Recipient Vessels in Reconstructive Microsurgery: Anatomy and Technical Considerations

✍ Scribed by Raffi Gurunian (editor), Risal Djohan (editor)

• Publisher: Springer
• Year: 2021
• Tongue: English
• Leaves: 287
• Category: Library

✦ Synopsis

This book offers a comprehensive review of reconstructive microsurgery with an emphasis on the recipient vasculature. Chapters describe the anatomy, exposure, and technical considerations of recipient vessels in reconstructive microsurgery. The book strives to fill that void of literature covering recipient vessels and their surgical exposure for microvascular anastomosis. Alongside nuanced description for each particular body structure, the chapters will provide illustrations and short video clips on how to prepare these essential vessels. The book is the accumulation of the editors’ many years of experience in Asia, Europe, and the United States and also features contributions from world experts. Recipient Vessels in Reconstructive Microsurgery -- Anatomy and Technical Considerations is a must-have resource for trainees and residents as well as surgeons working in plastic surgery and microsurgery.

✦ Table of Contents

Preface
Contents
Contributors
Part I: Introduction
1: Recipient Vessels for Microsurgery
Introduction
Preoperative Assessment
Surgical Site Exposure
Microvascular Anastomoses
Conclusion
References
Part II: Head and Neck Reconstruction
2: External Carotid Branches/External Jugular/Internal Jugular
Introduction
Arterial Anatomy and Selection
Venous Anatomy and Selection
External Jugular Vein
Internal Jugular Vein
Nerve and Lymphatic Anatomy and Considerations
Conclusion
References
3: Minimal Access Approach for Facial Vessels
Introduction
Preoperative Considerations
Relevant Anatomy
Operative Technique
Discussion
Conclusion
References
4: Angular Vessels
Introduction
Preoperative Considerations
Relevant Anatomy
Operative Technique
Discussion
Conclusion
References
5: Superficial Temporal Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
References
6: Transverse Cervical Vessels
Introduction
Applied Anatomy
Surgical Site Exposure
Discussion
Conclusion
References
7: Recipient Vessels: Laryngopharynx Reconstruction
Introduction
Upper Cervical Vessels
Carotid and Jugular Systems
Applied Anatomy
Transverse Cervical Vessels
Surgical Site Exposure
Vessels Outside the Head and Neck Region
Discussion
Algorithm for Recipient Vessel Selection
Preoperative Assessment Tools
Technical Pearls
Conclusion
References
8: Recipient Vessels: Voice Reconstruction
Introduction
Anatomy of the Larynx and Phonatory Physiology
Vascular Anatomy of the Neck
Branches of the Carotid System
Venous Anatomy of the Neck
The Transverse Cervical Vessels
The Thoracoacromial Vessels
The Cephalic Vein
Surgical Options for Voice Reconstruction
Recipient Vessels for Voice Reconstruction: Selection and Surgical Exposure
Discussion
References
9: Recipient Vessels: Esophagus Reconstruction
Introduction
Overview of Free Tissue Transfer Options
Recipient Arteries: External Carotid Arterial System
Recipient Veins: Internal and External Jugular Venous System
Recipient Vessels in the Vessel-Depleted Neck
Contralateral Neck Vessels
Transverse Cervical Vessels
Subclavian Artery, Thoracoacromial Vessels, and Internal Mammary Vessels
Dorsal Scapular Vessels
Cephalic Vein
Technique
Preoperative Assessment
Anastomosis
Anticoagulation
Postoperative Care
Conclusion
References
Part III: Trunk Reconstruction
10: Internal Mammary Vessels: Inframammary and Standard Approach
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Inframammary Fold Incision: Modifications in Technique
Delayed Immediate Reconstruction: Modifications in Technique
Discussion
References
11: Internal Mammary Vessels: Rib-Sparing Approach
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
References
12: Subscapular-Thoracodorsal and Lateral Thoracic Vessels
Introduction
Applied Anatomy
Surgical Site Exposure
Discussion
References
13: Venous Salvage Using Cephalic Vein/External Jugular Vein
Introduction
Anatomy
Internal Mammary System
Axillary System
Venous Outflow Options Other Than the Internal Mammary and Axillary Systems
External Jugular Vein
Cephalic Vein
Discussion
References
14: Thoracoacromial Vessels
Introduction
Preoperative Assessment
Preoperative Cutaneous Marking
Applied Anatomy
Surgical Site Exposure
Transmuscular Approach
Retromuscular Approach
Discussion
Summary
References
15: Deep Inferior Epigastric Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
External Approach
Intra-abdominal Approach
Discussion
Conclusion
References
16: Intra-abdominal/Intraperitoneal Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Gastroepiploic Vessels
Jejunal Vessels
Gastroduodenal Vessels
Inferior Mesenteric Vessels
Surgical Site Exposure
Gastroepiploic Vessels
Jejunal Vessels
Gastroduodenal Vessels
Inferior Mesenteric Vessels
Discussion
References
17: Common and Superficial Femoral Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
Summary
References
18: Saphenous Arteriovenous Loop
Introduction
Indications
Preoperative Planning
Surgical Technique
Complications
Conclusion
References
19: Superficial Circumflex Iliac and Superficial Inferior Epigastric Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
References
20: Superior Epigastric Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
References
21: Lumbar Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
Conclusion
References
22: Superior Gluteal Vessels
Introduction
Preoperative Assessment
Intraoperative Considerations
Applied Anatomy
Surgical Site Exposure
Medial Approach
Muscle-Splitting Approach
Superior-Lateral Approach
Lateral Approach
Postoperative Considerations
Discussion
References
23: Inferior Gluteal Vessels
Introduction
Applied Anatomy
Preoperative Assessment
Surgical Site Exposure
Postoperative Management
Discussion
Conclusion
References
Part IV: Upper Extremity Reconstruction
24: Brachial Artery and Basilic/Cephalic Veins
Introduction
Preoperative Assessment
Applied Anatomy
The Brachial Artery
The Cephalic, Basilic, and Brachial Veins
Surgical Site Exposure
Discussion
References
25: Radial Artery
Introduction
Applied Anatomy
Anatomic Variants
Radial Artery Branches
Forearm
Radial Recurrent Artery (RRA)
Muscular Branches
Septocutaneous Branches
Periosteal Branches
Wrist
Superficial Palmar Branch (SPB)
Palmar (Volar) Carpal Branches
Dorsal Carpal Branches
Hand
Princeps Pollicis Artery (PPA)
First Dorsal Metacarpal Artery (FDMA)
Radialis Indicis Artery
Deep Palmar Arch
Preoperative Assessment
Allen Test/Modified Allen Test
Surgical Site Exposure
Cubital Fossa and Proximal Third of the Forearm
Microsurgical Indications
Middle and Distal Thirds of the Forearm
Microsurgical Indications
Snuffbox
Microsurgical Indications
Princeps Pollicis Artery and the Origin of the Deep Palmar Arch
Volar Approach
Dorsal Approach
Microsurgical Indications
References
26: Ulnar Artery
Introduction
Applied Anatomy
Anatomic Variants
Branches
Forearm
Ulnar Recurrent Arteries
Common Interosseous Artery
Posterior Interosseous Artery (PIA)
Interosseous Recurrent Artery (IRA)
Anterior Interosseous Artery (AIA)
Muscular Branches
Septocutaneous Branches
Periosteal Branches
Wrist
Dorsal Branch
Palmar (Volar) Carpal Branches
Dorsal Carpal Branches
Hand
Superficial Palmar Arch
Preoperative Assessment
Allen Test/Modified Allen Test
Surgical Site Exposure
Cubital Fossa and Proximal Third of the Forearm
Microsurgical Indications
Middle and Distal Thirds of the Forearm
Microsurgical Indications
Guyon’s Canal
Microsurgical Indications
References
27: Recipient Vessels: Humerus Reconstruction
Introduction
Preoperative Assessment
Recipient Vessels
Humerus Reconstruction with Vascularized Fibula
Complications
Summary
Case Example
References
28: Recipient Vessels: Ulna Reconstruction
Introduction
Etiology
Anatomy of the Ulna
Vascular Anatomy of the Forearm
Preoperative Assessment of the Vascular Anatomy
Preoperative Modelling for the Planning of Ulna Reconstruction
Recipient Vessel Exposure in the Forearm
General Considerations
Proximal Forearm
Mid-forearm
Distal Forearm
Fibula Flap
Discussion
References
29: Recipient Vessels: Radius Reconstruction
Introduction
Preoperative Assessment
Overview of Vascular Anatomy of the Forearm
Surgical Exposure of Proximal Radius and the Recipient Vasculature
Surgical Exposure of Distal Radius and Recipient Vasculature
Operative Technique
Free Fibula Osteocutaneous or Musculoseptocutaneous Flap
Operative Technique
Free Fibula Osteomusculocutaneous Flap Elevating with Physis
Postoperative Management
Nonvascular Complications of Vascularized Fibula Flap
Discussion
References
Part V: Lower Extremity Reconstruction
30: Descending Branch of the Lateral Circumflex Femoral Vessels
Introduction
Applied Anatomy
Recipient Site Preparation
Proximal-Based Recipient Site
Distal-Based Recipient Site
Discussion
References
31: Ascending and Transverse Branches of the Lateral Circumflex Femoral Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Discussion
References
32: Superficial Femoral Vessels and Branches
Introduction
Preoperative Assessment
Applied Anatomy
Femoral Triangle
Adductor Canal (Hunter’s Canal)
Surgical Site Exposure
Case 1
Case 2
Discussion
Conclusion
References
33: Popliteal Vessels and Branches
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Suprageniculate Popliteal Artery Exposure
Midpopliteal Popliteal Artery Exposure
Infrageniculate Artery Exposure
Discussion
Conclusion
References
34: Anterior Tibial Vessels and Dorsalis Pedis
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Anterior Tibial Artery
Dorsalis Pedis Artery
Discussion
Target Vessel Selection
Considerations for Zone of Injury and Defect Location
References
35: Tibioperoneal Trunk and Posterior Tibial Artery
Introduction
Preoperative Assessment
Applied Anatomy
Surgical Site Exposure
Tibioperoneal Trunk and Posterior Exposure of the Posterior Tibial Artery
Upper Posterior Tibial Artery and Tibioperoneal Trunk Exposure
Middle Posterior Tibial Artery Exposure
Lower Posterior Tibial Artery Exposure
Discussion
References
36: Peroneal Vessels
Introduction
Anatomy of the Peroneal Vessels and Perforators
Preoperative Assessment
Surgical Exposures
Discussion
Fitting Peroneal Vessels and Perforators into the Recipient Vessel Algorithm
References
37: Recipient Vessels: Femur Reconstruction
Introduction
Preoperative Assessment
Applied Anatomy of the Fibula and Femur
Femur Reconstruction with Vascularized Fibula
Fibula Vascular Considerations
Surgical Site Exposure of Vascular Recipients
Case Example
Summary
References
38: Recipient Vessels: Tibia Reconstruction
Introduction
Anatomy of the Fibula Flap
Flap Dissection
Preparation of the Recipient Site and Flap Inset
Postoperative Care
Conclusion
References
39: Medial Superior and Descending Genicular Vessels
Introduction
Preoperative Assessment
Applied Anatomy
Medial Superior Genicular Artery
Descending Genicular Artery
Surgical Site Exposure
Medial Superior Genicular Artery
Descending Genicular Artery
Discussion
References
40: Medial Sural Vessels
Introduction
Applied Anatomy
Surgical Site Exposure
The Medial Approach
The Posterior Approach
The Intramuscular Perforator Approach
Discussion
References
Part VI: Miscellaneous Special
41: Recipient Vessels for Vascularized Lymph Node Transplant
Introduction
Preoperative Assessment
Anatomy and Surgical Technique
Axilla
Proximal Forearm
Wrist
Thigh
Lower Leg
Ankle
Discussion
Conclusion
References
42: Arteriovenous Loop Graft for Lower Extremity Reconstruction
Introduction
Graft Length and Perfusion Pressure
Staging
Technical Considerations
Surgical Technique
Flow Characteristics
In Situ Venous Drainage
Discussion
Conclusions
References
43: Recipient Vessels for Spine and Posterior Trunk Reconstruction
Introduction
Preoperative Planning
Applied Anatomy: Posterior Trunk
Applied Anatomy: Spine
Surgical Technique
Posterior Neck
Posterior Chest Wall
Soft Tissue Defects Along the Lumbar Back and Sacral Area
Cervical Spine
Thoracic Spine
Lumbosacral Spine
Discussion
Conclusion
References
44: Recipient Vessels for Genital Reconstruction
Introduction
Preoperative Assessment
Applied Anatomy
Recipient Site Exposure
Discussion
References
Index