Perforator Flaps

Anatomy, Technique, & Clinical Applications

Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, Peter C. Neligan, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, Peter C. Neligan

• Publisher: Thieme
• Year: 2024
• eBook ISBN: 9781684200733
• Edition: 3
• Topic: Medicine
• Subtopic: Plastic & Cosmetic Medicine

Expert guidance on the use of perforator flaps for reconstruction from leading pioneers in the field

Nearly two decades ago, the first edition of Perforator Flaps: Anatomy, Technique, & Clinical Applications was published, thereby filling a gap in the literature, and providing invaluable clinical pearls on the use of soft tissue flaps for reconstructive surgery. Since the publication of the second edition, technological advances including MRI angiography, standard color duplex ultrasound, ultra-high frequency ultrasound, and indocyanine green enabled better understanding of select pertinent physiology and delineation of perforators anywhere in the body. Greater anatomical knowledge and the ability to map the course of individual perforators is reflected in the updated third edition by renowned global experts and editors of the prior editions, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, and Peter C. Neligan.

The primary goal of the third edition is to discuss evidenced-based perforator concepts and techniques that have been incorporated into global practice worldwide. Although condensed into a single volume, the new edition follows a similar format as prior editions, with chapters divided into four sections. The first section provides a solid foundation of knowledge with discussion of rudimentary fundamentals. The second section illustrates the use of basic types of local perforator flaps; introduces the vascularized dermal graft; describes routine suprafascial flap dissections with perforators themselves as recipient and donor vessels; lymphatics reconstituted in concert with perforator flaps; and how to minimize donor site morbidity with "kiss" flaps. The third section outlines basic anatomy and techniques for common perforator flaps, while the fourth section provides a brief overview of suggested preferences for clinical applications, with both sections organized by body region.

Key Features

• Fifty-nine chapters with contributions from leading worldwide experts present trailblazing opinions and how-to tutorials
• Sixty-one videos provide invaluable visual insights on how to successfully harvest donor sites, transfer tissue, and create a wide range of perforator flaps
• The latest updates including microsurgery, ICG angiography, lymphedema surgery, skin perforator flaps, and keystone flaps
• Algorithms and summary boxes offer quick access to essential information, while stepwise photos provide additional guidance on challenging techniques

This must-have text and video resource provides reconstructive plastic surgeons with a solid foundation of vascular anatomy knowledge, techniques for particular selections, and utilization of perforator flaps for all clinical situations.

Table of contents

• Front Cover
• Title
• Copyright
• Dedication
• CONTENTS
• FOREWORD
• PREFACE: TO THE THIRD EDITION
• PREFACE: TO THE SECOND EDITION
• PREFACE: TO THE FIRST EDITION
• ACKNOWLEDGMENTS
• CONTRIBUTORS
• 1 History of Perforator Flap Surgery
• 2 The Vascular Territories of the Integument
• 3 Perforator Flaps: Overview, Definitions, Classifications, and Nomenclature
• 4 Instructional Models for Learning Dissection Techniques for Perforator Flaps
• 5 How to Find the Perforator: Preoperative and Intraoperative
• 6 How to Dissect a Perforator Vessel and Avoid Complications
• 7 Local Perforator Flaps
• 8 Various Planes for Perforator Flap Elevation and the Concept of Perforator-to-Perforator Flaps
• 9 Perforator Flaps and Lymphatics
• 10 Pure Skin Perforator Flap
• 11 Kiss and Sequential Flaps for Perforator Flap Donor Site Primary Closure and Management
• 12 Vascular Anatomy of he Integument of the Head and Neck
• 13 Temporoparietal Artery Perforator Flap
• 14 Facial Artery Perforator Flap
• 15 Facial Artery Musculomucosal Flap
• 16 Submental Artery Perforator Flap
• 17 The Ascending Helical Rim Flap
• 18 Supraclavicular Perforator Flap
• 19 Supratrochlear Artery and Supraorbital Artery Perforator Flaps
• 20 Chimeric Flaps for the Head and Neck
• 21 Vascular Supply of the Integument of the Upper Extremity
• 22 Lateral Arm Perforator Flap
• 23 Posterior Interosseous Artery Perforator Flap
• 24 Ulnar Artery Perforator Flap
• 25 Radial Artery Perforator Flap
• 26 Perforator Flaps of the Hand
• 27 Anatomy of the Integument of the Trunk
• 28 Thoracoacromial Artery Perforator Flap
• 29 Internal Mammary Artery Perforator Flap
• 30 Superior Epigastric Artery Perforator Flap
• 31 Deep Inferior Epigastric Artery Perforator Flap
• 32 Superficial Inferior Epigastric Artery Flap
• 33 Deep Circumflex Iliac Artery Perforator Flap
• 34 Superficial Circumflex Iliac Artery Perforator Flap
• 35 Circumflex Scapular Artery Perforator Flap
• 36 Dorsal Scapular Artery Perforator Flap
• 37 Thoracodorsal Artery Perforator Flap
• 38 Intercostal Artery Perforator Flaps
• 39 Lumbar Artery Perforator Flaps
• 40 Gluteal Artery Perforator Flaps
• 41 Anatomy of the Integument of the Lower Extremity
• 42 The Lateral Thigh Perforator Flap
• 43 Lateral Circumflex Femoral Artery—Tensor Fascia Lata Perforator Flap
• 44 Lateral Circumflex Femoral Artery–Vastus Lateralis Perforator Flap
• 45 Superficial Femoral Artery Perforator Flap
• 46 Profunda Femoris Artery Perforator Flap
• 47 The Medial Femoral Condyle and Descending Genicular Artery Perforator Flap
• 48 Superior Lateral Genicular Artery Perforator Flap
• 49 The Medial Sural Artery Perforator Flap
• 50 Distally Based Sural Artery Flap
• 51 Medial Plantar Artery Perforator Flaps with Emphasis on the Medialis Pedis Flap
• 52 Flap Options and Technical Considerations in Head and Neck Reconstruction
• 53 Flap Options and Technical Considerations in the Upper Extremity
• 54 Flap Options and Technical Considerations in the Trunk
• 55 Breast Reconstruction
• 56 Trunk Reconstruction
• 57 Perforator Flaps in Pelvic Reconstruction
• 58 Perineogenital Reconstruction
• 59 Flap Options and Technical Considerations in the Lower Extremity
• Additional MedOne Access Information