By Berish Strauch
This new moment variation 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 good points assurance of forty five donor websites with thorough evaluate of anatomy and capability anatomic diversifications; step by step directions for one hundred ten suggestions for flap harvesting and fabrication, together with a number of the perforator flap harvesting info; and outlines for 39 systems for publicity of recipient website vessels.
Highlights of the second one edition:
- greater than 650 colour illustrations, together with one hundred fifteen new drawings, supply a visible advisor to anatomy and attainable diversifications
- transparent descriptions of a hundred and ten diverse flap-harvesting recommendations, from making plans and designing to harvesting surgical loose flaps
- dialogue of perforator flaps in keeping with the deep inferior epigastric artery, more suitable and inferior gluteal arteries, thoracodorsal artery, and lateral circumflex femoral artery
- Insightful evaluation of the scientific symptoms for, as good because the benefits and drawbacks of, utilizing particular donor websites is helping the general practitioner to process each one dissection with self belief
- Easy-to-reference association based on higher extremity, decrease 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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Additional resources for Atlas of Microvascular Surgery: Anatomy and Operative Approaches
Brachialis m. Brachioradialis m. Cephalic v. qxd 1/20/06 11:38 AM Page 17 LATERAL ARM FLAP Pedicle Dissection (Fig. 1–16) Dissection proceeds proximally toward isolating the vascular pedicle. After ligating the anterior branch, the radial collateral vessels (2) are dissected for greater pedicle length and larger vessel caliber. Pedicle lengths vary according to ﬂap design, ranging from 4 to 8 cm. Figure 1–16 Pedicle dissection. 2. Radial n. and radial collateral a. 3. Anterior branch of radial collateral a.
1 UPPER EXTREMITY: SHOULDER, ARM, AND AXILLA ◆ LATERAL ARM FLAP Anatomy (Fig. 1–12-A) The deep brachial artery (6) divides into two terminal branches while it is coursing in the groove of the radial nerve. The middle collateral artery descends in the substance of the medial head of the triceps, whereas the radial collateral artery (8) continues to accompany the radial nerve. Once the radial collateral artery appears on the anterolateral aspect of the triceps, it divides into anterior and posterior branches.
1. 2. 3. 4. Deep brachial a. Radial n. Deltoid m. Teres major m. 37 5. Lateral head of triceps m. 6. Long head of triceps m. 7. Medial head of triceps m. 1 UPPER EXTREMITY: SHOULDER, ARM, AND AXILLA EXPO S U R E O F B R AC H I A L A R T E RY (FIG . 1 – 37 ) The deep brachial artery (1) and radial nerve (2) are displaced laterally and protected. Retracting the long head of the triceps (6) medially, the medial edge of the medial head of the triceps (7) is identiﬁed, and then separated from the long head of the triceps (6).
Atlas of Microvascular Surgery: Anatomy and Operative Approaches by Berish Strauch