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Plastic Surgery
Volume 4: Trunk and Lower Extremity
- 5th Edition - August 22, 2023
- Authors: David H Song, Joon Pio Hong, Peter C. Neligan
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 4 1 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 3 8 0 - 2
Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteComprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, Trunk and Lower Extremity, Volume 4 of Plastic Surgery, 5th Edition, features new, full-color clinical photos, procedural videos, lectures, and authoritative coverage of hot topics in the field. Editor-narrated video presentations offer a step-by-step audio-visual walkthrough of techniques and procedures.
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New chapters cover diabetes and foot reconstruction; expands and updates coverage of lymphedema and gender affirmation surgery; and coverage throughout includes new, pioneering translational work shaping the future of trunk and lower extremity surgery.
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New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes.
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New treatment and decision-making algorithms added to chapters where applicable.
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New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
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Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in trunk and lower extremity surgery and ensure optimal outcomes.
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Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Plastic Surgeons
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Comprehensive lower extremity anatomy
- Abstract
- The gluteal region
- The thigh
- The leg
- The ankle and foot
- Conclusion
- References
- 2. Management of lower extremity trauma
- Abstract
- Introduction
- Basic science
- Diagnosis and patient presentation
- Patient selection
- Treatment and surgical techniques
- Complications
- Summary
- References
- Section I: Lower Extremity Surgery
- 3.1. Lymphedema: introduction and editors' perspective
- Abstract
- References
- 3.2. Imaging modalities for diagnosis and treatment of lymphedema
- Abstract
- Introduction
- Lymphoscintigraphy
- Near-infrared fluorescent imaging
- Ultrasonography
- Magnetic resonance imaging
- Further imaging modalities
- Imaging modality selection algorithm
- Conclusion
- References
- 3.3. Lymphaticovenular bypass
- Abstract
- Introduction
- Background
- Clinical approach
- Lymphaticovenular bypass for subclinical lymphedema
- Conclusion
- References
- 3.4. Vascularized lymph node transplant
- Abstract
- History of VLNT
- Mechanism of VLNT
- Indications for VLNT
- Types of VLNT
- Outcomes
- Complications
- Summary
- References
- 3.5. Debulking strategies and procedures: liposuction of leg lymphedema
- Abstract
- Introduction
- Excess subcutaneous adiposity and chronic lymphedema
- Other research regarding adipose tissue deposition
- How to assess the efficacy of liposuction
- Preoperative planning
- Operative technique
- Postoperative care
- How CCT and liposuction works in clinical practice – an example
- Controlled compression therapy (CCT)
- Liposuction and postoperative success
- The lymphedema team
- How liposuction helps
- When to use liposuction to treat lymphedema – patient selection
- When liposuction should never be used
- Can the outcome be reproduced?
- References
- 3.6. Debulking strategies and procedures: excision
- Abstract
- Chen-modified Charles procedure
- Radical reduction with preservation of perforators (RPP procedure),
- Excisional therapy for genital lymphedema–
- Follow-up
- Surgical limitations
- Summary
- References
- 4. Lower extremity sarcoma reconstruction
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation/imaging
- Historical perspectives
- Patient profile/general considerations/treatment planning
- Treatment/surgical resection techniques
- Reconstructive options for lower extremity preservation
- Postoperative care
- Secondary procedures
- Outcomes, prognosis, and complications
- References
- 5. Reconstructive surgery: lower extremity coverage
- Abstract
- Introduction
- History
- Principles
- Treatment approach
- Special considerations
- Postoperative care
- Muscle/musculocutaneous flaps
- Fasciocutaneous/perforator flap
- Compound flaps
- Supermicrosurgery
- References
- 6.1. Diagnosis, treatment, and prevention of lower extremity pain
- Abstract
- Introduction
- Etiology of lower extremity pain
- Diagnosis and patient selection
- Treatment options for lower extremity pain
- Postoperative management
- Prevention of lower extremity pain
- Alternative treatment measures
- Conclusion
- References
- 6.2. Targeted muscle reinnervation in the lower extremity
- Abstract
- Introduction
- Physiology of targeted muscle reinnervation
- Indications for targeted muscle reinnervation in the lower extremity
- General concepts and principles
- Targeted muscle reinnervation in primary amputations
- Targeted muscle reinnervation in secondary amputations
- Targeted muscle reinnervation in very proximal lower extremity amputations
- Targeted muscle reinnervation in minor amputations of the foot
- Targeted muscle reinnervation for symptomatic neuromas in non-amputees
- Future directions
- Conclusions
- References
- 6.3. Lower extremity pain: regenerative peripheral nerve interfaces
- Abstract
- Introduction
- Pathophysiology of neuropathic lower extremity pain from symptomatic neuromas
- Treatment of lower extremity pain from symptomatic neuromas
- Regenerative peripheral nerve interface
- Technique to perform RPNI surgery
- Future directions
- Conclusion
- Disclosure statement
- References
- 7. Skeletal reconstruction
- Abstract
- Introduction
- Biology of bone healing and grafting
- Historical perspective
- Methods of skeletal reconstruction
- Patient evaluation
- Reconstruction by anatomic areas
- Postoperative care
- Conclusion
- References
- 8. Foot reconstruction
- NON-PRINT ITEMAbstract
- Introduction
- Angiosomes of the foot
- Clinical relevance of the angiosome model
- Patient evaluation and diagnosis
- Management
- Surgical techniques for soft-tissue reconstruction
- Reconstruction by anatomic location
- Summary
- References
- 9.1. Diabetic foot: introduction
- Abstract
- Introduction
- Risk factors for diabetic foot wounds
- Patient-centered outcomes
- Multidisciplinary team and beyond
- IWGDF practical guidelines
- Conclusion
- REFERENCES
- 9.2. Diabetic foot: management of wounds and considerations in biomechanics and amputations
- Abstract
- Principles of wound healing
- Biomechanical considerations
- Partial foot amputations
- Conclusion
- References
- 9.3. Diabetic foot: management of vascularity and considerations in soft-tissue reconstruction
- Abstract
- Introduction
- Reconstructive options
- Surgical planning
- Cases
- References
- Section II: Trunk, Perineum, and Transgender
- 10. Trunk anatomy
- Abstract
- Surface anatomy and skin considerations (Fig. 10.1)
- Skin perfusion and angiosome concept (Fig. 10.2)
- Anterior chest
- Axilla
- Back
- Abdomen and flank
- Groin
- Perineum
- Buttock
- Bones
- References
- 11. Reconstruction of the chest
- Abstract
- Introduction
- Etiology
- Chest wall biomechanics and pathophysiology
- Evaluation of the defect and functional goals
- Medical optimization and preparation of the wound bed
- Skeletal reconstruction
- Soft-tissue reconstruction
- Rectus abdominis
- Postoperative care
- Congenital chest wall deformities
- Conclusion
- References
- 12. Reconstruction of the posterior trunk
- Abstract
- Introduction
- Anatomy
- Flaps for reconstruction of the posterior trunk
- Other flaps
- Special clinical scenarios
- Perioperative care
- Techniques for soft-tissue reconstruction in the posterior trunk
- Algorithmic approach to reconstruction of the posterior trunk
- References
- 13. Abdominal wall reconstruction
- Abstract
- Introduction
- Abdominal wall anatomy and physiology
- Blood supply to the abdominal skin and musculature
- Nerve supply and innervation of the muscles
- Abdominal wall muscle function
- Tissue apposition
- Midline hernia repair
- Conclusion
- References
- 14.1. Gender confirmation surgery: diagnosis and management
- Abstract
- Epidemiology
- Change in coverage over time – Affordable Care Act
- WPATH
- Expanded societal support/paradigm shift
- Terminology
- WPATH Standards of Care
- Mental health practitioners
- Adolescent therapy
- Hormone therapy
- Multidisciplinary treatment
- Patient satisfaction following gender confirmation surgery
- Barriers to patient care
- Preoperative assessment
- Goals of therapy
- Arrangements for aftercare
- Conclusion
- References
- 14.2. Gender confirmation surgery, male to female: vaginoplasty
- Abstract
- Preoperative assessment
- Penile inversion vaginoplasty
- Patient positioning and preparation
- Harvest of skin flaps and grafts
- Penile disassembly and inversion
- Dissection of vaginal cavity
- Creation of neoclitoris
- Inset of grafts/flaps and closure
- Intestinal vaginoplasty
- Peritoneal flaps
- Complications
- Postoperative care
- Conclusion
- References
- 14.3. Gender affirmation surgery, female to male: phalloplasty; and correction of male genital defects
- Abstract
- Patient selection
- Phalloplasty
- Metoidioplasty
- Considerations in other genital defects
- References
- 14.4. Breast, chest wall, and facial considerations in gender affirmation
- Abstract
- Introduction
- WPATH guidelines
- Chest masculinization
- Breast augmentation
- Facial feminization surgery
- Conclusions
- References
- 15. Reconstruction of acquired vaginal defects
- Abstract
- Introduction
- Anatomic considerations
- Diagnosis
- Historical perspective
- Patient selection/preoperative considerations
- Treatment/surgical technique
- Postoperative care
- Complications, prognosis, and outcomes
- References
- 16. Pressure sores
- Abstract
- Introduction
- Basic science
- Diagnosis
- Patient evaluation
- Treatment
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 17. Perineal reconstruction
- NON-PRINT ITEMAbstract
- Introduction
- History of perineal reconstruction
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, complications
- References
- Section III: Burn Surgery
- 18. Burn, chemical, and electrical injuries
- Abstract
- Synopsis
- Epidemiology
- Risk factors
- Evolution of burn medicine
- Pathophysiology of burn injuries
- Physiological consequences of thermal skin burns
- Acute burn trauma management
- Complications
- Rehabilitation
- Managing scar hypertrophy and contracture
- References
- 19. Extremity burn reconstruction
- Abstract
- Introduction
- Burns of the upper extremity
- Operative wound management of acute burns of the extremities
- Therapy considerations
- Reconstruction of lower extremity burns
- References
- 20. Management of the burned face and neck
- Abstract
- Introduction
- Anatomy and pathophysiology
- Acute facial burn management
- Management of facial post-burn deformities
- Reconstruction of specific areas
- Acid burns
- Future directions
- Conclusion
- References
- 21. Pediatric burns
- Abstract
- Introduction
- Basic science
- Initial assessment
- Wound management
- Medical management
- Rehabilitation
- Reconstruction
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 680
- Language: English
- Edition: 5
- Published: August 22, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323810418
- eBook ISBN: 9780323873802
DS
David H Song
Affiliations and expertise
Professor of Surgery, Chief and Program Director, Section of Plastic Surgery, Vice-Chair, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois, USAPN
Peter C. Neligan
Peter Neligan, MB, FRCS, FRCSC, FAC., is a board-certified plastic surgeon, Director of the Center for Reconstructive Surgery at UW Medical Center - Montlake, and a Professor of Surgery in the Division of Plastic Surgery at UW School of Medicine. Dr. Neligan specializes in reconstructive surgery including flap surgery, lymphatic surgery, facial re-animation and facial transplantation.. He strives to provide the best care for patients and provide them with the best treatments available. He is excited by new techniques and solutions and always tries to improve every aspect of care. Dr. Neligan has authored four books, 180 scientific papers, 75 book chapters, edited 10 textbooks and is editor-in-chief of the Journal for Reconstructive Microsurgery. He is president of the Plastic Surgery Foundation, a member of multiple professional organizations and is heavily involved in UW's Plastic Surgery Training Program
Affiliations and expertise
Professor of Surgery, Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA, USA