The thrust forward into small dimensions with the aid of high
magni- fication (6-40 power) under the operating microscope marks
an important development in almost all fields of surgery.
Neurosurgery, ophthalmology and otorhinolaryngology have already
integrated the binocular mono- scope as an indispensable tool into
their armamentarium. General surgery is also making increasing use
of it-as is the case with transplantations of autogenous free
intestinal grafts. A great "victory march of microsurgery",
however, appears to be taking place in plastic and reconstructive
surgery. Reimplantation of arms, hands, and especially digits are
hardly thinkable today without the possibility of high
magnification. New microsurgical anastomosing techniques
(interfascicular neurorrhaphy) have also improved the func- tional
results after nerve injuries. Time-consuming reconstructive proce-
dures, such as the transfer of a distant flap with its physical and
psycho- logical burden, are being increasingly replaced by free
flaps transplanted by microvascular suture techniques-the most
popular free flap being the groin flap in which the superficial
circumflex iliac artery and vein is reanastomosed to the recipient
vessels. Nevertheless, the writer was sceptical when Dr. TSCHOPP
set about with his ambitious plan to transplant a free autogenous
rib graft in combination with its adjacent intercostal musculature.
The evidence of the results obtained has given the lie to my
scepticism. Dr. TSCHOPP has not only succeeded in securing the
complete arterial and venous supply to the musculoskeletal graft at
the recipient site but has also managed to preserve the functioning
entity of nerve and muscle.
General
Imprint: |
Springer-Verlag
|
Country of origin: |
Germany |
Release date: |
December 1975 |
First published: |
1976 |
Authors: |
H. M. Tschopp
|
Introduction by: |
M Allgower
|
Dimensions: |
280 x 210 x 4mm (L x W x T) |
Format: |
Paperback
|
Pages: |
54 |
Edition: |
Softcover reprint of the original 1st ed. 1976 |
ISBN-13: |
978-3-540-07517-2 |
Categories: |
Books >
Medicine >
Surgery >
General
|
LSN: |
3-540-07517-8 |
Barcode: |
9783540075172 |
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