Atlas of Microvascular Surgery

This new second edition of the best-selling Atlas of Microvascular Surgery is updated with the latest information on
harvesting, fabricating, and dissecting vessels in all areas of the body. It features coverage of 45 donor sites with
thorough review of anatomy and potential anatomic variations; step-by-step instructions for 110 techniques for flap
harvesting and fabrication, including many of the perforator flap harvesting details; and descriptions for 39
procedures for exposure to recipient site vessels.

Highlights of the second edition:

More than 650 color illustrations, including 115 new drawings, provide a visual guide to anatomy and possible
variations

Clear descriptions of 110 different flap-harvesting techniques, from planning and designing to harvesting surgical free
flaps

Discussion of perforator flaps based on the deep inferior epigastric artery, superior and inferior gluteal arteries,
thoracodorsal artery, and lateral circumflex femoral artery

Insightful review of the clinical indications for, as well as the advantages and disadvantages of, using specific donor
sites helps the surgeon to approach each dissection with confidence

Easy-to-reference organization according to upper extremity, lower extremity, trunk, and head and neck

All plastic and reconstructive surgeons, orthopaedic surgeons, hand surgeons, neurosurgeons, and residents in these
specialties will benefit from the wealth of information in this landmark book.


Contents

Introduction
Definitions
Exposures of Recipient Vessels
Microsurgical Anatomy and its Variations
Donor Sites
Flap Design
Harvesting Techniques
Comment and Insights

Part 1 Upper Extremity

Chapter 1 Shoulder, Arm, and Axilla
Deltoid Flap
Medial Arm Flap
Lateral Arm Flap
Posterior Arm Flap
Recipient Site Exposure
Bibliograghy

Chapter 2 Forearm Region
Forearm Flaps
Radial Forearm Flap
Radial Forearm Flap for Penile Reconstruction
Reversed Radial Forearm Island Flap
Radial Forearm Osteocutaneous Flap
Radial Forearm Tendinocutaneous Flap
Hybrid Radial Forearm Flap
Ulnar Forearm Flap
Interosseous Forearm Flap
Posterior Interosseous Flap (Posterior Forearm Flap)
Reversed Posterior Interosseous Flap
Reverse Posterior Interosseous Osteocutaneous Flap
Anterior Interosseous Flap (Dorsal Wrist Flap)
Recipient Site Exposure
Bibliograghy

Chapter 3 Hand and Wrist
Anatomy of the Radial Artery- Deep Palmar Arch System
Anatomy of the Ulnar Artery-Superficial Palmar Arch System
Recipient Site Exposure
Bibliograghy

Part 2 Lower Extremity

Chapter 4 Gluteal Region
Gluteus Maximus Flap
Superior Gluteus Myocutaneous Flap
Gluteal Thigh Flap (based on inferior glutea vessels)
Vascularized Iliac Bone Graft (based on deep branch of superior
glutea vessels)
Superior Gluteal Artery Perforator (S-GAP) Flap
Inferior Gluteal Artery Perforator Flap (I-GAP Flap
Recipient Site Exposure
Bibliograghy

Chapter 5 GROIN REGION
Groin Flaps
Superficial Circumflex Iliac (SCIA) Flap (or Illiofemoral Flap)
Iliac Flap
Osteocutaneous Groin Flap (based on the SCIA)
Composite Groin Flap with “Tendon” Transfer
Superficial Inferior Epigastric (SIEA) Flap (or Lower Abdominal Flap)
FourthLumbar Artery Iliac Flap
Vascularized Iliac Bone Graft
Vascularized Iliac Bone Graft (based on the deep circumflex iliac
artery)
Iliac Osteocutaneous Flap (based on the deep circumflex iliac artery)
Internal Oblique Flap
Bibliograghy

Chapter 6 Thigh Region
Gracilis Flap
Gracilis Muscle Flap
Gracilis Myocutaneous Flap
Tensor Fasciae Latae Flap
Tensor Fasciae Latae Myocutaneous Flap
Tensor Fasciae Latae Osteomyocutaneous Flap
Rectus Femoris Flap
Rectus Femoris Muscle Flap
Rectus Femoris Myocutaneous Flap
Medial Thigh Flap
Lateral Thigh Flap
Anteromedial Thigh Flap
Anterolateral Thigh (ALT) Flap
Anterolateral Lateral Thigh Fasciocutaneous Flap
ALT Septofasciocutaneous Flap
ALT Perforator Fasciocutaneous Flap
ALT Cutaneous Flap
Vastus Lateralis Myocutaneous Flap
Composite ALT Flap with “Tendon” Transfer
Chimeric ALT Flap
“Flow-Through” ALT Flap
Sensate ALT Flap
Recipient Site Exposures
Bibliography

Chapter 7 Lower Leg & Knee
Fibula and Adjacent Tissue Transfer
Vascularized Fibula Bone Graft
Peroneal Flap (Lateral Leg Skin Flap)
Fibular Osteocutaneous Flap
Fibular Osteomuscular Transfer (with the Soleus Muscle)
Gastrocnemius Flap
Medial Gastrocnemius Muscle Flap
Lateral Gastrocnemius Muscle Flap
Saphenous Flap
Anterior Tibial Flap
Reverse Anterior Tibial Island Flap
Medial Leg Flap
Posterior Leg Flap
Recipient Site Exposures
Bibliography

Chapter 8 Ankle And Foot
Dorsalis Pedis Flap
Dorsalis Pedis Skin Flap
Dorsalis Pedis Osteocutaneous Flap with Second Metatarsal
Dorsalis Pedis Tendinocutaneous Flap with Extensor Tendons
Extensor Digitorum Brevis Muscle Flap
Medial Plantar Flap
Free Toe and Toe Tissue Transfers
Free Big Toe Transfer
Free Second Toe Transfer
First Web Space Skin Flap
Wrap-Around Flap
Modified Wrap-Around Flap
Free Pulp Flap
Vascularized Joint Transfer
Free Metatarsophalangeal Joint Transfer of the Second Toe
Second and Third Toe Transfer En Bloc
Recipient Site Exposures
Bibliography

Part 3 Trunk

Chapter 9 Thorax
Pectoralis Major Flap
Pectoralis Major Muscle Flap
Pectoralis Major Myocutaneous Flap
Pectoralis Major Osteomyocutaneous Flap
Clavicular Segment of the Pectoralis Major Muscle Flap
Pectoralis Minor Muscle Flap
Serratus Anterior Flap
Serratus Anterior Muscle Flap
Serratus Anterior Myocutaneous Flap
Composite Serratus-Latissimus Muscle Flap
Serratus Anterior Costo-Osteomuscular Flap
Revascularized Costal Bone Graft and Intercostal Flap
Vascularized Rib Graft (Based on the Posterior Intercostal Artery)
Lateral Intercostal Skin Flap
Posterior Costal Osteocutaneous Flap
Vascularized Rib Graft (Based on the Anterior Intercostal Artery)
Anterior Costal Osteocutaneous Flap
Lateral Thoracic Flap (Axillary Flap)
Bibliography

Chapter 10 Abdominal Wall And Cavity
Rectus Abdominis Flap
Rectus Abdominis Muscle Flap (Based on DIEA)
Rectus Abdominis Myocutaneous Flap (Based on DIEA)
Lower Transverse Rectus Abdominis Myocutaneous Flap (Lower TRAM Flap)
Modified Lower Tram Flap
Thoracoumbilical Flap
Deep Inferior Epigastric Perforator (DIEP) Flap
Modified DIEP Flap
Greater Omentum Transfer
Free Omentum Transfer
Extending Greater Omentum
Composite Flap of Stomach and Omentum
Free Jejunum Transfer
Recipient Site Exposures
Bibliography

Chapter 11 Back
Latissimus Dorsi Flap
Latissimus Dorsi Muscle Flap
Latissimus Dorsi Myocutaneous Flap
Bilobed Split Latissimus Dorsi Flap
Lateral Split Latissimus Dorsi Flap
Rib-Latissimus Dorsi Osteomyocutaneous Flap
Scapular Bone-Latissimus Dorsi Osteomuscular Flap
Thoracodorsal Artery Perforator (TAP) Flap
Scapular and Parascapular Flap
Scapular Flap
Parascapular Flap
Scapular Osteocutaneous Flap
Scapular and Parascapular Combined Flap
Scapular and Latissimus Dorsi Combined Flap
Bibligraphy

Part 4 HEAD AND NECK

Chapter 12 Head And Neck
Temporoparietal Flap
Temporoparietal Fascia Flap
Bilobed Temporal Fascia Flap
Temporocalvarial Osteofascial Flap Free Scalp Skin Flap
Free Scalp Skin Flap
Superf icial Cervical Flap Superficial Cervical Flap
Submental Flap
Recipient Site Exposure
Bibliograghy