By Berish Strauch
This new moment version of the best-selling Atlas of Microvascular Surgery is up to date with the most recent details on harvesting, fabricating, and dissecting vessels in all parts of the physique. It gains insurance of forty five donor websites with thorough evaluation of anatomy and power anatomic adaptations; step by step directions for a hundred and ten innovations for flap harvesting and fabrication, together with a few of the perforator flap harvesting information; and outlines for 39 methods for publicity of recipient web site vessels.
Highlights of the second one edition:
- greater than 650 colour illustrations, together with a hundred and fifteen new drawings, offer a visible consultant to anatomy and attainable diversifications
- transparent descriptions of a hundred and ten assorted flap-harvesting recommendations, from making plans and designing to harvesting surgical loose flaps
- dialogue of perforator flaps in response to the deep inferior epigastric artery, enhanced and inferior gluteal arteries, thoracodorsal artery, and lateral circumflex femoral artery
- Insightful evaluation of the medical symptoms for, as good because the merits and downsides of, utilizing particular donor websites is helping the health professional to strategy every one dissection with self assurance
- Easy-to-reference association in response to top extremity, reduce extremity, trunk, and head and neck
All plastic and reconstructive surgeons, orthopedic surgeons, hand surgeons, neurosurgeons, and citizens in those specialties will enjoy the wealth of knowledge during this landmark book.
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Extra info for Atlas of Microvascular Surgery: Anatomy and Operative Approaches
8. 9. 10. Posterior circumﬂex humeral a. Subscapular a. Circumﬂex scapular a. Thoracodorsal a. Common circumﬂex humeral a. qxd 1/20/06 11:38 AM Page 23 RECIPIENT SITE EXPOSURES Variations in Branches from the Axillary Artery (Fig. 1–22) A. Typical branching pattern B. Common origin of lateral thoracic (4) and thoracoacromial arteries (3) C. Common origin of the lateral thoracic (4) and subscapular (7) arteries D. Origin of the posterior circumﬂex humeral artery (6) from the subscapular artery (7) E.
In its course, the posterior branch of the radial collateral artery gives off two or three fasciocutaneous branches in the lower lateral arm, and it finally arborizes to supply the lateral forearm skin after the lateral epicondyle of the humerus. The posterior branch is accompanied by the cutaneous nerve of the forearm. Venous drainage is supplied by one (25% of cases) or two (75% of cases) venae comitantes and the cephalic vein. Figure 1–12-A Applicable anatomy for the lateral arm ﬂap. 1. 2. 3.
However, the skin texture of the territory of this ﬂap is usually thin, elastic, and quite hairless, and it is provided with sensibility through its constant cutaneous nerve. Therefore, it still can be considered for use in facial reconstruction and in hand resurfacing. If the width of the ﬂap is less than 7 cm, the donor deﬁcit can be closed primarily. Cosmetically, the donor site of the ﬂap is well hidden, and morbidity after harvesting is generally minimal, except for a loss of sensibility in the forearm.