Synopses & Reviews
This book describes in detail the indications for, and surgical technique and postoperative care of microsurgical transplantation of tissue and replantation of amputated parts. It is intended for residents and trainees who need an easy reference source for the background and technique of these procedures as well as by more experienced microsurgeons, orthopedic and plastic surgeons seeking a single and consistent philosophy of treatment. The surgical technique section is presented in atlas form with unique detailed plates of anatomic dissections. The magnificent color illustrations provide a basis for understanding each of the microvascular flaps. Of particular interest, too, is the gamut of toe transplant procedures, the new approach to the indications for vascularized bone transplantation presented here for the first time, the detailed techniques of bone fixation in replantation and, finally, monitoring techniques after surgery. An important feature of the book is the comparison of the microvascular treatment methods described with existing, more conventional techniques.
Synopsis
On April 23, 1906, Alexis Carrel presented his manuscript entitled "The Surgery of Blood Vessels" to the Johns Hopkins Medical Society. His work on the tech- nique of small vessel anastomosis and the transplantation of visceral organs earned him the Nobel Prize in 1912. The use of magnification in operative surgery began in 1921 with the work of Nylen, who first employed the microscope for reconstructive procedures in the middle ear. Jacobson and Suarez published their initial observa- tions on the use of microsurgery for the anastomosis of small vessels in 1960, and two years later, Malt reported the historic replantation of an upper extremity. To surgeons involved in reconstruction of the extremities, the evolution of micro- surgery has provided the most significant advances of the past three decades. The dramatic clinical successes of replantation surgery and free tissue transfer have substantially improved functional and cosmetic results in addition to decreas- ing morbidity in patients who present with complex reconstructive problems. Mi- crosurgical Reconstruction of the Extremities crosses the traditional surgical discip- lines and will be invaluable to orthopaedic surgeons, plastic surgeons, hand sur- geons, and general surgeons, as well as to residents and fellows.
Table of Contents
Contents: Muscle Transplantation.- Cutaneous Transplantation.- Vascularized Bone Transplantation.- Toe Transplantation for Hand Reconstruction.- Replantation.- Regional Indications.- Recipient Site Preparation.- Monitoring.- Index.