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 2019년 10월 무이 
 국민카드 2018.07 
 2019년 10월 무이 
 결제프로그램 오류시 수 
비만대사수술의 요점과 맹점
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Berek and Hacker's Gynecologic Oncology,6/e
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REI-Reproductive, Endocrinology and Infertility: Operative Techniques in Gynecologic Surgery
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최신산부인과초음파진단-2판
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저자: 서울대학교의과대학산부인과학..
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저자: 김도균(역)
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판매가: 11,250
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요역동학검사,3판(Urodynamics.Uds)
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저자: Pfeifer
    Facial Reconstruction After Mohs Surgery-1판
Facial Reconstruction Aft
       판매가 : 250,000237,500
       적립금 : 4,750
       저   자 : Thornton
       출판사 : Thieme
    ISBN(13) : 9781626237346
       발행일 : 2018-01-25  /   1 판   /   228 페이지
       상품코드 : 26496
       수 량 :
       특이사항 :



The growing worldwide incidence of melanoma and nonmelanoma skin cancers has driven the development of
effective treatment methodologies. Mohs is the gold standard surgical treatment for excision of skin cancers on the
head and neck. While Mohs surgery has a 99% effectiveness rate for new cancers and 95% for recurrences, more
than 90% of reconstructed patients desire some improvement in their operative scars.

Facial Reconstruction after Mohs Surgery by James Thornton and Jourdan Carboy summarizes 15 years and 12,000
cases in a surgical practice devoted to post-Mohs facial reconstruction. Step-by-step guidance is provided on
efficacious, aesthetically pleasing, and functionally complete repairs, respective of a patient's age, anesthesia
considerations, and available resources. In addition to succinct chapters on lip, ear, cheek, scalp, and nasal
reconstruction, subspecialty chapters cover anesthesia, Mohs surgery, oculoplastic surgery, and microvascular
reconstruction. Throughout the text, complete and concise clinical algorithms serve as a framework to help simplify
difficult clinical concepts.

Key Highlights
 · General techniques including wound care, skin and cartilage grafts; and local and pedicled flaps

 · The management of intraoperative, acute, and late healing stage complications; scar optimization and revision
  surgeries

 · Additional procedural guidance provided in 20 high quality video clips posted in the Thieme MediaCenter

 · Nearly 500 full-color photos and precise drawings add a rich visual dimension and show stepwise operative
  sequences

This book is a comprehensive resource on tried and true techniques for soft tissue reconstruction after Mohs cancer
resection. It is essential reading for plastic surgery, facial plastic surgery and dermatology residents and clinicians
with practices devoted to facial plastic surgery.




Part 1 : Introduction

1. Special Considerations for Mohs Patients
 1.1 General Principles
 1.2 Conduct of the Operation

2. Anesthesia for Reconstruction of Facial Mohs Defects
 2.1 Gneral Principles
 2.2 Types of Anesthesia
  2.2.1 Monitored Anesthesia Care
  2.2.2 General Anesthesia
 2.3 Recovery
  2.3.1 Obstructive Sleep Apnea
  2.3.2 Malignant Hyperthermia
 2.4 Operating Room Fires
 2.5 Postoperative Cognitive Dysfunction
 2.6 A Note on Office-Based Anesthesia

3. Mohs Micrographic Surgery
 3.1 Introduction
 3.2 History
 3.3 Preperative Considerations
 3.4 Description of Technique
 3.5 Postoperative Considerations
 3.6 Complications
  3.6.1 Nonmelanoma Skin Cancers
  3.6.2 Basal Cell Carcinoma
  3.6.3 Squamous Cell Carcinoma
  3.6.4 Melanoma
  3.6.5 Other Tumors
 3.7 Conclusion

4. Cellular and Tissue-Based Wound Care
 4.1 Algorithm
  4.1.1 General Considerations
 4.2 Integra
 4.3 Cellular and Tissue-Based Products

5. Full-Thickness Skin Grafts
 5.1 Algorithm
  5.1.1 Gneral Considerations
 5.2 Selection of Donor Site
 5.3 Graft Elevation and Inset
  5.3.1 Bolstering the Graft
  5.3.2 Postoperative Care

6. Split-Thickness Skin Grafting
 6.1 General Considerations
 6.2 Donor-Site Selection
 6.3 Harvest Technique
 6.4 Graft Inset

7. Cartilage Grafts
 7.1 General Considerations
 7.2 Donor-Site Selection
  7.2.1 Conchal Bowl Donor Site
  7.2.2 Rib Cartilage Donor Site
  7.2.3 Septal Cartilage Donor Site
  7.2.4 Banked Frozen Allograft Cartilage

8. Pedicled Flaps
 8.1 General Considerations
  8.1.1 Nasolabial Flap
  8.1.2 Paramidline Forehead Flap
 8.2 Postoperative Care

9. Local Flaps
 9.1 General Considerations
 9.2 Linear Closure
 9.3 Rotation Flaps
 9.4 Advancement Flaps
 9.5 Transposition Flaps
 9.6 Bilobed Flap
 9.7 Dorsal Nasal Flap
 9.8 Melolabial Flap
 9.9 Note Flap


Part 2 : Techniques for Specific Anatomic Location

10. Scalp Reconstruction
 10.1 Algorithm For Closure
  10.1.1 General Considerations
 10.2 Commonly Applied Methods of Closure
  10.2.1 Bone Exposure and Calvarial Defects
  10.2.2 Direct Closure
 10.3 Postoperative Management

11. Forehead Reconstruction
 11.1 Algorithm for Closure
  11.1.1 General Considerations
 11.2 Commonly Applied Methods of Closure
  11.2.1 Delayed Healing/Acellular Adjuncts
  11.2.2 Direct Closure
  11.2.3 Defects Involving the Eyebrow
 11.3 Postoperative Management

12. Introduction to Nose and Simple Nasal Defects
 12.1 General Principles of Nasal Reconstruction
  12.1.1 Regional Considerations: Upper Two-Thirds versus Lower One-Third of the Nose
 12.2 General Techniques for Closure of Simple Nasal Defects
  12.2.1 Secondary Healing
  12.2.2 Full-Thickness Skin Grafting
  12.2.3 Primary Closure and Local Flaps for Simple Defects
 12.3 Seven Local Flap Options
  12.3.1 Primary Closure
  12.3.2 Note Flap
  12.3.3 Bilobed Flap
  12.3.4 Dorsal Nasal Flap
  12.3.5 V-Y Advancement Flap
  12.3.6 Melolabial Flap
  12.3.7 Postoperative Management

13. Complex Nasal Defects
 13.1 General Principles in Complex Nasal Defects and Reconstruction
  13.1.1 Nasolabial Flaps
  13.1.2 Forehead Flaps
 13.2 Special Considerations: Three-Stage Forehead Flap
  13.2.1 Special Considerations: Lining and Cartilage Support
  13.2.2 Postoperative Management
 13.3 Free Tissue Transfer
  13.3.1 Potential Approaches
  13.3.2 Technique
 13.4 Problems and Complications

14. Nasal Reconstruction Based on Subunits
 14.1 Algorithm for Closure
  14.1.1 Sidewall

15. Eyelid Reconstruction
 15.1 Anatomical Considerations
 15.2 Algorithm for Closure
 15.3 Defects Involving the Canthus
  15.3.1 Medical Canthal Defects
  15.3.2 Lateral Canthal Defects
 15.4 Defects Not Involving the Canthus
  15.4.1 Upper and Lower Eyelid: Partial-Thickness Defects
  15.4.2 Upper and Lower Eyelid: Full-Thickness Defects

16. Cheek Reconstruction
 16.1 Algorithm for Closure
  16.1.1 General Considerations
  16.1.2 Commonly Applied Methods of Closure
 16.2 Primary Closure
 16.3 V-Y Advancement Flap
 16.4 Perialar Crescentic Advancement Flap
 16.5 Cervicofacial Advancement Flap
 16.6 Full-Thickness Skin Grafts
 16.7 Postoperative Management

17. Chin Reconstruction
 17.1 Algorithm for Closure
 17.2 Commonly Applied Methods of Closure
  17.2.1 Primary Closure
  17.2.2 Bilobed Flaps
 17.3 V-Y Advancemnet Flap
 17.4 Full-Thickness Skin Grafts
 17.5 Postoperative Managemnet

18. Lip Reconstruction
 18.1 Algorithm for Closure
  18.1.1 Anatomy
 18.2 Commonly Applied Methods of Closure
  18.2.1 Mucosal-Only Defects
 18.3 Skin-Only Defects
  18.3.1 Direct Closure
 18.4 Combined Skin and Mucosal Defects
  18.4.1 Direct Closure with or without Wedge Resection
  18.4.2 Central Defects of the Upper Lip: Abbe and Rotation Flaps
  18.4.3 Lateral Commissure Defects: Advancement Closure
  18.4.4 Large Defects of the Upper or Lower Lip: Karapandzic Flap
  18.4.5 Upper and Lower Lip Mismatch: AlloDerm Placement
 18.5 Postoperative Management

19. Ear Reconstruction
 19.1 Algorithm for Ear Reconstruction
  19.1.1 Anatomical Considerations
 19.2 Commonly Applied Methods of Closure
  19.2.1 Secondary Closure
  19.2.2 Full-Thickness Skin Grafting
  19.2.3 Local Flap Wedge or Local Flap Closure
  19.2.4 Folded Postauricular Two-Stage Ear Flap Reconstruction (Dieffenbach Flap)
  19.2.5 Postoperative Care
 19.3 Total Ear Reconstruction
  19.3.1 Medpor Technique
  19.3.2 General Operative Setup
  19.3.3 Procedure Details
  19.3.4 Dressings


Part 3 : Managemnet of Complications and Revisions

20. Intraoperative Complications and Initial Management
 20.1 General Principles
  20.1.1 A Note on Patient Consent
 20.2 Intraoperative Complications
  20.2.1 Fire
  20.2.2 Bronchospasm
  20.2.3 Perioperative Anaphylaxis
  20.2.4 Corneal Injuries
  20.2.5 Nerve Injury

21. Management of Complications in the Acute Healing Stage
 21.1 General Principles
  21.1.1 Hematoma
  21.1.2 Infection
  21.1.3 Dermatitis
  21.1.4 Chondritis
  21.1.5 Flap Failure

22. Management of Complications in the Late Healing Stage
 22.1 General Cosiderations
  22.1.1 Hypo-and Hyperpigmentation
  22.1.2 Contour Abnormalities
  22.1.3 Cancer Recurrence

23. Skin Graft Revisions
 23.1. General Principles
  23.1.1 Initial Postoperative Visit
  23.1.2 Unacceptable Color Match or Scar Contour
  23.1.3 Dermabrasion

24. Local Flap Revisions
 24.1 Complications and Their Management
  24.1.1 Noninvasive Management
  24.1.2 Revision Surgery
  24.1.3 Z-Plasty

25. Pedicled Flap Revisions
 25.1 Introduction
 25.2 General Principles
  25.2.1 Early Healing Stage
  25.2.2 Contour Abnormalities and Late Healing Stage Revisions
  25.2.3 Autologous Fat Grafting
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