Microsurgery Manual for Medical Students and Residents: A Step-by-Step Approach

Description

This book provides a practically applicable guide on how to develop essential microsurgery skills and successfully perform a range of procedures. Emphasis is placed within each chapter on equipping the reader with the necessary information to enable them to develop a strong foundational knowledge of every technique covered with clear step-by-step guides on how to perform a range of methodologies. Helpful tips are provided on how to avoid common pitfalls and further develop their skills. Accompanying video material also reinforces the key points detailed. Topics covered include how to develop skills utilizing the porcine model of flap harvesting along with the use of animal models for techniques such as vascular anastomoses, anesthesia, and exposure of relevant recipient vessels. Microsurgery Manual for Medical Students and Residents is a detailed resource on how to acquire core microsurgery skills, making it an ideal resource for medical students and trainees seeking a resource on how to further develop their skills. 505927_1_En_OFC 505927_1_En_BookFrontmatter_OnlinePDF Preface Contents Video Contents 505927_1_En_1_PartFrontmatter_OnlinePDF Introduction: Microsurgery Training Principles and Organization 505927_1_En_1_Chapter_OnlinePDF 1 Organization of the Microsurgical Laboratory Abstract 1.1 Microsurgical Laboratory Arrangement 1.2 Microsurgeon’s Ergonomics Environment 1.3 Microscope 1.3.1 Parts of the Microscope 1.3.2 The Main Parameters of the Microscope 1.4 Custom Training Stereomicroscope 1.4.1 Stereomicroscope Configuration References 505927_1_En_2_Chapter_OnlinePDF 2 Standard Microsurgical Instrumental Set Abstract 2.1 Cutting and Dissecting 2.2 Grasping and Holding 2.3 Clamping and Occluding 2.4 Suturing Instruments 2.5 Retracting and Exposing 2.6 Instrumental Set 2.7 Essential Suture Materials for Microsurgery 2.7.1 Suture Material Requirements 2.7.2 Needle Requirements References 505927_1_En_3_Chapter_OnlinePDF 3 Basic Principles of Microsurgical Manual Skills Abstract 3.1 Training Environment 3.2 Mental Concentration 3.3 Mastering Microsurgical Dexterity 3.3.1 Chopstick Exercise 3.3.2 Exercise with Baoding Balls 3.4 Microsurgical Instruments Handling 3.5 Tremor Control 3.6 Knot-Tying 505927_1_En_4_Chapter_OnlinePDF 4 Microsurgical Suture Technique: End-to-End Abstract 4.1 Main Principles of Anastomosis Formation 4.2 Vessel Preparation 4.3 Formation of the Anastomosis (Halving Technique 180) 505927_1_En_5_Chapter_OnlinePDF 5 Microsurgical Suture Technique: End-to-Side Abstract 5.1 Donor Vessel Preparation 5.2 Preparation of the Recipient Vessel 5.3 The Technique of Forming an Anastomosis 505927_1_En_6_Chapter_OnlinePDF 6 Microsurgical Suture Technique: Nerve Coaptation Abstract 6.1 Nerve Anatomy 6.2 Epineural Nerve Coaptation 6.3 Perineural and Epiperineural Nerve Coaptation 6.4 End-to-Side Neurorrhaphy 6.5 Nerve Graft References 505927_1_En_7_Chapter_OnlinePDF 7 Specifics of Working with an Assistant Abstract 7.1 Assistance During Microsurgical Anastomosis References 505927_1_En_8_Chapter_OnlinePDF 8 Microsurgeon Learning Curve Abstract 8.1 Training Curve in Microsurgery 8.2 Microsurgical Skills Training 8.3 International Standards for the Assessment of Microsurgical Skills References 505927_1_En_2_PartFrontmatter_OnlinePDF Microsurgical Training on Non-living Models 505927_1_En_9_Chapter_OnlinePDF 9 Non-living Artificial Models Abstract 9.1 Gauze Exercises 9.2 Latex Model Exercises References 505927_1_En_10_Chapter_OnlinePDF 10 Chicken Thigh and Wing Training Models: Vascular Anastomoses Abstract 10.1 Chicken Thigh Model 10.1.1 Microdissection of the Vessels 10.1.2 The End-To-End Anastomosis of the Chicken Femoral Artery (Video 10.1) 10.1.3 The End-To-Side Anastomosis of the Chicken Femoral Artery (Video 10.2) 10.1.4 The Technique of Venous Grafting 10.2 Chicken Wing Training Model References 505927_1_En_11_Chapter_OnlinePDF 11 Chicken Thigh Training Model: Nerve Repair Abstract 505927_1_En_12_Chapter_OnlinePDF 12 Perforator Flap Model in Chicken Abstract 12.1 Flap Harvesting 12.2 Microsurgical Transfer of the Flap Reference 505927_1_En_3_PartFrontmatter_OnlinePDF Microsurgery Training on Rodents 505927_1_En_13_Chapter_OnlinePDF 13 Maintaining of Animal Welfare Abstract 13.1 Cage 13.2 Temperature and Humidity 13.3 Noise 13.4 Illumination 13.5 Air Circulation 13.6 Nutrition 13.7 Socialization References 505927_1_En_14_Chapter_OnlinePDF 14 Rodents Anesthesia Abstract 14.1 Administration of Anesthetics 14.2 Rodent Restrained Techniques References 505927_1_En_15_Chapter_OnlinePDF 15 Carotid Artery and Jugular Vein: Vascular Anastomoses Abstract 15.1 Vascular Anatomy 15.2 Surgical Steps 15.3 Vascular Patency Tests 15.4 Jugular Vein Anastomosis References 505927_1_En_16_Chapter_OnlinePDF 16 Femoral Artery and Vein: Vascular Anastomoses Abstract 16.1 Surgical Technique Reference 505927_1_En_17_Chapter_OnlinePDF 17 Latissimus Dorsi Free Flap Autotransplantation Abstract 17.1 Recipient Site Preparation 17.2 Vascular Anatomy 17.3 Surgical Technique 17.4 Microsurgical Transfer Reference 505927_1_En_18_Chapter_OnlinePDF 18 Superficial Inferior Epigastric Artery Flap Autotransplantation Abstract 18.1 Vascular Anatomy 18.2 Flap Composition 18.3 Surgical Technique 18.3.1 Flap Harvesting 18.3.2 Recipient Bed Preparation 18.3.3 Wound Closure Reference 505927_1_En_19_Chapter_OnlinePDF 19 Sciatic Nerve Coaptation Abstract 19.1 Nerve Exposure 19.2 Epineural Suture 19.3 Funicular Suture References 505927_1_En_20_Chapter_OnlinePDF 20 Experimental Reimplantation Models Abstract 20.1 Limb Reimplantation on Rodent 20.1.1 Amputation Procedure 20.1.2 Replantation Procedure 20.1.3 Postoperative Care 20.2 Ear Replantation in the Rabbit Model 20.2.1 Amputation Procedure 20.2.2 Replantation Procedure References 505927_1_En_4_PartFrontmatter_OnlinePDF Free Flap Harvesting on Swine Model 505927_1_En_21_Chapter_OnlinePDF 21 Essentials of Swine Housing Abstract 21.1 Pen 21.2 Temperature and Humidity 21.3 Noise 21.4 Illumination (Day/Night Cycle) 21.5 Air Ventilation 21.6 Nutrition 21.7 Socialization References 505927_1_En_22_Chapter_OnlinePDF 22 Preoperative Management and Anesthesia Abstract 22.1 Anesthetic Induction and Pre-Operation Care 22.2 Anesthesia Induction 22.3 Regional Anesthesia 22.4 Extubation 22.5 Euthanasia References 505927_1_En_23_Chapter_OnlinePDF 23 Exposure of Recipient Vessels Abstract 23.1 Recipient Vessels of the Head and Neck 23.1.1 Anatomy of the Vessels of the Head and Neck 23.1.2 Dissection of the Vessels of the Head and Neck 23.1.2.1 Carotid Artery and Jugular Vein 23.1.2.2 Facial Vessels 23.2 Recipient Vessels of the Thoracic Region 23.2.1 The Anatomy of the Internal Mammary Vessels 23.2.2 Dissection of the Internal Mammary Artery and Vein References 505927_1_En_24_Chapter_OnlinePDF 24 Latissimus Dorsi Free Flap (LD) Abstract 24.1 Anatomy 24.2 Vascular Anatomy 24.3 Flap Composition 24.4 Flap Design and Marking 24.5 Surgical Technique 24.5.1 Skin Incision and Superficial Dissection 24.5.2 Detachment of the Muscle Edges 24.5.3 The Undermining of the Muscle 24.5.4 The Vascular Bundle Dissection References 505927_1_En_25_Chapter_OnlinePDF 25 Rectus Abdominis Musculocutaneous Flap Abstract 25.1 Anatomy 25.2 Vascular Anatomy 25.3 Flap Design and Marking 25.4 Surgical Technique 25.4.1 Skin Incision 25.4.2 Muscle Dissection and Isolation 25.4.3 Vessels Dissection References 505927_1_En_26_Chapter_OnlinePDF 26 Gracilis Musculocutaneous Flap Abstract 26.1 Flap Anatomy 26.1.1 Vascular Anatomy 26.2 Surgical Technique 26.2.1 Preoperative Marking and Flap Planning 26.2.2 Skin Incision and Superficial Dissection 26.2.3 Dissection of the Vascular Pedicle and Raising the Flap References 505927_1_En_27_Chapter_OnlinePDF 27 Radial Forearm Flap Abstract 27.1 Vascular Anatomy 27.2 Flap Design and Planning 27.2.1 Surgical Steps References 505927_1_En_28_Chapter_OnlinePDF 28 Free Fibula Bone Flap Abstract 28.1 Vascular Anatomy 28.2 Flap Composition 28.3 Flap Design and Planning 28.4 Surgical Technique 28.4.1 Skin Incision and Superficial Dissection 28.4.2 Identification of Interosseous Membrane 28.4.3 Dissection of Vascular Bundle 28.4.4 Osteotomy and Flap Isolation References 505927_1_En_29_Chapter_OnlinePDF 29 Superior Gluteal Artery Perforator Flap (SGAP) Abstract 29.1 Vascular Anatomy 29.2 Flap Design 29.3 Flap Dissection References 505927_1_En_30_Chapter_OnlinePDF 30 Superior Epigastric Artery Perforator Flap (SEAP Reversed DIEP) Abstract 30.1 Vascular Anatomy 30.2 Flap Composition 30.3 Flap Design and Planning 30.4 Surgical Technique 30.4.1 Skin Incision and Superficial Dissection 30.4.2 Dissection of Perforators and Main Vessels References 505927_1_En_31_Chapter_OnlinePDF 31 Experimental Free Flap Autotransplantation Abstract 31.1 Operation Design 31.2 Recipient Site Preparation References 505927_1_En_BookBackmatter_OnlinePDF Index