Perforator Flaps (eBook)
1192 Seiten
Thieme Publishers New York (Verlag)
978-1-63853-648-2 (ISBN)
Expert guidance on the use of perforator flaps for reconstruction from leading pioneers in the fieldNearly 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 "e;kiss"e; 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 FeaturesFifty-nine chapters with contributions from leading worldwide experts present trailblazing opinions and how-to tutorialsSixty-one videos provide invaluable visual insights on how to successfully harvest donor sites, transfer tissue, and create a wide range of perforator flapsThe latest updates including microsurgery, ICG angiography, lymphedema surgery, skin perforator flaps, and keystone flapsAlgorithms and summary boxes offer quick access to essential information, while stepwise photos provide additional guidance on challenging techniquesThis 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.
Contents
- Title Page
- Content
- Video contents
- Foreword
- Preface
- Preface
- Preface
- Acknowledgments
- Section I Fundamentals
- 1 History of Perforator Flap Surgery
- 2 The Vascular Territories of the Integument
- 2.1 Background
- 2.2 The Fascial Arrangement of the Soft Tissue Integument and Its Relevance to Perforator Location and Anatomy
- 2.3 Microcirculation of the Integument
- 2.4 The Angiosome Concept and Its Importance in Understanding Perforator Flap Survival
- 2.5 The Interconnections between Angiosomes and the Relevance of the Functional Angiosome
- 2.6 Identifying True and Choke Anastomoses between Angiosomes
- 2.7 Delay
- 2.8 Applied Anatomy of These Concepts
- 2.9 Microvascular Tissue Transfer and Perforator Flaps
- 2.10 Anatomic Work on Perforator Flaps
- 2.11 Summary
- 2.12 Conclusion
- 2.13 Pearls
- 2.14 Pitfalls
- 2.15 References
- 3 Perforator Flaps: Overview, Definitions, Classifications, and Nomenclature
- 3.1 The Pursuit of the Perforator in the Perforator Flap
- 3.2 Classification of Soft Tissue Flaps
- 3.3 Definitions and Nomenclature for Perforator Flaps
- 3.4 Definition of a Perforator Flap
- 3.5 Basic Nomenclature
- 3.6 Secondary Nomenclature
- 3.6.1 Paramuscular Perforator
- 3.6.2 Perforator Angiosome
- 3.6.3 Functional Perforator Angiosome
- 3.6.4 Compound Perforator Flaps
- 3.6.5 Conjoined Perforator Flaps
- 3.6.6 Chimeric Perforator Flaps
- 3.6.7 Propeller Flaps
- 3.6.8 Perforator-Plus Flaps
- 3.6.9 Keystone Flaps
- 3.6.10 Capillary Perforator Flaps
- 3.6.11 Pure Skin Perforator Flaps
- 3.6.12 Hybrid Perforator Flaps
- 3.7 Conclusion
- 3.8 References
- 4 Instructional Models for Learning Dissection Techniques for Perforator Flaps
- 5 How to Find the Perforator: Preoperative and Intraoperative
- 6 How to Dissect a Perforator Vessel and Avoid Complications
- 6.1 Dissecting the Perforator
- 6.2 Avoiding Complications
- 6.3 Golden Rules to Prevent Complications in Perforator Flaps
- 6.3.1 Try to Map the Perforators
- 6.3.2 Try to Identify the Main Perforator by Making a Limited Incision
- 6.3.3 Preserve Each Perforator until You Encounter a Larger One
- 6.3.4 Selection of the Best Perforator
- 6.3.5 Consider the Easiest Dissection
- 6.3.6 Transect Other Perforators after the Entire Pedicle Is Dissected
- 6.4 Flap Dissection
- 6.5 How to Deal with Intraoperative Complications
- 6.6 Conclusion
- 6.7 References
- Section II Variations in Perforator Flap Design
- 7 Local Perforator Flaps
- 8 Various Planes for Perforator Flap Elevation and the Concept of Perforator-to-Perforator Flaps
- 9 Perforator Flaps and Lymphatics
- 10 Pure Skin Perforator Flap
- 10.1 Introduction
- 10.2 History of the Thin Flap
- 10.3 Various Types of PSP Flaps
- 10.4 Anatomy of SCIA-based Pure Skin Perforators
- 10.5 Flap Design and Dimension Expectations
- 10.6 Preoperative Imaging of Pure Skin Perforators
- 10.7 Elevation of a SCIA-based PSP Flap
- 10.8 PSP Flap Case Example
- 10.9 Pearls and Pitfalls
- 10.10 Vascularized Areolar Flap Case Example
- 10.11 Conclusion
- 10.12 References
- 11 Kiss and Sequential Flaps for Perforator Flap Donor Site Primary Closure and Management
- Section III Regional Flaps: Anatomy and Technique
- 12 Vascular Anatomy of he Integument of the Head and Neck
Erscheint lt. Verlag | 24.1.2024 |
---|---|
Sprache | englisch |
Themenwelt | Medizinische Fachgebiete ► Chirurgie ► Ästhetische und Plastische Chirurgie |
Schlagworte | evidence-based perforator concepts and techniques • keystone flaps • kiss flaps • local perforator flaps • lymphedema surgery • Perforator Breast Reconstruction • reconstructive plastic surgery • suprafascial flap dissections • vascularized dermal graft |
ISBN-10 | 1-63853-648-1 / 1638536481 |
ISBN-13 | 978-1-63853-648-2 / 9781638536482 |
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