Flap Concept is the definitive guide to the development, design and surgical application of the effective surgical technique known as the keystone island flap.Clearly presented and easy to follow, this excellent Australian publication features an accompanying DVD, further exploring this surgical method.

The state-of-the-art guide to lower extremity reconstruction from international experts "I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." – from the Foreword by Fu-Chan Wei, MD Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. Lower Extremity Reconstruction: A Practical Guide by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples. This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage. Key Highlights Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps Bone salvage and restoration techniques, including vascularized bone grafts Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept Rationale for partial and subtotal foot amputation 27 videos and more than 600 illustrations enhance understanding of microsurgical interventions With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.

This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals – the basic procedures, how to get started, and technical tips – as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book’s final chapters are focused on assessment, decision-making an d lessons learned – essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications. Rather than demonstrate exactly how to execute flaps, the book’s primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.

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.

This book is a detailed review of the ‘state-of-the art’ of skin lines in cutaneous surgery. Surgical literature is inundated with references to Langer’s Lines, Cleavage Lines, Wrinkle Lines and Relaxed Skin Tension Lines, but this title discusses the difference between these and incisional and excisional lines biomechanically, introducing the concept of biodynamic excisional skin tension (BEST) Lines. The problem with current concepts of skin tension lines is that they seem to differ in different textbooks, and lines for surgical egress, which work in conditions of low tension, are not necessarily suitable for skin cancer surgery. Biodynamic Excisional Skin Tension Lines for Cutaneous Surgery describes skin biomechanics, the properties of collagen and elastin, lower limb skin vascularity and also maps BEST lines across the body, making it a great reference guide for plastic or dermatologic surgery worldwide. As such, it will be beneficial for anyone performing cutaneous surgery and skin cancer excisions in clinical practice, or for those planning further research into skin biomechanics to read this volume.

This book provides a concise and practical guide to dermatologists, dermatologists in training, primary care physicians, plastic surgeons and others working in skin cancer and dermatological surgery. Each case allows readers to gain a thorough and practical knowledge of the wide range of cases they may encounter. The authors have carefully selected cases to highlight evidence-based practice. The book describes the top skin cancer and skin cancer surgery identification and treatment issues and provides essential information to treat these patients suffering from melanoma, squamous cell cancer, basal cell cancer, Merkel cell cancers and other skin maladies. In addition the authors have included several cases in the field of dermatoscopy and SRT (superficial radiation) for skin cancer.

This textbook provides a state-of-the-art reference in the rapidly changing field of hernia surgery. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. The reader will gain unique insights into robotic and laparoscopic repairs, anterior and posterior component separations, reconstructions in the setting of contamination, enterocutaneous fistulas and loss of abdominal domain. Important contributions from key reconstructive plastic surgeons detail modern trends on how to deal with complex skin and soft tissue challenges. The textbook provides unparalleled step-by-step instructions to perform both routine and complex repairs by incredible illustrations, intra-operative color photographs and a unique video collection of procedures performed by today’s top hernia surgeons. As a comprehensive and most up-to-date reference to modern treatment algorithms, trends in prosthetic science and technique selections, Hernia Surgery: Current Principles will be an invaluable resource to all residents and practicing general, plastic, and trauma surgeons to help them succeed in the field of Hernia surgery.

This focused, concise book offers an in-depth analysis of lower extremity reconstruction alongside region-specific photos and illustrations. As an anatomical atlas, it seeks to aid the visual learner in showcasing the key steps in setting up and raising the flap for a given defect. Organized into two sections, opening chapters are arranged by general location, focusing specifically on the lower limb. Each general location of a wound is accompanied by an examination of relevant anatomy, including blood supply, nerve supply, arc of rotation of the tissue, and local flap options. Following a description of the anatomy, subsequent paragraphs explain the application of relevant local flap options. Section two incorporates flap demonstration and application into each chapter, offering a more detailed description, true and specific to each anatomical site of the technique. Supplemented by high-quality images and figures, Handbook of Lower Extremity Reconstruction: Clinical Case-Based Review and Flap Atlas is an invaluable reference for practicing plastic and orthopedic surgeons and residents in training.