Microsurgery: Global Perspectives, An Update, An Issue of Clinics in Plastic Surgery

1st Edition, Volume 47-4 - September 12, 2020
Editors: Jin Bo Tang, Michel Saint-Cyr
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 5 8 4 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 5 8 5 - 2

This issue of Clinics in Plastic Surgery, guest edited by Drs. Jin Bo Tang and Michel Saint-Cyr, is devoted to Microsurgery: Global Perspectives, An Update. This issue will include… Read more

Microsurgery: Global Perspectives, An Update, An Issue of Clinics in Plastic Surgery

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This issue of Clinics in Plastic Surgery, guest edited by Drs. Jin Bo Tang and Michel Saint-Cyr, is devoted to Microsurgery: Global Perspectives, An Update. This issue will include updates on topics such as: A Global View of Digital Replantation and Revascularization; Severe Crush Injury to the Forearm and Hand; Medial Femoral Trochlea Osteochondral Flap; Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects; Microvascular Tissue Transfers for Severe Upper Extremity Trauma; Compound or Specially Designed Flaps in the Lower Extremities; Complex Microsurgical Reconstruction After Tumor Resection in the Trunk and Extremities; Pediatric Microsurgery; Innovations and Future Directions in Head and Neck Microsurgical Reconstruction; Microsurgical Tissue Transfer in Breast Reconstruction; Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction; Keystone and Pedicle Perforator Flaps in Reconstructive Surgery; Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery; and Microsurgical Reconstruction of Neck, Trunk, and Extremities.

Cover image
Title page
Table of Contents
Copyright
Contributors
Clinics in Plastic Surgery
Preface
A Global View of Digital Replantation and Revascularization
Key points
Introduction
Digital replantation: whether to undertake and how much effort to expend?
Ten-digit replantation
Digital replantation with local tissue defects
Digital replantation in a wide-awake surgical setting
Extremely challenging digital replantation
Some essential considerations and future perspectives
More recent updates
Summary
An Update on the Management of Severe Crush Injury to the Forearm and Hand
Key points
Introduction
Acute crush to the distal forearm, wrist, and metacarpal area of the hand
Management
Timing
Complications
Management of acute crush to the fingers
Management of late presenting cases
Exhausted beds
Shoddy surgery provides a shoddy result
Global hand surgery
Summary
Medial Femoral Trochlea Osteochondral Flap: Applications for Scaphoid and Lunate Reconstruction
Key points
Introduction
Anatomy
Flap design
Harvest technique
Flap inset
Clinical results
Summary
Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects
Key points
Introduction
Medial femoral condyle as a graft donor in reconstruction of small-bone defects
Free vascularized bone grafts for challenging indications
Vascularized bone grafts for bone nonunion or necrosis in the hand
Future challenges
More recent updates
Summary
Microsurgical Tissue Transfer in Complex Upper Extremity Trauma
Key points
Introduction
Tissue transfer options for defects based on anatomic regions
Novel concepts of microsurgical reconstruction
Decision-making: traditional flaps versus free tissue transfers
Decision-making: flap sensation and cosmetics
Challenges in functional reconstruction and outcome assessments
Compound or Specially Designed Flaps in the Lower Extremities
Key points
Introduction
From free perforator flaps to pedicled flaps based on perforant vessels
Pedicled cutaneous flaps based on perforant vessels (perforator freestyle flaps): benefits and risks
Pedicled bone flaps
Osteoperiosteal flaps
Fillet flaps
Gliding flaps
Unique designs of flaps
Independent or combined use of propeller flaps for foot and ankle repair
New complex approaches with flaps
Recent updates
Summary
Complex Microsurgical Reconstruction After Tumor Resection in the Trunk and Extremities
Key points
General considerations in oncologic reconstruction
Goals of reconstruction in the trunk
Free tissue transfer for trunk reconstruction
Outcomes for trunk reconstruction
Microsurgical extremity reconstruction
Targeted muscle reinnervation
Goals of extremity reconstruction
Microsurgical reconstruction of extremities
Free tissue transfer for upper extremity reconstruction
Free tissue transfer for lower extremity reconstruction
Summary
Pediatric Microsurgery: A Global Overview
Key points
Introduction
Categories of microsurgery in children
Special considerations
Summary
Innovations and Future Directions in Head and Neck Microsurgical Reconstruction
Key points
Introduction
The integration of virtual surgical planning and three-dimensional printing with craniofacial reconstruction
Novel intraoperative navigation and imaging
Innovations in perfusion assessment and monitoring
Recent minimal invasive techniques in craniofacial reconstructive microsurgery
The interface of regenerative medicine, bioengineering, and craniofacial reconstruction
Face transplant: from autograft to allograft
Summary
Microsurgical Tissue Transfer in Breast Reconstruction
Key points
Introduction
Abdominal flaps
Superficial inferior epigastric artery flap
Thigh flaps
Combination free flaps
Free flap in locally advanced breast cancers
Lymphatic surgery
Summary
Autologous Breast Reconstruction in Low Body Mass Index Patients: Strategies for Maximizing Skin Envelope and Breast Volume
Key points
Introduction
Clinical case series
Discussion
Summary
Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction: Technical Pearls and Pitfalls
Key points
Introduction
Patients and surgical methods
Surgical pearls and pitfalls
Summary
Keystone and Perforator Flaps in Reconstruction: Modifications and Updated Applications
Key points
Introduction
Benefits of perforator flaps
Patient selection and preoperative planning
Pedicle perforator flaps
Propeller flap
Keystone perforator island flap
Keystone perforator island flap and pedicle perforator flaps complications
Keystone perforator island flap advantages
Keystone perforator island flap disadvantages and contraindications
Summary
Supplementary data
Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery
Key points
Introduction
Flap prefabrication for donor-site–depleted patients
Ectopic storage of fillet flaps from the lower extremity
Arm transplantation
Thumb and finger reconstruction: aesthetic refinements
CRYOPRESERVATION OF TISSUE OR ORGAN- BANKING
HYBRID FLAP COVERAGE AND SELF-REGENERATION FOR FINGERTIP REPAIR
VASCULARIZED TOE JOINT TRANSFERS: APPLICATIONS
The rational approach for breast cancer–related lymphedema
Summary
Supplementary data
Recent Advances in Microsurgery: An Update in the Past 4 Years
Key points
Introduction
Perforator flaps
Breast reconstruction
Lymphedema surgery
Extremity reconstruction
Head and neck reconstruction
Robotic microsurgery
Major Changes in Lymphatic Microsurgery and Microvascular Surgery in Past 20 Years
Key points
Lymphatic microsurgery
Microvascular surgery