BOOK
Lower Extremity Soft Tissue & Cutaneous Plastic Surgery E-Book
G Dock Dockery | Mary Elizabeth Crawford
(2012)
Additional Information
Book Details
Abstract
Unlike any other podiatric text available, this new textbook focuses on the treatment of skin and soft tissue problems of the foot and ankle area using techniques borrowed from facial plastic surgery, hand reconstructive surgery and general soft tissue plastic surgery fields and modified to be used on the foot and ankle areas. This textbook provides a detailed outline and description of evaluating, examining and documenting lower extremity skin and soft tissue conditions. It addresses these problems with a variety of techniques including suturing, incisional and excisional techniques, along with the appropriate reconstructive and plastic surgical procedures for each condition.
- Includes all current techniques of revisional skin surgery and basic plastic surgery
- Features an abundance of illustrations and photographs.
- Reviews topics such as Preoperative Patient Evaluation, Cutaneous Anatomy, and Surgical Principles of Lower Extremity Surgery to prepare readers for studying the surgical techniques outlined in the text.
- Covers excisional techniques and biopsy techniques as they pertain to the foot and ankle.
- Outlines and defines the use of plastic surgery techniques - V-Y and Y-V; Z-plasty and W-plasty - for conditions of the foot and ankle and lower leg. These techniques can be used in the foot and ankle region for scar contracture which is a frequent complication of lower extremity surgery.
- Includes multiple examples of appropriate techniques for correction of toenail and digital deformities.
- Presents a large number of lower extremity soft tissue masses with the appropriate techniques for surgical management.
- Outlines the specific indications and techniques for performing the advancement and rotation flaps for the lower extremity; these can be used to provide coverage for soft tissue defects.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Lower Extremity Soft Tissue and Cutaneous Plastic Surgery | iii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Contributors | vii | ||
| Foreword | ix | ||
| Preface | xi | ||
| Abbreviations | xiii | ||
| Introduction | xv | ||
| WHO IS THIS BOOK FOR? | xv | ||
| WHERE ARE THESE SURGERIES PERFORMED? | xv | ||
| PRINCIPLES OF CUTANEOUS SURGERY | xv | ||
| Chapter 1. Preoperative patient evaluation | 1 | ||
| INTRODUCTION | 1 | ||
| SECOND OPINION | 1 | ||
| INFORMED CONSENT | 1 | ||
| PATIENT EXAMINATION | 2 | ||
| PATIENT PREPARATION | 6 | ||
| PATIENT EXPECTATIONS | 6 | ||
| Further reading | 6 | ||
| Chapter 2. Cutaneous anatomy and its surgical implications | 7 | ||
| INTRODUCTION | 7 | ||
| EPIDERMIS | 7 | ||
| DERMIS | 9 | ||
| SUBCUTANEOUS LAYER | 10 | ||
| SURGICAL IMPLICATIONS | 10 | ||
| CONCLUSION | 10 | ||
| Further reading | 10 | ||
| Chapter 3. Surgical principles | 13 | ||
| INTRODUCTION | 13 | ||
| SKIN PROPERTIES | 13 | ||
| INCISION PLANNING | 14 | ||
| INCISION MAKING | 15 | ||
| Further reading | 16 | ||
| Chapter 4. Basic instruments and tissue handling | 17 | ||
| TISSUE HANDLING | 17 | ||
| THE OPERATING ROOM | 17 | ||
| SURGICAL INSTRUMENTS | 17 | ||
| Further reading | 27 | ||
| Chapter 5. Anesthesia | 29 | ||
| INTRODUCTION | 29 | ||
| LOCAL ANESTHETICS | 29 | ||
| ANESTHETIC TECHNIQUES | 30 | ||
| INTRAVENOUS SEDATION | 33 | ||
| REGIONAL NERVE BLOCK | 33 | ||
| CONCLUSION | 33 | ||
| Further reading | 33 | ||
| Chapter 6. Hemostatic techniques | 35 | ||
| INTRODUCTION | 35 | ||
| LABORATORY TESTING | 35 | ||
| HEMOSTATIC AGENTS | 36 | ||
| MECHANICAL METHODS | 36 | ||
| THERMAL METHODS | 37 | ||
| CHEMICAL METHODS | 38 | ||
| MEDICINAL LEECHES | 40 | ||
| CONCLUSION | 40 | ||
| Further reading | 40 | ||
| Chapter 7. Suture materials and techniques | 43 | ||
| INTRODUCTION | 43 | ||
| PHYSIOLOGIC FACTORS | 43 | ||
| INCISION PLACEMENT AND PLANNING | 43 | ||
| WOUND-CLOSURE MATERIALS | 44 | ||
| SKIN INCISIONS | 50 | ||
| MOBILIZATION AND RETENTION SUTURE TECHNIQUES | 51 | ||
| BASIC SUTURE TECHNIQUE | 51 | ||
| SPECIAL SUTURING TECHNIQUES | 52 | ||
| CONCLUSION | 57 | ||
| References | 59 | ||
| Further reading | 59 | ||
| Chapter 8. Wound-healing properties | 61 | ||
| PHASES OF WOUND (INCISION OR INJURY) HEALING | 61 | ||
| COMPROMISES TO WOUND HEALING | 62 | ||
| CONCLUSION | 63 | ||
| Further reading | 63 | ||
| Chapter 9. An introduction to digital medical photography | 65 | ||
| INTRODUCTION | 65 | ||
| USES OF PHOTOGRAPHY IN PRACTICE | 65 | ||
| EQUIPMENT | 66 | ||
| SUGGESTIONS FOR DIGITAL MEDICAL PHOTOGRAPHY | 68 | ||
| THE DIGITAL DARK ROOM AND PHOTO EDITING SOFTWARE | 70 | ||
| CONCLUSION | 70 | ||
| Further reading | 70 | ||
| Chapter 10. Excisional techniques and procedures | 71 | ||
| INTRODUCTION | 71 | ||
| FUSIFORM ELLIPSE | 71 | ||
| M-PLASTY | 76 | ||
| S-INCISION (ALVARADO DOUBLE-S) | 76 | ||
| CRESCENTIC ELLIPSE (DOUBLE ELLIPTICAL EXCISION) | 78 | ||
| RECIPROCAL APPROACHES AND OTHER VARIATIONS | 78 | ||
| Further reading | 82 | ||
| Chapter 11. Biopsy techniques | 85 | ||
| INTRODUCTION | 85 | ||
| GENERAL CONSIDERATIONS | 85 | ||
| BIOPSY INDICATIONS | 85 | ||
| PATIENT PREPARATION | 86 | ||
| BIOPSY GUIDELINES | 86 | ||
| SHAVE AND SAUCERIZATION BIOPSY | 87 | ||
| SCISSOR BIOPSY | 89 | ||
| PUNCH BIOPSY | 89 | ||
| ELLIPTICAL EXCISION | 91 | ||
| INCISIONAL BIOPSY | 92 | ||
| PATHOLOGY | 94 | ||
| Further reading | 94 | ||
| Chapter 12. Flap classification and survival factors | 97 | ||
| INTRODUCTION | 97 | ||
| FLAP CLASSIFICATION | 97 | ||
| VASCULAR ANATOMY OF THE FLAP | 98 | ||
| ANGIOSOMES | 99 | ||
| FLAP DESIGN | 101 | ||
| FLAP FAILURE AND SURVIVAL FACTORS | 102 | ||
| CONCLUSION | 102 | ||
| Further reading | 103 | ||
| Chapter 13. V–Y and Y–V plasty | 105 | ||
| V–Y PLASTY | 105 | ||
| Y–V PLASTY | 109 | ||
| V–Y–S PLASTY | 110 | ||
| SINGLE V–Y ISLAND FLAP | 111 | ||
| EXTENDED V–Y ISLAND FLAP | 111 | ||
| DOUBLE V–Y ISLAND FLAP | 111 | ||
| OBLIQUE SIGMOID ISLAND FLAP | 113 | ||
| CONCLUSION | 113 | ||
| Further reading | 114 | ||
| Chapter 14. Z and W skin plasty | 115 | ||
| SINGLE Z SKIN PLASTY | 115 | ||
| PLANNING THE Z-PLASTY | 115 | ||
| VARIATIONS OF THE Z-SKIN PLASTY | 120 | ||
| W SKIN PLASTY | 125 | ||
| POSTOPERATIVE CARE | 126 | ||
| CONCLUSION | 127 | ||
| Further reading | 127 | ||
| Chapter 15. Advancement and rotational .aps | 129 | ||
| ADVANCEMENT FLAPS | 129 | ||
| ROTATIONAL FLAPS | 131 | ||
| CONCLUSION | 136 | ||
| Further reading | 146 | ||
| Chapter 16. Transpositional .aps | 147 | ||
| GENERAL CONCEPTS | 147 | ||
| TRANSPOSITION FLAPS | 147 | ||
| SIMPLE OR CLASSIC TRANSPOSITION FLAP | 147 | ||
| COMPLEX TRANSPOSITIONAL FLAPS | 148 | ||
| COMPARATIVE PROCEDURES | 153 | ||
| INTERPOLATION FLAPS | 153 | ||
| CONCLUSION | 154 | ||
| Further reading | 154 | ||
| Chapter 17. Skin grafts | 157 | ||
| INTRODUCTION | 157 | ||
| SKIN ANATOMY | 157 | ||
| SKIN-GRAFT PHYSIOLOGY | 159 | ||
| SKIN CONTRACTION IN SKIN GRAFTS | 160 | ||
| INDICATIONS FOR SKIN GRAFTING | 161 | ||
| DECISION LADDER FOR WOUND CLOSURE | 161 | ||
| SPLIT-THICKNESS VERSUS FULL-THICKNESS SKIN GRAFTS | 161 | ||
| GRAFT STORAGE | 168 | ||
| SKIN-GRAFT COMPLICATIONS | 168 | ||
| CONCLUSION | 170 | ||
| References | 170 | ||
| Chapter 18. Autografts, allografts and xenografts in cutaneous surgery | 173 | ||
| INTRODUCTION | 173 | ||
| SKIN AUTOGRAFT | 173 | ||
| SKIN ALLOGRAFT AND XENOGRAFT | 173 | ||
| CULTURED CELLS AND COMPOSITE GRAFTS | 175 | ||
| CONCLUSION | 176 | ||
| Further reading | 176 | ||
| Chapter 19. Soft tissue considerations in partial-foot amputations | 179 | ||
| BACKGROUND | 179 | ||
| BASIC PRINCIPLES OF SOFT TISSUE RECONSTRUCTION | 179 | ||
| CONCLUSION | 190 | ||
| References | 190 | ||
| Chapter 20. The role of microsurgical-free .aps in foot and ankle surgery* | 193 | ||
| INTRODUCTION | 193 | ||
| MICROSCOPE AND MICROINSTRUMENTATION | 193 | ||
| HISTORY OF MICROSURGERY | 195 | ||
| BASIC SCIENCE CONCEPTS | 196 | ||
| TECHNICAL FACTORS | 197 | ||
| PATIENT FACTORS | 199 | ||
| FREE FLAPS AND FREE FLAP FAILURE | 200 | ||
| CHOICES OF FLAPS | 200 | ||
| WORKING WITH THE VASCULAR, ORTHOPEDIC AND PODIATRIC SURGEONS | 203 | ||
| POSTOPERATIVE REGIMEN | 205 | ||
| REVISING FREE FLAPS | 205 | ||
| CONCLUSION | 205 | ||
| References | 206 | ||
| Chapter 21. The use of local muscle .aps in foot and ankle reconstruction* | 209 | ||
| INTRODUCTION | 209 | ||
| LOCAL MUSCLE FLAPS OF THE DISTAL ONE-THIRD OF THE LEG | 210 | ||
| ABDUCTOR DIGITI MINIMI MUSCLE | 213 | ||
| ABDUCTOR HALLUCIS BREVIS MUSCLE | 214 | ||
| FLEXOR DIGITORUM BREVIS MUSCLE | 215 | ||
| FLEXOR DIGITI MINIMI AND OPPONENS DIGITI MINIMI MUSCLE | 217 | ||
| EXTENSOR DIGITORUM BREVIS MUSCLE | 219 | ||
| CONCLUSION | 223 | ||
| References | 223 | ||
| Chapter 22. Nail and periungual reconstruction | 225 | ||
| INTRODUCTION | 225 | ||
| ANATOMY OF THE NAIL | 225 | ||
| PATHOLOGIC ANATOMY | 225 | ||
| NAIL TRAUMA | 226 | ||
| DIAGNOSIS OF NAIL AND PERIUNGUAL CONDITIONS | 227 | ||
| SURGICAL NAIL PROCEDURES | 232 | ||
| CONCLUSION | 239 | ||
| Further reading | 240 | ||
| Chapter 23. Digital procedures | 243 | ||
| INTRODUCTION | 243 | ||
| ETIOLOGY OF DIGITAL CONDITIONS | 243 | ||
| DIGITAL SKIN INCISIONS | 243 | ||
| DIGITAL LESIONS | 246 | ||
| SOFT TISSUE DIGITAL ANGULAR CORRECTION | 259 | ||
| SKIN PROCEDURES FOR FLEXIBLE TOE CORRECTION | 265 | ||
| OSSEOUS DIGITAL CORRECTION | 266 | ||
| DIGITAL SYNDACTYLIZATION | 273 | ||
| DIGITAL DESYNDACTYLIZATION | 278 | ||
| DIGITAL AMPUTATIONS | 284 | ||
| CONCLUSION | 289 | ||
| Further reading | 293 | ||
| Chapter 24. Foot and ankle benign soft tissue masses | 295 | ||
| GENERAL CONSIDERATIONS | 295 | ||
| CONCLUSION | 320 | ||
| Further reading | 320 | ||
| Chapter 25. Surgical dressings | 321 | ||
| INTRODUCTION | 321 | ||
| OCCLUSIVE DRESSINGS | 321 | ||
| TRADITIONAL DRESSINGS | 321 | ||
| CONCLUSION | 324 | ||
| Further reading | 324 | ||
| Chapter 26. Scars | 327 | ||
| INTRODUCTION | 327 | ||
| DEFINITIONS | 327 | ||
| TREATMENT | 329 | ||
| SCAR PREVENTION | 333 | ||
| CONCLUSION | 339 | ||
| Further reading | 341 | ||
| Chapter 27. Vacuum Assisted Closure® in lower extremity reconstruction | 343 | ||
| INTRODUCTION | 343 | ||
| HISTORICAL ASPECTS | 343 | ||
| MECHANISM OF ACTION | 343 | ||
| V.A.C.® SYSTEM ANATOMY | 344 | ||
| ANIMAL STUDIES AND FOUNDATION FOR V.A.C.® THERAPY | 345 | ||
| CLINICAL STUDIES | 345 | ||
| GENERAL CONSIDERATIONS | 346 | ||
| ACUTE VS CHRONIC WOUNDS | 348 | ||
| INFECTED WOUNDS | 348 | ||
| EXPOSED TENDON, FASCIA AND JOINT CAPSULE | 348 | ||
| EXPOSED BONE OR ORTHOPEDIC HARDWARE | 348 | ||
| DIABETIC WOUNDS | 351 | ||
| VENOUS STASIS ULCERATIONS | 351 | ||
| COMPARTMENT SYNDROME | 351 | ||
| SPLIT-THICKNESS SKIN GRAFTS | 351 | ||
| DEGLOVING INJURIES | 352 | ||
| COMPLETION OF THERAPY | 352 | ||
| VACUUM HOLIDAY OR THERAPEUTIC PAUSE | 353 | ||
| ADVANCED TECHNIQUES | 353 | ||
| CONTRAINDICATIONS | 354 | ||
| COMPLICATIONS OF V.A.C.® THERAPY | 354 | ||
| COST EFFECTIVENESS | 355 | ||
| CONCLUSION | 355 | ||
| References | 356 | ||
| Further reading | 357 | ||
| Chapter 28. Surgical complications and their treatments | 359 | ||
| INTRODUCTION | 359 | ||
| BLEEDING COMPLICATIONS | 359 | ||
| WOUND DEHISCENCE AND NECROSIS | 361 | ||
| POSTOPERATIVE EDEMA | 363 | ||
| POSTOPERATIVE INFECTION | 365 | ||
| LIFE-THREATENING COMPLICATIONS | 367 | ||
| CONCLUSION | 367 | ||
| Further reading | 368 | ||
| Index | 369 |