Core Techniques in Flap Reconstructive Microsurgery

A step-by-step clinical guide to modern reconstructive options in free flap surgery, practical and operative

Many chapters include supplemental video content to aid in comprehension

Easy-to-read content, supported by over 600 images and clinical illustrations

About this book

This book provides a practical, step-by-step guidance on modern workhorse flaps for plastic and reconstructive surgeons in training or in their early career. The 50 chapters cover everything from surgical fundamentals to preconditions of microsurgical techniques, but also covers pre-operative planning, steps of microsurgical dissection and management of complications in a straightforward, explanatory style, and are supplemented by over 600 clinical illustrations and cadaveric images. Further videos demonstrations with pertinent steps in flap dissection, anatomical nomenclature and long-term outcomes are also demonstrated.

For each flap a detailed discussion of key papers concerning its origin, pitfalls, technical refinements and tips for success are also included. Thanks to specific notes on common reconstructive challenges and complications, this book offers a valuable reference tool and would be unquestionably an integral reference guide for every surgeon interested in reconstructive microsurgical techniques, especially during their early microsurgical career.

Table of contents (51 chapters)

Front Matter

Pages i-xvii

Introduction to Reconstructive Microsurgery

Microsurgery Essentials: Preconditions, Instrumentation, and Setup

Alberto Ballestín, Sandra Shurey

Pages 3-9

Basic and Advanced Microvascular Anastomotic Techniques

Alberto Ballestín, Yelena Akelina

Pages 11-18

Decision-Making in Flap Surgery: Reconstructive Ladder Versus Elevator

Mohammed Farid, Thessa Friebel, Dariush Nikkhah

Pages 19-24

Assessment of Flap Perfusion: Microvascular Flowmetry

Joshua Luck

Pages 25-37

Re-exploration, Complications and Flap Salvage

Paul Caine, Johann A. Jeevaratnam, Adam Misky, Dariush Nikkhah

Pages 39-46

The Use of Ultrasound Technology in Planning Perforator Flaps and Lymphatic Surgery

Giuseppe Visconti, Alessandro Bianchi, Akitatsu Hayashi, Marzia Salgarello

Pages 47-53

Novel Microscopic Technologies in Reconstructive Microsurgery/Microvascular Surgery

Michalis Hadjiandreou, Georgios Pafitanis

Pages 55-75

Robotic Microvascular and Free Flap Surgery: Overview of Current Robotic Applications and Introduction of a Dedicated Robot for Microsurgery

Joost A. G. N. Wolfs, Rutger M. Schols, Tom J. M. van Mulken

Pages 77-86

Technical Tips in Microvascular Surgery

Marios Nicolaides, Georgios Pafitanis

Pages 87-95

Core Flaps

Temporal Artery Flaps

Oliver J. Smith, Greg O’Toole, Walid Sabbagh

Pages 99-103

Supraorbital and Supratrochlear Artery Flaps - Forehead Flap and Modifications

Daniel B. Saleh, Alex Dearden

Pages 105-116

Cervicofacial Flap

Luke Geoghegan, Dariush Nikkhah, Tiew Chong Teo

Pages 117-122

Bowel Flaps - Jejunum Flap

Georgios Pafitanis, Shin-Heng Chen, Hung-Chi Chen

Pages 123-132

Thoracodorsal Artery Flap: Latissimus Dorsi Flap

Mohammed Farid, Dariush Nikkhah, Jeremy Rawlins

Pages 133-151

Thoracodorsal Artery Perforator Flap

Youn Hwan Kim, Lan Sook Chang

Pages 153-164

The Scapular Axis Flaps: An Expendable Direct Cutaneous Perforator with Many Options

Daniel Saleh, John Henton

Pages 165-170

Thoracoacromial Artery Flap: Pectoralis Major Muscle Flap

Jonathan A. Dunne, Ian C. C. King, Dariush Nikkhah, Jeremy Rawlins

Pages 171-179

Transverse Cervical Artery Flap - Supraclavicular Flap

Pedro Ciudad, Juste Kaciulyte, Georgios Pafitanis, Hung-Chi Chen

Pages 181-187

Inferior Epigastric Artery Flap: Deep Inferior Epigastric Artery Perforator Flap

Alexandra O’Neill, Dariush Nikkhah, Ahmed M. Yassin, Bernard Luczak

Pages 189-204

Inferior and Superior Epigastric Artery Flaps: The Rectus Abdominis Muscle Flap

Matthew Wordsworth, Dariush Nikkhah, Alex Woollard, Norbert Kang

Pages 205-211

Superficial Inferior Epigastric Artery and Superficial Circumflex Iliac Artery Perforator Combined Flaps

Hidehiko Yoshimatsu, Yuma Fuse, Ryo Karakawa, Akitatsu Hayashi

Pages 213-218

Superior Gluteal Artery Perforator Flap

Mohammed Farid, Mohamed Shibu

Pages 219-225

Inferior Gluteal Artery Perforator Flap

Maleeha Mughal, Paul Roblin

Pages 227-230

The Lumbar Artery Perforator Flap: A True Alternative in Autologous Breast Reconstruction

Filip B. J. L. Stillaert, Phillip Blondeel, Koenraad Van Landuyt

Pages 231-242

Right Gastroepiploic Artery: Omental Flap

Vladimir Anikin, Katherine de Rome

Pages 243-248

Dorsal Metacarpal Artery Flaps

Prateush Singh, Andreas Georgiou, Julia Ruston, Dariush Nikkhah

Pages 249-257

Digital Artery Flaps: Homodigital and Heterodigital Island Flaps

Sirke Rinkoff, Julia Ruston, Dariush Nikkhah

Pages 259-269

Radial Forearm Flap

Shahriar Raj Zaman, Qadir Khan, Jeremy M. Rawlins, Allan Ponniah, Dariush Nikkhah

Pages 271-279

Posterior Interosseous Artery Flap

Douglas Copson, Dariush Nikkhah, Mark Pickford

Pages 281-288

Venous Flaps

Christopher Deutsch, Jamil Moledina

Pages 289-295

Free Thenar Flap

Dimitris Reissis, Petr Vondra, Zheng Yumao

Pages 297-304

Medial and Lateral Arm Fasciocutaneous Flaps

Katerina Kyprianou, Georgios Pafitanis, Dajiang Song, Youmao Zhen

Pages 305-312

The Groin Flap: The Workhorse Flap for Upper Limb Reconstruction

Hari Venkatramani, David Zargaran, Dariush Nikkhah, Julia Ruston, S. Raja Sabapathy

Pages 313-323

Superficial Circumflex Iliac Artery Perforator Flap: A Thin and Versatile Option for Limb and Head and Neck Reconstruction

Juan Enrique Berner, Dariush Nikkhah, Tiew Chong Teo

Pages 325-332

Lateral Circumflex Femoral Artery—Anterolateral Thigh Flap: Anterolateral Thigh Flap

Robert Miller, Dariush Nikkhah, Edmund Fitzgerald O’Connor, Jeremy Rawlins

Pages 333-341

Transverse Upper Gracilis (TUG) Flap: A Reliable Alternative for Breast Reconstruction

Juan Enrique Berner, Adam Blackburn

Pages 343-351

Medial Circumflex Femoral Artery: Gracilis Muscle Flap

Robert Miller, Dariush Nikkhah, Graeme Glass

Pages 353-364

Profunda Artery Perforator Flap

Tomoyuki Yano

Pages 365-371

Medial Femoral Condyle Flap

Anthony L. Logli, Alexander Y. Shin

Pages 373-384

Medial Sural Artery Perforator Flap

Dimitris Reissis, Dariush Nikkhah, Bernard Luczak, Georgios Orfaniotis

Pages 385-395

Peroneal Artery Flaps: The Free Fibula Flap

Amitabh Thacoor, Daniel Butler, Dariush Nikkhah, Jeremy Rawlins

Pages 397-408

Posterior Tibial and Peroneal Perforators Flaps

Ahmed M. Yassin, Muholan Kanapathy, Georgios Pafitanis

Pages 409-418

Second Toe Free Flap

Dariush Nikkhah, Juan Enrique Berner, Petr Vondra, Bran Sivakumar, Mark Pickford

Pages 419-428

Great Toe Flaps

Dariush Nikkhah, Norbert Kang

Pages 429-441

The Medial Plantar Flap

Alexander E. J. Trevatt, Miguel A. Johnson, Tiew C. Teo

Pages 443-452

Common Recipient Vessels

Chest Wall Recipient Vessels Access

Pennylouise Hever, Dariush Nikkhah, Alexandra Molina, Martin Jones

Pages 455-463

Head and Neck Recipient Vessels Access

Alexandra O’Neill, Juan Enrique Berner, Georgios Pafitanis

Pages 465-471

Upper Limb Recipient Vessels Access

Zhi Yang Ng, Calum Honeyman, Amir Sadr, Dariush Nikkhah

Pages 473-480

Lower Limb Recipient Vessels Access

Yezen Sheena, Georgios Pafitanis, Dariush Nikkhah, Edmund Fitzgerald O’Connor, Jeremy Rawlins

Pages 481-488

Lymphatic Supermicrosurgery

Takumi Yamamoto, Nana Yamamoto

Pages 489-496

Appendix

Cadaveric Anatomy: Microvascular Flaps Dissection

Georgios Pafitanis, Dajiang Song, Youmao Zheng

Pages 499-508