Perforator Flaps: Anatomy Technique and Clinical Applications 2e (4 DVDs)

This is currently the only textbook on perforator flaps available. The first edition was a bestseller that sold out of
its initial printing. The second edition of this book includes perforator anatomy, a description of currently used
perforator flaps as well as clinical indications for the use of these flaps. The book has been updated to include all
of the new information that has accrued since the last edition was published. It includes 10 new chapters as well as
extensive updates on existing chapters.

The new edition has been in demand because of all of the new developments in the field. The editors are all leading
reconstructive surgeons and pioneers in the field of perforator flap surgery. They have assembled a group of world
renowned experts to contribute chapters. This new edition will have even more appeal than the first because local
perforator flaps are more and more superseding the use of free flaps now for any area of the body. This includes the
free-style propeller flaps, and the distal-based sural flap which has universally been used for the lower extremity
especially when microsurgical skills are unavailable. Therefore, this new edition is a must-have for the practicing
reconstructive surgeon to keep up to date on what presently is the "in" topic in plastic surgery. Basic techniques for
flap harvest are well outlined, and supplemented with DVDs to show actual operating experiences, to further enhance
gaining appropriate knowledge on how to use these flaps. It covers the most basic to the most advanced.

Key Features
•The definitive and only major work devoted to perforator flap surgery
•Edited and written by the world뭩 leaders in this field
•Bestseller that has been totally revised in this second edition
•Because local perforator flaps are more and more superseding the use of free flaps for any area of the body, this book
is essential reading for the practicing reconstructive surgeon to keep up to date on what presently is the "in" topic
in plastic surgery
•Includes new chapters on hot topics: Propeller Flaps of the Lower Extremity, Use of CTA and MRI to Safely Perform
Microdissection of a Perforator Flap, and Perforator Flap Technique for Lymphatic Transplantation
Published 2012. Hardcover, 1,486 pages and Approx. 2,000 illustrations. 2 Volumes with 4 DVDs featuring 23 videos
demonstrating step-by-step surgical technique

Table of Contents
C ON T E N T S
xxv
Foreword xiii
Preface to the Second Edition xv
Preface to the First Edition xvii
VOLUME I
Part I Fundamentals
 History of Perforator Flap Surgery 3
Steven F. Morris, Alejandro Maciel-Miranda, Geoffrey G. Hallock
2 Vascular Territories of the Integument 25
Steven F. Morris, G. Ian Taylor
3 Perforator Flaps: Overview, Classication, and Nomenclature 53
Peter C. Neligan, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock
4 Anatomic Techniques 77
Maolin Tang, Daping Yang, Christopher R. Geddes, Steven F. Morris
5 Instructional Models for Dissection Techniques of Perforator Flaps 97
Shuji Kayano, Geoffrey G. Hallock, David C. Rice, Masahiro Nakagawa
6 Preoperative Planning 09
Jaume Masia, Carmen Navarro Coll, Juan A. Clavero Torrent, Phillip N. Blondeel
7 Technical Aspects of Perforator Flap Dissection 37
Phillip N. Blondeel
8 Avoiding Complications 63
Phillip N. Blondeel, Peter C. Neligan
9 Perforator Flaps in Children 79
Koenraad Van Landuyt, Colin M. Morrison
xxvi Contents
Part II Regional Flaps: Anatomy and Surgical Technique
Head and Neck
10 Vascular Anatomy of the Integument of the Head and Neck 89
Daping Yang, Maolin Tang, Christopher R. Geddes, Steven F. Morris
11 Temporoparietal Artery Perforator Flap 22
Willy Boeckx
12 Facial Artery Perforator Flap 239
Stefan O.P. Hofer
13 Facial Artery Musculomucosal Flap 249
Stephen M. Warren, Julian J. Pribaz
14 Submental Artery Perforator Flap 273
Jeong Tae Kim
Upper Extremity
15 Vascular Supply of the Integument of the Upper Extremity 299
Binu Prathap Thomas, Christopher R. Geddes, Maolin Tang, Steven F. Morris
16 Lateral Arm Perforator Flap 329
Michel Saint-Cyr, Luis R. Scheker
17 Posterior Interosseous Artery Perforator Flap 353
Minoru Shibata
18 Ulnar Artery Perforator Flap 367
Daping Yang, Ammar S. Al Dhamin, Steven F. Morris
19 Radial Artery Perforator Flap 387
Daping Yang, Jenny Fei Yang, Steven F. Morris
20 Hand Flaps 409
Michel Saint-Cyr, Amit Gupta
Trunk
21 Anatomy of the Integument of the Trunk 443
Christopher R. Geddes, Maolin Tang, Daping Yang, Steven F. Morris
22 Thoracoacromial Artery Perforator Flap 469
Geoffrey G. Hallock, Steven F. Morris
Contents xxvii
23 Internal Mammary Artery Perforator Flap 477
Peter C. Neligan
24 Superior Epigastric Artery Perforator Flap 489
Tetsuji Uemura, Geoffrey G. Hallock
25 Deep Inferior Epigastric Artery Perforator Flap 499
Phillip N. Blondeel, Rossella Sgarzani, Colin M. Morrison
26 Supercial Inferior Epigastric Artery Perforator Flap 527
Milomir Ninkovic, Charlotte Holm
27 Deep Circum ex Iliac Artery Perforator Flap With Iliac Crest 54
Yoshihiro Kimata
28 Supercial Circum ex Iliac Artery Perforator Flap 55
Isao Koshima, Takumi Yamamoto, Mitsunaga Narushima, Makoto M. Mihara
29 Circum ex Scapular Artery Perforator Flap 56
Patricio Andrades, Geoffrey G. Hallock
30 Dorsal Scapular Artery Perforator Flap 579
Claudio Angrigiani, Filip B. Stillaert
31 Thoracodorsal Artery Perforator Flap 59
Koenraad Van Landuyt, Colin M. Morrison
32 Intercostal and Lumbar Artery Perforator Flaps 605
Vani Prasad, Steven F. Morris, Geoffrey G. Hallock, Phillip N. Blondeel
33 Superior Gluteal Artery Perforator Flap 635
Robert J. Allen, Sr., James L. Mayo, Robert Johnson Allen, Jr., Maria M. LoTempio
34 Inferior Gluteal Artery Perforator Flap 65
Robert J. Allen, Sr., James L. Mayo, Robert Johnson Allen, Jr., Maria M. LoTempio
VOLUME I I
Lower Extremity
35 Anatomy of the Integument of the Lower Extremity 667
Christopher R. Geddes, Maolin Tang, Daping Yang, Steven F. Morris
36 Lateral Circum ex Femoral Artery–Tensor Fascia Lata Perforator Flap 705
Naohiro Kimura
37 Lateral Circum ex Femoral Artery–Vastus Lateralis Perforator Flap 77
Samir Mardini, Karen Kim Evans, Chih-Hung Lin, Fu-Chan Wei
xxviii Contents
38 Medial Circum ex Femoral Artery Perforator Flap: The Medial Groin Flap 743
David C. Rice, Geoffrey G. Hallock
39 Anteromedial Thigh Perforator Flap 753
Joon Pio Hong
40 Profunda Femoris Artery Perforator Flap 76
Reza Ahmadzadeh, Michael J. Miller, Joan E. Lipa, Steven F. Morris
41 Adductor Perforator Flap 779
Claudio Angrigiani
42 Descending Genicular Artery Perforator Flap: Saphenous Flap 793
David W. Mathes
43 Sural Artery Perforator Flap 803
Kazufumi Sano, Geoffrey G. Hallock, David C. Rice
44 Posterior Tibial Artery Perforator Flap: The Medial Leg Flap 87
Geoffrey G. Hallock, David C. Rice
45 Peroneal Artery Perforator Flap 829
Reza Ahmadzadeh, Klaus-Dietrich Wolff, Steven F. Morris
46 Distally Based Sural Artery Flap 847
Mohammad M. Al-Qattan
47 Anterior Tibial Artery Perforator Flap 855
Isao Koshima, Narushi Sugiyama, Shigeko Ushio, Misako Fujitsu
48 Medial Plantar Artery Perforator Flaps With Emphasis on the Medialis Pedis Flap 867
Hung-Chi Chen, Anita A. Liem, Samir Mardini
Part III Clinical Applications
Head and Neck
49 Flap Options and Technical Considerations in the Head and Neck 885
Peter C. Neligan
50 Scalp Reconstruction 897
Peter C. Neligan
51 Midface Reconstruction 905
Peter C. Neligan
52 Oral Cavity Reconstruction 95
Patrick J. Gullane, Peter C. Neligan, Christine B. Novak
Contents xxix
53 Pharyngoesophageal Reconstruction 925
Patrick J. Gullane, Christine B. Novak, Peter C. Neligan
54 Propeller Flaps in Head and Neck Reconstruction 935
Musa Mateev, Peter C. Neligan
Upper Extremity
55 Flap Options and Technical Considerations in the Upper Extremity 95
Steven F. Morris, Amit Gupta, Michel Saint-Cyr
56 Shoulder and Upper Arm Reconstruction 965
Michel Saint-Cyr, Amit Gupta, Steven F. Morris
57 Elbow and Forearm Reconstruction 98
Michel Saint-Cyr, Amit Gupta, Steven F. Morris
58 Hand Reconstruction 995
S. Raja Sabapathy, Michel Saint-Cyr, Steven F. Morris
Trunk
59 Flap Options and Technical Considerations in the Trunk 029
Phillip N. Blondeel
60 Autologous Breast Reconstruction 035
Phillip N. Blondeel, Rossella Sgarzani, John B. Hijjawi
61 Chest Wall Reconstruction 083
Phillip N. Blondeel, Peter C. Neligan, Colin M. Morrison
62 Back Reconstruction 097
Frederick J. Duffy, Jr.
63 Cutaneous Coverage of the Abdominal Wall 
Geoffrey G. Hallock, Peter C. Neligan
64 Perforator Flaps in Pelvic Reconstruction 27
Peter C. Neligan, Phillip N. Blondeel
65 Perineogenital Reconstruction 4
Philippe Houtmeyers, Niri Niranjan, Stan J. Monstrey
Lower Extremity
66 Flap Options and Technical Considerations in the Lower Extremity 69
Geoffrey G. Hallock
67 Perforator Flaps for Thigh Reconstruction 77
Geoffrey G. Hallock
xxx Contents
68 Knee and Proximal Lower Leg Reconstruction 89
Geoffrey G. Hallock
69 Middle and Distal Leg Reconstruction 97
Geoffrey G. Hallock, Naohiro Kimura
70 Foot and Ankle Reconstruction 209
Geoffrey G. Hallock
71 Propeller Flaps of the Lower Extremity 223
Tiew Chong Teo
Part IV Controversies and Future Directions
72 Free-Style Free Flaps 245
Samir Mardini, Faisal M. Al-Mufarrej, Seng-Feng Jeng, Fu-Chan Wei
73 Fascial Feeders 26
Niri Niranjan, Ashish Davalbhakta
74 Microdissection and Tailoring of the Ultrathin Perforator Flap 273
Naohiro Kimura
75 How to Use CT Angiography and MR Angiography for Safe Microdissection 29
Warren M. Rozen, Mark W. Ashton
76 Denition and Nomenclature of Propeller Flaps 305
Rei Ogawa, Hiko Hyakusoku
77 Vascularized Groin Lymph Node Flap for Treatment of Lymphedema 37
Ming-Huei Cheng, Dung H. Nguyen, Jung-Ju Huang
78 The Superthin Flap: The Concept of the Subdermal Vascular Network Flap 329
Hiko Hyakusoku, Rei Ogawa
79 Supermicrosurgery and Perforator-to-Perforator Free Flaps 36
Isao Koshima, Misako Fujitsu, Narushi Sugiyama
80 Closing Thoughts 373
Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, Peter C. Neligan
Appendix Territories of Perforator Flaps by Source Vessel, With References 379
Debra A. Lutz, Geoffrey G. Hallock
Index I-
xxxi
1 The Sacred Heart−Allentown Method of Perforator Dissection
Geoffrey G. Hallock
The Pedicled Posterior Interosseous Artery Flap
Minoru Shibata
A Simple Approach for Harvesting the Quaba Flap
Michel Saint-Cyr
The Deep Superior Epigastric Artery Perforator Flap
Geoffrey G. Hallock
The Superior Epigastric Artery Perforator Flap for Chest Wall Reconstruction
Tetsuji Uemura
2 How to Perform a Deep Inferior Epigastric Artery Perforator Flap Safely
Phillip N. Blondeel
The Crossdorsal Scapular Flap
Claudio Angrigiani
The Thoracodorsal Artery Perforator Flap
Koenraad Van Landuyt
The Lumbar Artery Perforator Propeller Flap for Spine Coverage
Geoffrey G. Hallock
V I DEO C ON T E N T S
3 The Lateral Circum ex Femoral Artery Perforator Flap
Peter C. Neligan
The Lateral Circum ex Femoral Artery Perforator Flap: Suprafascial Approach
Peter C. Neligan
The Medial Groin Flap: The Medial Circum ex Femoral Artery–Gracilis Perforator Flap
Geoffrey G. Hallock
The Adductor Perforator Flap
Claudio Angrigiani
The Medial Sural Artery Perforator Pedicled and Free Flap
Geoffrey G. Hallock
Local Perforator Advancement Flap: A Backup Option When the Planned Propeller
Flap Proves Impossible
Geoffrey G. Hallock
A Simple Approach for Harvesting the Anterolateral Thigh Flap
Michel Saint-Cyr
Shaping the DIEAP Flap in Secondary Breast Reconstruction
Phillip N. Blondeel
The Free Lumbar Artery Perforator (LAP) Flap
Phillip N. Blondeel
4 Pelvic Reconstruction
Phillip N. Blondeel
The Propeller Flap for Lower Limb Reconstruction
Tiew Chong Teo
Microdissection Technique
Naohiro Kimura
The Left Vascularized Groin Lymph Node (VGLN) Flap Transfer to the Right Elbow
Ming-Huei Cheng
Supermicrosurgical Lymphaticovenular Anastomosis
Isao Koshima
Appendix to the First Edition
Debra A. Lutz, Geoffrey G. Hallock
xxxii Video Contents