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Books > Medicine > Surgery > Plastic & reconstructive surgery
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The Angiosome Concept and Tissue Transfer (Hardcover)
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The Angiosome Concept and Tissue Transfer (Hardcover)
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At last, G. Ian Taylor has written his master work! This amazing
book provides the background and the thought processes that led to
the angiosome concept, its clinical impact, and the legacy it has
left for the benefit of patients and surgeons. The concept is an
interpretation of the vascular anatomy of the body as the basis for
tissue transfer and the explanation of various pathological
processes. Part history, part anatomical atlas, and part clinical
application, this major reconstructive work is a virtual treasure
trove of important historical, anatomical, and clinical pearls from
one of the true masters of reconstructive surgery. In this landmark
publication, Dr. Ian Taylor provides readers with a unique
perspective on the evolution of reconstructive surgery and the
developments that have shaped its path. The book begins with a
review of the various surgeons and anatomists whose works heralded
the anatomical renaissance of the 1970s and helped crystallize the
Angiosome Concept that Taylor and Palmer published in 1987. This
initial chapter includes "the journey" of clinical and research
events that led to this concept and its legacy. In each case, a
unique clinical problem is solved by entering the anatomical
dissecting room to design an operation that is customized to the
patient's individual needs. In many cases, this original work
introduced new surgical procedures to the surgeon's armamentarium,
including the "free flap," "the free vascularized bone flap," "the
free vascularized nerve flap," and various combinations of tissues
for transfer including skin, muscle, tendon, and bone. It has also
helped to explain the basis for various pathological processes such
as flap tip necrosis, tendon rupture and the ulceration that may be
associated with varicose veins and meningococcal septicaemia. The
second chapter provides an in-depth explanation of the angiosome
concept with its arterial and venous counterparts, embryological,
neurovascular, lymphatic, and comparative anatomy studies. The
third chapter outlines the various anatomical concepts that have
evolved from this study of the angiosomes with their legacy-the
basis for the design of various tissues for transfer. It includes:
analysis of the "delay phenomenon"; the anatomical and clinical
territories of skin perforator flaps; and personal experience with
various tissue transfers, including breast reduction and
reconstruction, vascularized bone repair of head, neck, and limb
defects, and the free vascularized transfer of nerve, tendon, and
muscle. The chapter also discusses the impact of the recently
developed technique of CT angiography on preoperative planning. The
last four chapters focus on the regional angiosomes of the head and
neck, torso, upper limb, and lower extremity with their clinical
applications. Two DVDs supplement the book and contain key papers
and films produced by the author and colleagues.
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