Atlas Of Keystone Reconstructive Technique In Melanoma Management
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| Author | : Felix Behan |
| Publisher | : Springer Nature |
| Total Pages | : 213 |
| Release | : 2023-12-30 |
| Genre | : Medical |
| ISBN | : 3031398688 |
Worldwide, it is quoted that 85% of Melanoma cases are treated surgically. The reliability of the Keystone Perforator Island Flap (KPIF) as a reconstructive technique has wide applications. Its low complication rate is the key to its surgical success. The technique is clearly explained in this Atlas by the author, a renowned plastic and reconstructive surgeon, who established this reconstructive principle over 20 years. The illustrations range from simple to complex cases in an easy-to-follow format. Audio files, as a supplementary tool, amplify the technique to enhance the reader’s experience and foster clear understanding. Chapters focussing on anatomical regions contain carefully selected cases accompanied by images to demonstrate a step-by-step surgical technique. The basic design format for all Keystones are highlighted, all sitting within the dermatomal precincts. The KPIF must contain a fascial base for lining and the island outline is an essential pre-requisite. It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing. Undermining up to 2/3 is permissible as long as there is a deep attachment of 1/3 at the base of the flap to contain the random perforator vascular support. This design allows the rotation, advancement and transposition (ART) of the flap to facilitate the reconstructive closures. Presumably, there are somatic and autonomic neural support lines accompanying the vascular pathways of these random perforator flaps. The vascular perforator tree must not be skeletonised (as in propellor flaps) to allow preservation of such anatomical elements - somatic, autonomic and lymphatic pathways, all of which are an essential component in any surgical repair. This KPIF provides an alternative to microvascular procedures where the biggest drawback is tissue match. The KPIF addresses this problem admirably with a low pain component, an excellent aesthetic match with a low vascular complication rate and a performed in an expeditious manner – these all characterise the KPIF. Simple solutions solve problems and this KPIF Atlas for Melanoma becomes a welcome companion to any surgical speciality including plastic and reconstructive surgeons, surgical oncologists, general surgeons and dermatologists.
| Author | : Charles M. Balch |
| Publisher | : Springer |
| Total Pages | : 0 |
| Release | : 2020-01-29 |
| Genre | : Medical |
| ISBN | : 9783030050689 |
Written by the leading melanoma experts from the United States, Australia, and Europe, this new edition incorporates the clinical outcomes of more than 70,000 patients treated at major melanoma centers throughout the world and is the definitive and most authoritative textbook on melanoma used worldwide. Providing the most up-to-date and comprehensive information needed for the clinical management and scientific study of melanoma, Cutaneous Melanoma, 6th edition covers everything from precursors of melanoma to advanced stages of metastatic disease.
| Author | : Ian Burton |
| Publisher | : Springer Nature |
| Total Pages | : 467 |
| Release | : 2022-05-11 |
| Genre | : Medical |
| ISBN | : 3030883345 |
This book shares an expert experience in managing difficult facial skin cancer and presents rare cases from the authors's own practice. The content follows an anatomical approach based on the complex and often staged reconstruction of extreme facial skin cancer. Written in a clear and logical format, it is intended as a guideline atlas and surgical handbook, defining the principles of CLEAR (Complete Local Excision of the cancer + Aesthetic Reconstruction) and DRAPE (Delayed Reconstruction After Pathological Examination) for reconstructing the face. The book incorporates a wealth of multi-disciplinary knowledge from surgeons, anaesthetists, research scientists, speech / swallowing therapists, pathologists, radiologists and prosthetic rehabilitation specialists. The surgical techniques presented here require a high degree of expertise. Accordingly, the book will be of interest to professionals in the fields of Plastic and Oral and Maxillofacial Surgery, as well as Dermatology.
| Author | : Giovanni Dapri |
| Publisher | : Springer |
| Total Pages | : 597 |
| Release | : 2018-02-09 |
| Genre | : Medical |
| ISBN | : 443155579X |
This book describes the various procedures, including surgery through the abdominal wall, through a transanal access or by the union of both, using an open, laparoscopic, or robotic approach. Worldwide pioneers for each technique are invited as authors and portray in step-by-step detail about each procedure. Of the 32 chapters, 23 are dedicated only for the surgical procedures. Each chapter is enriched by numerous figures, which complement the text, permitting the understanding of each surgical technique from its beginning until the last step. Eight additional chapters are dedicated to the clinical and anatomical aspects of rectal cancer. In the last decade there has been an impressive evolution in the treatment of patients with rectal cancer, with a focus not only on the preservation of a cancer-free life, but the quality of that life. This book has been written to be useful for everyone involved in rectal cancer management. From internists, gastroenterologists, endoscopists, oncologists, radiotherapists and radiologists involved in the treatment of rectal cancer during their daily practice, to surgeons specialized in colorectal surgery, to junior faculty to trainees, all interested in new and innovative techniques.
| Author | : Reza Rahbar |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 380 |
| Release | : 2013-12-02 |
| Genre | : Medical |
| ISBN | : 1461487552 |
The pediatric head and neck cancer patient necessitates a multidisciplinary team of specialists to provide an optimal continuum of care. This A-Z guide provides practical, in-depth information for all medical professionals involved in the evaluation and treatment of these patients. Written in an easy to follow format, each entry contains illustrative figures to aid in pathological and radiographical diagnosis, as well as structured discussion of evaluation and multimodality management. The alphabetical layout eliminates redundancy and allows the busy physician to quickly locate relevant information. Pediatric Head and Neck Tumors is ideal for young physicians as well as attending physicians seeking to expand their knowledgebase to the various subspecialties involved in the multidisciplinary care of their patients.
| Author | : SreyRam Kuy |
| Publisher | : Oxford University Press |
| Total Pages | : 307 |
| Release | : 2017-10-13 |
| Genre | : Medical |
| ISBN | : 019938407X |
50 Studies Every Surgeon Should Know presents key studies that have shaped the practice of surgery. Selected using a rigorous methodology, the studies cover topics including: vascular, colorectal, bariatric, abdominal, hernial, and endocrine surgery, surgical outcomes, surgical oncology, trauma and surgical critical care, and studies of historical interest. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.
| Author | : Michael F. Klaassen |
| Publisher | : Springer |
| Total Pages | : 207 |
| Release | : 2018-02-26 |
| Genre | : Medical |
| ISBN | : 3319594001 |
This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals – the basic procedures, how to get started, and technical tips – as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book’s final chapters are focused on assessment, decision-making an d lessons learned – essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications. Rather than demonstrate exactly how to execute flaps, the book’s primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.
| Author | : Giles Warner |
| Publisher | : |
| Total Pages | : 880 |
| Release | : 2009 |
| Genre | : Medical |
| ISBN | : 0199230226 |
The Oxford Specialist Handbook of Otolaryngology and Head and Neck Surgery is packed full of information which provides an invaluable aid to daily life in ENT practice. It contains comprehensive, practical approaches to subjects, presented in a compact and precise fashion to allow fast, streamlined access to current up-to-date information providing a superb text for education. This book provides an enjoyable way to learn the important aspects of a great medical specialty.
| Author | : Sharad P. Paul |
| Publisher | : Springer |
| Total Pages | : 198 |
| Release | : 2018-05-02 |
| Genre | : Medical |
| ISBN | : 3319714953 |
This book is a detailed review of the ‘state-of-the art’ of skin lines in cutaneous surgery. Surgical literature is inundated with references to Langer’s Lines, Cleavage Lines, Wrinkle Lines and Relaxed Skin Tension Lines, but this title discusses the difference between these and incisional and excisional lines biomechanically, introducing the concept of biodynamic excisional skin tension (BEST) Lines. The problem with current concepts of skin tension lines is that they seem to differ in different textbooks, and lines for surgical egress, which work in conditions of low tension, are not necessarily suitable for skin cancer surgery. Biodynamic Excisional Skin Tension Lines for Cutaneous Surgery describes skin biomechanics, the properties of collagen and elastin, lower limb skin vascularity and also maps BEST lines across the body, making it a great reference guide for plastic or dermatologic surgery worldwide. As such, it will be beneficial for anyone performing cutaneous surgery and skin cancer excisions in clinical practice, or for those planning further research into skin biomechanics to read this volume.
| Author | : Ehab Farag |
| Publisher | : Cambridge University Press |
| Total Pages | : 477 |
| Release | : 2012-05-17 |
| Genre | : Medical |
| ISBN | : 1107005310 |
A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
