An Illustrated Handbook of Flap-Raising Techniques by Kartik G. Krishnan

By Kartik G. Krishnan

This instruction manual is an introductory advisor to harvesting crucial workhorse
flaps of the torso and higher and reduce extremities. Chapters are grouped into
separate sections in keeping with the anatomic area of the flaps. each one bankruptcy
details the severe scientific details the health care provider must understand to
effectively harvest flaps, offering concise descriptions of the education,
incision, and dissection thoughts. unique illustrations supplementing the
descriptions let surgeons to completely comprehend the technical maneuvers of every
procedure.

Features:

  • Step-by-step descriptions of flap harvesting
    options

  • Thorough dialogue of the appropriate vascular or
    neurovascular anatomy for every dissection
  • More than 2 hundred illustrations and schematics
    demonstrating key options
  • Consistent presentation in each one bankruptcy to facilitate
    reference and evaluate
  • Practical dialogue of universal pitfalls to organize
    the health professional for handling the total diversity of eventualities within the scientific surroundings
  • Overview of basic suggestions, together with
    microvascular anatomy and styles of vasculature of soppy tissue flaps,
    instrumentation, and microvascular and microneural suturing techniques

Providing
a good origin upon which to additional advance surgical talents, this e-book is an essential source for citizens in plastic and reconstructive surgical procedure, trauma surgical procedure, orthopedics, and neurosurgery.

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Extra resources for An Illustrated Handbook of Flap-Raising Techniques

Sample text

2 (a) Digital subtraction view of a right femoral angiogram in a patient who had a low puncture in the profunda femoral artery (PFA), which led to an arteriovenous fistula between the PFA and common femoral vein. (b) Unsubtracted view in the same patient showing early venous drainage from the fistula into the common femoral vein. Fig. 3 (a) Axial computed tomography scan of the pelvis demonstrating a right-sided retroperitoneal hematoma following femoral access. (b) Unsubtracted angiogram demonstrating the source of the hematoma from a wire perforation of the inferior epigastric artery (arrow).

A transverse linear incision is made 2 cm above the clavicle, centered on the lateral head of the SCM, extending 7 cm laterally from the sternal notch (▶ Fig. 4). The platysma is identified and opened parallel to the incision. This exposes the two heads of the SCM and the EJV at the lateral border of the SCM (▶ Fig. 5). The lateral (clavicular) head of the SCM is divided and retracted superiorly, exposing the carotid sheath, which is opened, exposing the ICA, IJV, and vagus nerve. The phrenic nerve lies deep to the SCM on top of the anterior scalene muscle at the lateral edge of the exposure; all dissection should thus proceed medial to this to avoid injury to the phrenic nerve (▶ Fig.

Always x-ray the groin, in particular the femoral head, prior to attempting arterial puncture. ● Iliac, femoral, and aortic stents or vascular clips can be seen on x-ray and can aid in deciding on the access site. 4. In cases of difficult punctures, leave the needle in place and watch it. ● When the needle is near the artery, the needle will pulsate, typically toward the artery. 5. When advancing the needle, if the patient feels a sharp pain, ask where the pain is located. ● When the needle hits the femoral head, the pain is at the site of puncture; if the needle hits the femoral nerve, the pain shoots down the leg (the nerve is located lateral to the artery).

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