This work describes the interface of the different reconstructive methods currently available in plastic surgery. It stresses the application of flaps, microsurgery and tissue expansion for solving a variety of reconstructive problems in each body region. Throughout, it emphasizes clinical problem-solving to help the surgeon decide which reconstructive procedure is appropriate for a particular reconstructive problem. The clinical anatomy and the techniques essential for executing these operations are also described. This book is filled with approximately 3000 illustrations. Detailed drawings depict flap anatomy and the basic techniques for flap evaluation as well as step-by-step operative sequences; these are complemented by clinical photographs of cadaver dissections, radiographs and pre-, intra- and postoperative views demonstrating the results to be expected from these procedures. The text is organized into three parts. Part One provides general principles of reconstructive surgery to guide the surgeon in selecting the best reconstructive approach. An introductory chapter sets the stage for this decision-making process and provides a systematic approach to deciding whether flaps, microsurgery or tissue expansion is appropriate. Other chapters discuss reconstructive goals and complex wound management. Part Two consists of ten chapters which present a study of the clinical anatomy of muscle, musculocutaneous, skin and fasciocutaneous slaps for all body regions. Part Three describes the reconstruction of specific regions of the body. Each reconstructive problem is evaluated in terms of relative benefits gained by the use of flaps, microsurgery and tissue expansion.
Part 1 General principles of reconstructive surgery: fundamentals; reconstructive triangle - flaps, tissue expansion and microsurgery; reconstructive goals; complex wound management. Part 2 Regional flaps - anatomy and basic techniques: head and neck; anterior thorax; posterior trunk; upper extremity; hand; abdomen; abdominal viscera; thigh; leg; foot. Part 3 Regional reconstruction - clinical applications: head and neck reconstruction; anterior thorax reconstruction; breast reconstruction; axillary reconstruction; posterior trunk reconstruction; upper extremity reconstruction; abdomen reconstruction; groin and perineum reconstruction; pressure sores reconstruction; lower extremity reconstruction; foot reconstruction.