Microsurgical Reconstruction
Dr. Benjamin Osei
LeMay Publishing
MEDICAL
Microsurgical Reconstruction
Surgical References16,335 words91 chapters
Published by LeMay Publishing. 16,335 words across 91 chapters.
About This Publication
Principles and techniques in free tissue transfer and peripheral nerve repair, documenting one of the great technical achievements of twentieth-century surgery from Carrel's pioneering vascular work to contemporary practice.
Published by LeMay Publishing, a division of LeMay. Massachusetts.
ISBN: 979-8-0000-7034-5
Chapters
1MICROSURGICAL RECONSTRUCTION
2Principles and Techniques in Free Tissue Transfer and Peripheral Nerve Repair
3ABOUT THE AUTHOR
4DEDICATION
5PREFACE
6TABLE OF CONTENTS
7CHAPTER 1
8Historical Foundations and Evolution of Microsurgery
91.1 Origins of Vascular Repair
101.2 The Advent of the Operating Microscope
111.3 The Era of Replantation
121.4 The Birth of Free Tissue Transfer
131.5 The Perforator Flap Revolution
141.6 Contemporary Microsurgery
15CHAPTER 2
16Instrumentation, Optics, and Laboratory Training
172.1 The Operating Microscope
182.2 Surgical Loupes
192.3 Microsurgical Instruments
202.4 Suture Material
212.5 Adjunctive Equipment
222.6 Laboratory Training
23CHAPTER 3
24Principles of Microvascular Anastomosis
253.1 Fundamental Requirements for Anastomotic Patency
263.2 Vessel Preparation
273.3 Size Mismatch
283.4 End-to-End Anastomosis
293.5 End-to-Side Anastomosis
303.6 Continuous Suture Technique
313.7 The Coupling Device
323.8 Pharmacological Adjuncts
33CHAPTER 4
34Applied Vascular Anatomy and Flap Physiology
354.1 The Angiosome Concept
364.2 Perforator Anatomy
374.3 Venous Drainage
384.4 Ischemia and Reperfusion
39CHAPTER 5
40Preoperative Planning and Patient Selection
415.1 Indications for Free Tissue Transfer
425.2 Patient Assessment
435.3 Preoperative Imaging
445.4 Donor Site Selection
45CHAPTER 6
46Free Flap Harvest: Workhorse Flaps and Technical Considerations
476.1 The Anterolateral Thigh Flap
486.2 The Deep Inferior Epigastric Perforator Flap
496.3 The Fibula Free Flap
506.4 The Radial Forearm Free Flap
516.5 The Latissimus Dorsi Flap
52CHAPTER 7
53Recipient Vessel Preparation and Flap Inset
547.1 Recipient Vessel Selection
557.2 Vessel Dissection and Preparation
567.3 Principles of Flap Inset
577.4 Interpositional Vein Grafts
58CHAPTER 8
59Peripheral Nerve Anatomy, Injury Classification, and Repair Principles
608.1 Microanatomy of the Peripheral Nerve
618.2 Classification of Nerve Injury
628.3 Wallerian Degeneration and Axonal Regeneration
638.4 Principles of Primary Nerve Repair
64CHAPTER 9
65Nerve Grafting, Conduits, and Advanced Strategies for Nerve Reconstruction
669.1 Autologous Nerve Grafting
679.2 Processed Nerve Allografts
689.3 Nerve Conduits
699.4 Nerve Transfers
709.5 End-to-Side Neurorrhaphy
71CHAPTER 10
72Postoperative Monitoring, Complications, and Salvage
7310.1 Principles of Postoperative Monitoring
7410.2 Clinical Monitoring
7510.3 Adjunctive Monitoring Devices
7610.4 Complications
7710.5 Salvage
78CHAPTER 11
79Reconstructive Applications by Anatomical Region
8011.1 Head and Neck Reconstruction
8111.2 Breast Reconstruction
8211.3 Lower Extremity Reconstruction
8311.4 Upper Extremity Reconstruction
84CHAPTER 12
85Emerging Frontiers: Supermicrosurgery, Vascularized Composite Allotransplantation, and Regenerative Technologies
8612.1 Supermicrosurgery
8712.2 Vascularized Composite Allotransplantation
8812.3 Robotic and Technology-Assisted Microsurgery
8912.4 Regenerative Medicine and Tissue Engineering
90BIBLIOGRAPHY
91INDEX