Download Atlas of Microvascular Surgery: Anatomy and Operative by Berish Strauch PDF

By Berish Strauch

This new moment variation of the best-selling Atlas of Microvascular Surgery is up-to-date with the most recent info on harvesting, fabricating, and dissecting vessels in all components of the physique. It positive aspects assurance of forty five donor websites with thorough evaluation of anatomy and capability anatomic diversifications; step by step directions for one hundred ten thoughts for flap harvesting and fabrication, together with some 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 consultant to anatomy and attainable adaptations
  • transparent descriptions of a hundred and ten diversified flap-harvesting strategies, from making plans and designing to harvesting surgical loose flaps
  • dialogue of perforator flaps according to the deep inferior epigastric artery, greater and inferior gluteal arteries, thoracodorsal artery, and lateral circumflex femoral artery
  • Insightful overview of the medical symptoms for, as good because the merits and drawbacks of, utilizing particular donor websites is helping the medical professional to method every one dissection with self belief
  • Easy-to-reference association in keeping with higher 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

Example text

Basilic v. 5. Ulnar n. 6. Medial cutaneous n. of arm 7. Triceps m. 8. Brachialis m. 9. Medial cutaneous n. qxd 1/20/06 11:38 AM Page 11 MEDIAL ARM FLAP Pedicle Dissection (Fig. 1–11) Keeping the septum intact with the flap, the medial intermuscular septum is separated from the brachial vessels and the medial nerve (2), distal to proximal. The major cutaneous branch and the superior ulnar collateral vessels (3) are further dissected to the origin from the brachial vessels. Simultaneously, the medial arm flap is isolated on the superior ulnar collateral vessels (3), the basilic vein (4), and the medial cutaneous nerve of the arm (6).

The tendinous attachment of the pectoralis minor (9) can be divided for a further exposure of the second part of the axillary artery. Figure 1–25 Dissection and identification of anatomic structures. 1. 5. 6. 7. Thoracoacromial a. Lateral pectoral n. Cephalic v. Deltoid m. 8. 9. 11. 12. Pectoralis major m. Pectoralis minor m. Axillary a. and v. 1 mm can usually be used for end-to-end anastomosis. The cephalic vein is available for venous drainage of a vascularized graft. The axillary artery should be used only for an end-to-side anastomosis.

Superior thoracic a. Thoracoacromial a. Lateral thoracic a. 23 5. Anterior circumflex humeral a. 6. Posterior circumflex humeral a. 7. Subscapular a. 8. Circumflex scapular a. 9. Thoracodorsal a. 10. Common circumflex humeral a. 1 UPPER EXTREMITY: SHOULDER, ARM, AND AXILLA Exposure of the First and Second Parts of the Axillary Artery I NCI SI O N ( FI G . 5 cm below and parallel to the clavicle, from the coracoid process to about 3 cm lateral to the sternoclavicular joint. Figure 1–23 Incision. 1. 2.

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