Reconstructive Microvascular Surgery

Inhaltsverzeichnis

• 1 Technique of Microvascular Surgery and Preliminary Experimental Studies.
• I. Development of Microvascular Surgery.
• II. Technical Equipment.
• 1. Operating Microscope.
• 2. Accessories and Documentation.
• 3. Operating Seats.
• 4. Instruments.
• 5. Suture Material.
• III. Experimental Microvascular Surgery.
• IV. Suture Technique in Microvascular Surgery.
• 1. Preliminary Remarks.
• 2. End-to-End Anastomosis.
• 3. End-to-Side Anastomosis.
• V. Complications of Microvascular Suture.
• 1. Assessment of Microvascular Anastomosis.
• 2. Patency Test.
• 3. Microthrombectomies.
• 4. Micro-vein Grafts.
• a) Indications for Micro-vein Grafts.
• b) Donor Sites for Micro-vein Grafts.
• c) Rules for Micro-vein Grafts.
• VI. Micromorphological Evidence at the Site of Anastomosis in Small Vessels.
• VII. Medical Prophylaxis and Treatment of Vessel Thrombosis and Spasm.
• 1. Local Measures.
• 2. Systemic Measures.
• References.
• 2 Clinical Microvascular Surgery.
• A Replantation with Microvascular Anastomosis (micro-replantation).
• I. Definitions and Nomenclature.
• 1. Replantation.
• 2. Amputation.
• 3. Total Amputation.
• 4. Subtotal Amputation.
• 5. Revascularisation.
• 6. Replantation: Macro- and Micro-replantation.
• II. Classification of Amputations in the Hand.
• III. Indications for Replantation.
• IV. Guide-lines for the Primary Treatment of Amputation Injuries.
• V. Replantation Technique.
• 1. Wound Debridement.
• 2. Bone Shortening.
• 3. Osteosynthesis.
• 4. Suturing of the Flexor Tendon and Tendon Sheath.
• 5. Arterial Anastomosis.
• 6. Nerve Suturing.
• 7. Management of the Extensor Tendon Apparatus.
• 8. Vein Anastomosis.
• 9. Skin Closure.
• 10. Dressings.
• 11. Medicinal Treatment.
• VI. Considerations of Differing Levels and Mechanisms of Amputation.
• 1. Levels of Amputation in the Hand.
• 2. Guillotine Amputations.
• 3. Crushing Injuries.
• 4. Severe Crushing and Combination Injuries with Damage to the Amputated Part.
• 5. Avulsion Injuries.
• 6. Degloving Injuries.
• VII. Primary Replacement of Destroyed Phalangeal Joints.
• VIII. Primary Finger Transplantation.
• IX. Post-operative Management.
• X. Physical Management.
• XI. Secondary Operations.
• XII. Results.
• XIII. Microreplantation of Other Parts of the Body — (e. g., toes, ears, scalping injuries, and penile amputations).
• XIV. Replantation Service.
• B Tissue Transplantation with Microvascular Anastomosis.
• I. Development of Tissue Transplantation Using Microvascular Anastomosis.
• II. Definitions and Nomenclature.
• III. Indications for Free Tissue Transplantation.
• IV. Preparations for Tissue Transplantation.
• V. Operating Technique.
• 1. General Operative Plan.
• 2. Medicinal Treatment.
• 3. Post-operative Treatment and Supervision.
• 4. Complications.
• VI. Free Flap Transplantation.
• 1. Development.
• 2. Advantages and Disadvantages of Free Flap Transplantation.
• 3. Special Requirements for Free Flap Transplantation.
• 4. Donor Sites.
• a) Groin Flaps (fat flap, iliac flaps).
• b) Dorsalis Pedis Flaps (interdigital fold flap, toe pulp flap).
• c) Delto-Pectoral Flap.
• d) Temporal Flaps.
• e) Axillary Flaps.
• f) Retro-Auricular Flaps.
• VII. Combined Skin and Muscle Flap Transplantation (musculo-cutaneous flaps).
• VIII. Combined Skin Flap with Bone Transplantation (osteocutaneous flaps).
• IX. Bone Transplantation.
• X. Muscle Transplantation.
• XI. Transplantation of the Omentum.
• XII. Toe Transplantation.