By Kartik G. Krishnan
This instruction manual is an introductory consultant to harvesting crucial workhorse
flaps of the torso and top and reduce extremities. Chapters are grouped into
separate sections according to the anatomic quarter of the flaps. every one bankruptcy
details the serious scientific details the doctor must be aware of to
effectively harvest flaps, supplying concise descriptions of the coaching,
incision, and dissection ideas. designated illustrations supplementing the
descriptions permit surgeons to totally comprehend the technical maneuvers of every
- Step-by-step descriptions of flap harvesting
- Thorough dialogue of the suitable vascular or
neurovascular anatomy for every dissection
- More than 2 hundred illustrations and schematics
demonstrating key techniques
- Consistent presentation in each one bankruptcy to facilitate
reference and evaluate
- Practical dialogue of universal pitfalls to arrange
the healthcare professional for dealing with the entire diversity of situations within the medical environment
- Overview of primary recommendations, together with
microvascular anatomy and styles of vasculature of soppy tissue flaps,
instrumentation, and microvascular and microneural suturing techniques
a good origin upon which to extra improve surgical abilities, this publication is an crucial 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
Older experimentation suggested that heparin at 5000 units was advantageous in preventing thromboembolic complications. However, in AQ2 the last several thousand carotid endarterectomies, this dose of heparin has been reduced to 3000 without any increased risk of embolic complications and clearly less bleeding postoperatively. This is now especially important when considering discharge of the patient the day after the operation. II Surgical Revascularization Techniques ◆ Carotid Endarterectomy 38 The patient’s head is slightly extended and rotated to the side opposite the surgeon.
As the benefits and eﬃcacy of stereotactic radiosurgery have become increasingly clear, fewer tumors are being treated with radically aggressive resection that would necessitate intentional vascular occlusion. indd 17 front wall (C), back wall (D), and completed anastomosis (E) shown. Intraoperative angiogram demonstrates the saphenous vein graft (arrow) perfusing the MCA territory and filling the ICA retrograde to the clip (star) with immediate significant decreased filling of both aneurysms (F).
This will help guide the surgeon as to whether a shunt is necessary. It is almost always necessary for cervical carotid artery aneurysms as well as carotid body tumors to have a high cervical exposure. As described above, typically the S-shaped incision for a carotid endarterectomy can be used, but it is often necessary to extend it behind the ear toward the mastoid versus curving anteriorly in front of the ear to mobilize the parotid gland. It is important to recognize that the parotid gland, if dissected free, should be retracted anterosuperiorly and in that way help prevent injury to the lower branches of the facial nerve.