Organized into four sections: (I) Fundamentals, (II) Anatomy and Surgical Technique, (III) Clinical Applications, and (IV) Controversies and Future Directions, this comprehensive work provides the essential information needed when performing flap surgery. Hot topics include nomenclature, the deep inferior epigastric artery perforator (DIEP) flap, the anterolateral thigh (ALT) flap, free style free flaps, and neurocutaneous flaps. Hundreds of colorful illustrations depict flap anatomy and basic techniques for flap harvest, elevation, and transfer. An accompanying DVD includes video of the five most common perforator flap operations to demonstrate and guide the reader through the intricacies of these procedures.
VOLUME I
Part I Fundamentals
1 History of Flap Surgery 3
History of Flap Surgery 3
David E. Tolhurst, Geoffrey G. Hallock
2 Vascular Anatomy of the Integument 11
Vascular Anatomy of the Integument 11
Steven F. Morris, Brian J. Miller, G. Ian Taylor
3 Perforator Flaps: Overview, Classification, and Nomenclature 37
Perforator Flaps: Overview, Classification, and Nomenclature 37
Peter C. Neligan, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock
4 Anatomic Techniques 53
Anatomic Techniques 53
Maolin Tang, Daping Yang, Christopher R. Geddes, Steven F. Morris
5 Flap Physiology 69
Flap Physiology 69
Cho Y. Pang, Peter C. Neligan
6 Preoperative Planning 91
Preoperative Planning 91
Dirk V.A.M. Voet, Mirko Petrovic, Juame Masia, Juan A. Clavero,
Phillip N. Blondeel, Rozina Shahzady Ali
7 Complications: Avoidance and Treatment 115
Complications: Avoidance and Treatment 115
Phillip N. Blondeel, Peter C. Neligan
xxvii
C O N T E N T S
xxviii Contents
Contents
Part II Regional Flaps: Anatomy and Surgical Technique
Head and Neck
8 Vascular Anatomy of the Integument of the Head and Neck 133
Vascular Anatomy of the Integument of the Head and Neck 133
Daping Yang, Maolin Tang, Christopher R. Geddes, Steven F. Morris
9 Submental Artery Perforator Flap 161
Submental Artery Perforator Flap 161
Jeong-Tae Kim
10 Facial Artery Musculomucosal Flap 181
Facial Artery Musculomucosal Flap 181
Stephen M. Warren, Julian J. Pribaz
11 Temporoparietal Artery Perforator Flap 199
Temporoparietal Artery Perforator Flap 199
Willy Boeckx
Upper Extremity
12 Vascular Supply of the Integument of the Upper Extremity 219
12 Vascular Supply of the Integument of the Upper Extremity 219
Vascular Supply of the Integument of the Upper Extremity 219
Binu P. Thomas, Christopher R. Geddes, Maolin Tang, Steven F. Morris
13 Lateral Arm Perforator Flap 247
Lateral Arm Perforator Flap 247
Luis R. Scheker, Michel Saint-Cyr
14 Posterior Interosseous Artery Perforator Flap 269
Posterior Interosseous Artery Perforator Flap 269
Minoru Shibata
15 Ulnar Artery Perforator Flap 283
Ulnar Artery Perforator Flap 283
Daping Yang, Steven F. Morris
16 Radial Artery Perforator Flap 301
Radial Artery Perforator Flap 301
Daping Yang, Steven F. Morris
17 Hand Flaps 319
Hand Flaps 319
Michel Saint-Cyr, Amit Gupta
Trunk
18 Anatomy of the Integument of the Trunk 359
18 Anatomy of the Integument of the Trunk 359
Anatomy of the Integument of the Trunk 359
Christopher R. Geddes, Maolin Tang, Daping Yang, Steven F. Morris
19 Deep Inferior Epigastric Artery Perforator Flap 385
Deep Inferior Epigastric Artery Perforator Flap 385
Phillip N. Blondeel, Colin M. Morrison
20 Superficial Inferior Epigastric Artery Perforator Flap 405
Superficial Inferior Epigastric Artery Perforator Flap 405
Milomir Ninkovic
21 Superficial Circumflex Iliac Artery Perforator Flap 421
Superficial Circumflex Iliac Artery Perforator Flap 421
Isao Koshima, Shigeko Ushio, Narushi Sugiyama
22 Internal Mammary Artery Perforator Flap 429
Internal Mammary Artery Perforator Flap 429
William D. Morain, Geoffrey G. Hallock, Peter C. Neligan
23 Thoracodorsal Artery Perforator Flap 441
Thoracodorsal Artery Perforator Flap 441
Koenraad Van Landuyt, Moustapha Hamdi
24 Dorsal Scapular Artery Perforator Flap 461
Dorsal Scapular Artery Perforator Flap 461
Claudio Angrigiani
25 Circumflex Scapular Artery Perforator Flap 471
Circumflex Scapular Artery Perforator Flap 471
Grant A. Fairbanks, Geoffrey G. Hallock
26 Superior Gluteal Artery Perforator Flap 485
Superior Gluteal Artery Perforator Flap 485
Robert Johnson Allen, Aldo Benjamin Guerra, Heather A. Erhard, Joshua L. Levine
27 Inferior Gluteal Artery Perforator Flap 499
Inferior Gluteal Artery Perforator Flap 499
Aldo Benjamin Guerra, Robert Johnson Allen, Joshua L. Levine, Heather A. Erhard
28 Intercostal and Lumbar Artery Perforator Flaps 513
Intercostal and Lumbar Artery Perforator Flaps 513
Moustapha Hamdi, Koenraad Van Landuyt
29 Deep Circumflex Iliac Artery Perforator Flap With Iliac Crest 529
Deep Circumflex Iliac Artery Perforator Flap With Iliac Crest 529
Yoshihiro Kimata
VOLUME I I
Lower Extremity
30 Anatomy of the Integument of the Lower Extremity 541
Anatomy of the Integument of the Lower Extremity 541
Christopher R. Geddes, Maolin Tang, Daping Yang, Steven F. Morris
31 Superficial Femoral Artery Perforator Flap: The Anteromedial
Thigh Flap 579
Thomas Schoeller, Georg M. Huemer, Gottfried Wechselberger
Contents xxix
xxx Contents
Contents32 Profunda Femoris Artery Perforator Flap: The Lateral
Thigh Flap 587
Michael J. Miller
33 Posterior Thigh Perforator Flaps 597
Posterior Thigh Perforator Flaps 597
Joan E. Lipa
34 Lateral Circumflex Femoral Artery–Vastus Lateralis Perforator
Flap 617
Samir Mardini, Chin-Hung Lin, Fu-Chan Wei
35 Lateral Circumflex Femoral Artery–Tensor Fascia Lata Perforator
Flap 635
Naohiro Kimura
36 Medial Circumflex Femoral Artery Perforator Flap: A Medial
Groin Flap 647
Geoffrey G. Hallock
37 Adductor Perforator Flap 657
Adductor Perforator Flap 657
Claudio Angrigiani
38 Descending Genicular Artery Perforator Flap 667
Descending Genicular Artery Perforator Flap 667
Peter W. Bray
39 Medial Sural Artery Perforator Flap 679
Medial Sural Artery Perforator Flap 679
Kazufumi Sano, Geoffrey G. Hallock, David C. Rice
40 Posterior Tibial Artery Perforator Flap 689
Posterior Tibial Artery Perforator Flap 689
Leung-Kim Hung, Xin Zhao
41 Peroneal Artery Perforator Flap 707
Peroneal Artery Perforator Flap 707
Klaus-Dietrich Wolff
42 Anterior Tibial Artery Perforator Flaps 719
Anterior Tibial Artery Perforator Flaps 719
Isao Koshima, Narushi Sugiyama, Shigeko Ushio, Misako Fujitsu
43 Lateral Calcaneal Artery Perforator Flap 731
Lateral Calcaneal Artery Perforator Flap 731
Louis C. Argenta
44 Medial Plantar Artery Perforator Flaps With Emphasis on the
Medialis Pedis Flap 741
Hung-Chi Chen, Samir Mardini, Yi-Tien Liu
Part III Clinical Applications
45 Reconstruction of the Head and Neck 757
Reconstruction of the Head and Neck 757
Peter C. Neligan, Patrick J. Gullane
46 Reconstruction of the Upper Extremity 775
Reconstruction of the Upper Extremity 775
Steven F. Morris, Amit Gupta, Michel Saint-Cyr
47 Flap Options and Technical Considerations in the Trunk 833
Flap Options and Technical Considerations in the Trunk 833
Phillip N. Blondeel
48 Breast Reconstruction 839
Breast Reconstruction 839
Phillip N. Blondeel, Karlien Van de Sijpe, Veronique Cocquyt
49 Chest Wall Reconstruction 853
Chest Wall Reconstruction 853
Phillip N. Blondeel, Colin M. Morrison
50 Back Reconstruction 867
Back Reconstruction 867
Frederick J. Duffy, Jr.
51 Abdominal Wall Reconstruction 879
Abdominal Wall Reconstruction 879
Koenraad Van Landuyt, Phillip N. Blondeel
52 Pelvic Reconstruction 887
Pelvic Reconstruction 887
Moustapha Hamdi, Bob de Frene
53 Perineogenital Reconstruction 903
Perineogenital Reconstruction 903
Stanislas J. Monstrey, Peter Ceulemans
54 Reconstruction of the Lower Extremity 915
Reconstruction of the Lower Extremity 915
Geoffrey G. Hallock, Fu-Chan Wei, Samir Mardini, Naohiro Kimura
55 Perforator Flaps in Pediatric Age Groups 935
Perforator Flaps in Pediatric Age Groups 935
Koenraad Van Landuyt
Part IV Controversies and Future Directions
56 Innovations in Flap Design 943
Innovations in Flap Design 943
Geoffrey G. Hallock
57 Free Style Local Perforator Flaps 947
Free Style Local Perforator Flaps 947
Steven F. Morris, Peter C. Neligan, G. Ian Taylor
Contents xxxi
xxxii Contents
Contents
58 Fascial Feeders 961
Fascial Feeders 961
Niri S. Niranjan, Ashish Davalbhakta
59 Free Style Free Flaps 969
Free Style Free Flaps 969
Samir Mardini, Fu-Chan Wei, Ming-Huei Cheng
60 Supermicrosurgery and Perforator-to-Perforator Free Flaps 977
Supermicrosurgery and Perforator-to-Perforator Free Flaps 977
Isao Koshima, Misako Fujitsu, Narushi Sugiyama
61 Microdissection and the Ultrathin Perforator Flap 989
Microdissection and the Ultrathin Perforator Flap 989
Naohiro Kimura
62 Subdermal Vascular Network Flap: The Concept of the
Superthin Flap 1001
Hiko Hyakusoku, Rei Ogawa
63 Neurocutaneous Perforator Flaps 1029
Neurocutaneous Perforator Flaps 1029
Geoffrey G. Hallock
64 Closing Thoughts 1041
Closing Thoughts 1041
Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, Peter C. Neligan
Appendix Territories of Perforator Flaps by Source Vessel and
Subtype 1045
Debra A. Lutz, Geoffrey G. Hallock
Credits C1
Index I1
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