Reconstructive Options Following Flap Failure
Introduction A failed free flap is a challenge for every microsurgeon no matter how experienced. When a flap is lost, the patient and family are disappointed, and disturbed over the…
Flap Re-exploration and Salvage
Introduction Achieving success in microvascular free tissue transfers requires more than the technical ability to proficiently perform microvascular anastomoses. Preoperative planning, choice of recipient vessels, intraoperative execution of dissection, elevation…
Postoperative Care
Introduction Microsurgical reconstruction with free tissue transfer has become standard practice for plastic surgeons around the world with varied uses and applications. However, perioperative management of these complex patients is…
Thinning and Tailoring
Purposes of Skin Flap Surgery The purposes of flap transfer are classified into four categories: surface coverage; volume restoration; framework creation; and functional reconstruction. Category one is surface coverage of…
Avoiding Complications
Introduction It is something of a dent to personal pride to be singled out among so many internationally distinguished contributors to write a chapter on complications in microsurgery. How did…
Functional Muscle Transfers for Various Purposes
Introduction Whereas in the past, reconstructive microsurgery mainly consisted of defect coverage by free tissue transfer, today this technique allows a continual integration of improved aesthetic appearance and functional reconstruction….
Lower Extremity Reconstruction
Introduction In this chapter we present the topic of reconstruction of soft tissue and bone defects in the lower extremity. We present the multiple indications for lower extremity reconstruction and…
Upper Extremity Reconstruction
Introduction The many specialized structures of the hand and upper extremity work in intimate synchrony to provide a harmonious interplay of precision motor biomechanics with fine tactile senses. Our hands…
