Microvascular Reconstructive Surgery

Text in English. 359 pp. Former owners name on the front free endpaper. Edge wear. One of the most challenging areas in reconstructive surgery to emerge in the last decade has been microneurovascular surgery. The experimental work described and fully illustrated in this book provides a sound technical basis for the application of these surgical techniques. It also contains detailed information on the precise instrumentation required and an explanation of the pathophysiology of microvascular occlusion. These techniques whilst they have originated in the field of reconstructive surgery, will become increasingly important in all branches of surgery. The techniques of repair and grafting of small arteries and veins of approximately 1mm in diameter are described, incorporating a detailed study of the histopathology of these procedures. The important area of the organisation of a microsurgery unit at both laboratory and clinical levels with maximum community service is stressed. An up-to-date series of chapters on clinical microvascular surgery forms the main section of the book. These include a wide coverage of digital and major replantation surgery. The indications, techniques, postoperative management and early and long term results are discussed. Composite tissue transfers involving microvascular free flaps and omental transfers with their wide range of application are dealt with, as is the single stage double toe transfer for severely disabled hands. Chapters on microneural repairs and grafts add further to the book, with a final chapter on the microsurgery of miscellaneous structures and small organs including the fallopian tube, vas deferens, colonic and jejunal transfer, undescended testes, experimental renal transplants and penile replantation.…