Perforator Flaps: Anatomy, Technique, & Clinical Applications

Expert guidance on the use of perforator flaps for reconstruction from leading pioneers in the field Nearly two decades ago, the first edition of Perforator Flaps: Anatomy, Technique, & Clinical Applications was published, thereby filling a gap in the literature, and providing invaluable clinical pearls on the use of soft tissue flaps for reconstructive surgery. Since the publication of the second edition, technological advances including MRI angiography, standard color duplex ultrasound, ultra-high frequency ultrasound, and indocyanine green enabled better understanding of select pertinent physiology and delineation of perforators anywhere in the body. Greater anatomical knowledge and the ability to map the course of individual perforators is reflected in the updated third edition by renowned global experts and editors of the prior editions, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, and Peter C. Neligan. The primary goal of the third edition is to discuss evidenced-based perforator concepts and techniques that have been incorporated into global practice worldwide. Although condensed into a single volume, the new edition follows a similar format as prior editions, with chapters divided into four sections. The first section provides a solid foundation of knowledge with discussion of rudimentary fundamentals. The second section illustrates the use of basic types of local perforator flaps; introduces the vascularized dermal graft; describes routine suprafascial flap dissections with perforators themselves as recipient and donor vessels; lymphatics reconstituted in concert with perforator flaps; and how to minimize donor site morbidity with “kiss” flaps. The third section outlines basic anatomy and techniques for common perforator flaps, while the fourth section provides a brief overview of suggested preferences for clinical applications, with both sections organized by body region. Key Features Fifty-nine chapters with contributions from leading worldwide experts present trailblazing opinions and how-to tutorials Sixty-five videos provide invaluable visual insights on how to successfully harvest donor sites, transfer tissue, and create a wide range of perforator flaps The latest updates including microsurgery, ICG angiography, lymphedema surgery, skin perforator flaps, and keystone flaps Algorithms and summary boxes offer quick access to essential information, while stepwise photos provide additional guidance on challenging techniques This must-have text and video resource provides reconstructive plastic surgeons with a solid foundation of vascular anatomy knowledge, techniques for particular selections, and utilization of perforator flaps for all clinical situations. This book includes complimentary access to a digital copy on https://medone.thieme.com. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Table of Contents:
Section I Fundamentals 1 History of Perforator Flap Surgery 2 Vascular Territories of the Integument 3 Perforator Flaps: Overview, Definitions, Classifications, and Nomenclature 4 Instructional Models for Learning Dissection Techniques for Perforator Flaps 5 How to Find the Perforator: Preoperative and Intraoperative 6 How to Dissect a Perforator Vessel and Avoid Complications Section II Variations in Perforator Flap Design 7 Local Perforator Flaps 8 Various Planes for Perforator Flap Elevatoin and the Concept of Perforator-to-Perforator Flaps 9 Perforator Flaps and Lymphatics 10 Pure Skin Perforator Flap 11 Kiss and Sequential Flaps for Perforator Flap Donor Site Primary Closure and Management Section III Regional Flaps: Anatomy and Technique Head and Neck 12 Vascular Anatomy of the Integument of the Head and Neck 13 Temporoparietal Artery Perforator Flap 14 Facial Artery Perforator Flap 15 Facial Artery Musculomucosal Flap 16 Submental Artery Perforator Flap 17 The Ascending Helical Rim Flap 18 Supraclavicular Perforator Flap 19 Supratrochlear Artery and Supraorbital Artery Perforator Flaps 20 Chimeric Flaps for the Head and Neck Upper Extremity 21 Vascular Supply of the Integument of the Upper Extremity 22 Lateral Arm Perforator Flap 23 Posterior Interosseous Artery Perforator Flap 24 Ulnar Artery Perforator Flap 25 Radial Artery Perforator Flap 26 Perforator Flaps of the Hand Trunk 27 Anatomy of the Integument of the Trunk 28 Thoracoacromial Artery Perforator Flap 29 Internal Mammary Artery Perforator Flap 30 Superior Epigastric Artery Perforator Flap 31 Deep Inferior Epigastric Artery Perforator Flap 32 Superficial Inferior Epigastric Artery Flap 33 Deep Circumflex Iliac Artery Perforator Flap 34 Superficial Circumflex Iliac Artery Perforator Flap 35 Circumflex Scapular Artery Perforator Flap 36 Dorsal Scapular Artery Perforator Flap 37 Thoracodorsal Artery Perforator Flap 38 Intercostal Artery Perforator Flaps 39 Lumbar Artery Perforator Flaps 40 Gluteal Artery Perforator Flaps Lower Extremity 41 Anatomy of the Integument of the Lower Extremity 42 The Lateral Thigh Perforator Flap 43 Lateral Circumflex Femoral Artery—Tensor Fascia Lata Perforator Flap 44 Lateral Circumflex Femoral Artery—Vastus Lateralis Perforator Flap 45 Superficial Femoral Artery Perforator Flap 46 Profunda Femoris Artery Perforator Flap 47 The Medial Femoral Condyle and Descending Genicular Artery Perforator Flap 48 Superior Lateral Genicular Artery Perforator Flap 49 The Medial Sural Artery Perforator Flap 50 Distally Based Sural Artery Flap 51 Medial Plantar Artery Perforator Flaps with Emphasis on the Medialis Pedis Flap Section VI Clinical Applications Head and Neck 52 Flap Options and Technical Considerations in Head and Neck Reconstruction Upper Extremity 53 Flap Options and Technical Considerations in the Upper Extremity Trunk 54 Flap Options and Technical Considerations in the Trunk 55 Breast Reconstruction 56 Trunk Reconstruction 57 Perforator Flaps in Pelvic Reconstruction 58 Perineogenital Reconstruction Lower Extremity 59 Flap Options and Technical Considerations in the Lower Extremity