Experimental and clinical reconstructive microsurgery / Susumu Tamai, editor in chief ; Masamichi Usui, Takae Yoshizu, [editors].

Format:

Book

Contributor:

Tamai, Susmu.

Usui, Masamichi.

Yoshizu, Takae.

Language:

English

Subjects (All):

Microsurgery.

Surgery, Experimental.

Surgery, Operative.

Physical Description:

xlii, 536 pages, 18 unnumbered pages of plates : illustrations (some color) ; 29 cm

Other Title:

Microsurgery.

Place of Publication:

Tokyo ; Berlin : Springer, [2003]

Summary:

Since the first successful digit replantation in Japan in 1965, the field of microvascular surgery has rapidly progressed throughout Japan and the world. Experimental and Clinical Reconstructive Microsurgery draws on the experience of a large number of experts in the areas of experimental microsurgery, limb and digit replantation, and composite tissue transplantation. The result is an extensive monograph covering the history and future prospects of microsurgery, essential microsurgical techniques for laboratory research, and the fundamental methods of harvesting tissues and their grafting techniques. Because the field of microsurgery includes a broad range of clinical disciplines, this book is a valuable resource to all orthopedic, traumatic, and plastic surgeons with an interest in microsurgery.

Contents:

A The History of Microsurgery / S. Tamai 1

B Operating Microscope and Microsurgical Instruments / S. Tamai 25

C Experimental Microsurgery 33

1 Microvascular Anastomoses in the Rat / A. Fukui 35

2 Micronerve Suture and Graft in the Rat / Y. Yanase 44

3 Essential Laboratory Techniques 53

3.1 Technique of Microangiography / A. Fukui 55

3.2 Technique for Making a Vascular Corrosion Cast / T. Sempuku 57

3.3 Technique for Making a Spalteholz Cleared Specimen / T. Sempuku 59

3.4 Technique of Fluorochrome Labeling / M. Okumura 61

3.5 Technique of Bone Scintigraphy in Vascularized Bone Grafts: Three-Phase Bone Imaging / A. Minami, K. Itoh 65

3.6 Biochemical and Biological Analysis of Bone Viability / H. Ohgushi, M. Akahane 70

3.7 Blood Flow Assessment and Direct Observation of Microcirculation / Y. Inada 75

3.8 Technique for Measuring Choline Acetyltransferase Activity of the Peripheral Nerve / M. Akahane, H. Yajima 81

3.9 Technique of Cholinesterase Staining of the Peripheral Nerve / F. Kanaya 84

3.10 Tissue Preservation / H. Ono, Y. Nakagawa 88

3.11 Transplantation Immunology / M. Tamai, K. Sagawa 93

4 Limb Replantation in the Rat / A. Minami, N. Iwasaki 100

5 Canine Limb Replantation and Replantation Toxemia / M. Usui, S. Ishii 104

6 Skin and Muscle Flaps in the Rat / Y. Hirase 111

7 Customized Neovascularized Prefabrication in the Rat / Y. Hirase 115

8 Vascularized Tibiofibular Graft in the Rat / S. Mizumoto, T. Kohno 121

9 Vascularized Ulna Graft in the Rat / N. Yamaoka, S. Tamai, S. Mizumoto 129

10 Vascularized Metatarsal Graft in the Rabbit / K. Kawanishi 134

11 Vascularized Tail Bone Graft in the Rat 141

11.1 Cancellous Bone Graft Model / T. Sempuku 143

11.2 Intervertebral Disk Graft Model / A. Kugai 146

12 Allograft of Composite Tissues: Experimental Model in the Rat / A. Minami, N. Iwasaki 149

D Preoperative and Postoperative Management 155

1 Preoperative Planning and Evaluation of the Vascular System in the Donor and Recipient / S. Toh 157

2 Postoperative Monitoring and Observation / M. Beppu 162

3 Perioperative and Postoperative Antithrombotic Agents / H. Ono 166

4 Continuous Local Heparinization / Y. Inada, A. Fukui, S. Mizumoto 169

5 Complications and Salvage Procedures / H. Yajima 174

6 Postoperative Management and Rehabilitation in Limb/Digit Replantation / Y. Maki, T. Yoshizu 179

E Clinical Reconstructive Microsurgery 183

1 Replantation 185

1.1 Arm Replantation / M. Matsuda 187

1.2 Forearm Replantation / S. Toh, S. Nishikawa, S. Inoue 193

1.3 Hand Replantation / H. Nakashima, H. Yonemitu 197

1.4 Replantation of Multilevel Amputation Through the Forearm and Hand / M. Shibata 203

1.5 Digital Replantation / Y. Inada, A. Fukui, S. Tamai 209

1.6 Replantation of the Lower Leg and Foot / M. Usui, I. Muramatsu, K. Masuda 219

1.7 Extremity Trauma: Limb Salvage Versus Primary Amputation / Y. Inada 224

1.8 Replantation of a Completely Amputated Penis / S. Tamai 231

1.9 Replantation of a Completely Amputated Ear / N. Isogai, H. Kamiishi 237

1.10 Replantation of a Totally Avulsed Scalp / H. Kamiishi, N. Isogai 241

2 Harvesting Techniques for Several Composite Tissues 245

2.1 General Concepts of Skin Flaps / Y. Shintomi, Y. Yamamoto, K. Nohira, H. Furukawa 247

2.1.1 Scapular Flap / K. Fujisawa 251

2.1.2 Lateral Arm Flap / H. Nakashima 254

2.1.3 Radial Forearm Flap / T. Sakada 257

2.1.4 Reverse Posterior Interosseous Flap / A. Fukui 262

2.1.5 Arterialized Island Flap in the Digits and Hands / Y. Inada 266

2.1.6 New Flap in the Hand / S. Omokawa, S. Mizumoto, A. Fukui, S. Tamai 275

2.1.7 Groin Flap / H. Ohtsuka 281

2.1.8 Peroneal Flap / G. Nishi 287

2.1.9 Dorsalis Pedis Flap / F. Usami, M. Iketani 292

2.1.10 Medial Plantar Flap / M. Shibata, R. Sakamura 296

2.1.11 Hemipulp Flap and First Web Flap / Y. Maki, T. Yoshizu 301

2.1.12 Free Thin Deep Inferior Epigastric Artery Perforator (DIEP) Flap / I. Koshima, K. Inagawa, T. Moriguchi 305

2.1.13 Venous Flap / A. Fukui 309

2.2 General Concepts of the Donors for Muscle Transplantation / Y. Akasaka 318

2.2.1 Latissimus Dorsi Muscular and Musculocutaneous Flap / H. Ono 323

2.2.2 Rectus Abdominis Myocutaneous Flap / K. Nohira, Y. Yamamoto, Y. Shintomi 327

2.2.3 Gracilis Musculocutaneous Flap / Y. Akasaka 330

2.2.4 Vascularized Tendon Graft / H. Yajima 333

2.2.5 Temporoparietal Flap / K. Arashiro, K. Ishida, H. Ohtsuka 339

2.3 General Concepts of the Donors of Vascularized Bone Grafts / H. Yajima, S. Tamai 342

2.3.1 Fibula / S. Toh, K. Arai, M. Yasumura 349

2.3.2 Scapula / H. Hirata 355

2.3.3 Ilium / A. Fujimaki 359

2.3.4 Vascularized Thin Corticoperiosteal Graft from the Medial Femoral Condyle / M. Beppu 363

2.4 Toe / T. Yoshizu 367

2.5 Toe Joint / T. Yoshizu 373

2.6 Wrap-Around Flap / Y. Maki, T. Yoshizu 379

2.7 Vascularized Nail Grafts / I. Koshima, T. Moriguchi 384

2.8 Prefabricated Flap (Muscle Vascularized Pedicle Flap and Others) / Y. Shintomi, H. Furukawa, K. Nohira, Y. Yamamoto 388

2.9 Intestine / Y. Yamamoto, H. Minakawa, T. Sugihara, K. Nohira, Y. Shintomi 392

2.10 Omentum / H. Ohtsuka 396

3 Clinical Applications 401

3.1 Primary Reconstruction in the Upper Extremity / Y. Kino, K. Kondoh, K. Suzuki 403

3.2 Thumb and Digit Reconstruction / T. Yoshizu 410

3.3 Brachial Plexus Injury / Y. Akasaka, T. Hara 426

3.4 Congenital Radioulnar Synostosis / F. Kanaya 432

3.5 Congenital Pseudarthrosis / S. Toh, K. Tsubo, S. Narita 437

3.6 Traumatic Soft Tissue Defects in the Extremities / M. Shibata 444

3.7 Vascularized Fibular Graft for Traumatic Bony Defect and Incurable Nonunion / M. Beppu 451

3.8 Chronic Osteomyelitis and Infected Nonunion / H. Yajima, S. Tamai 457

3.9 Double Fibula Grafts for Femoral Reconstruction / Y. Tomita 463

3.10 Microsurgical Reconstruction Following Wide Resection of Malignant and Potentially Malignant Bone and Soft Tissue Tumors / M. Usui, S. Ishii 468

3.11 Avascular Necrosis of the Femoral Head / H. Yajima, K. Kawate 476

3.12 Treatment of Avascular Necrosis of the Femoral Head with a Pedicled Vascularized lliac Bone Graft / A. Fujimaki 481

3.13 Avascular Necrosis of the Femoral Head Treated by Vascularized Scapular Bone Graft / K. Fujisawa 485

3.14 Emergency Free Flap and Spare Surgery / T. Naitoh, M. Usui, S. Ishii, Y. Tsuchida 490

3.15 Elbow Joint Reconstruction Using Metatarsophalangeal Joint of the Great Toe / M. Shibata 496

3.16 Mandibular Reconstruction / K. Horiuchi, H. Yajima 502

3.17 Reconstruction of the Oral Cavity and Esophagus / Y. Yamamoto, H. Minakawa, T. Sugihara, K. Nohira, Y. Shintomi 510

3.18 Breast Reconstruction / K. Nohira, Y. Yamamoto, Y. Shintomi 515

3.19 Soft Tissue Defect Reconstruction Using Omentum or Fascial Flap / K. Ishida, K. Arashiro, H. Ohtsuka 519

3.20 Treatment of Lymphedema: Lymphaticovenous Anastomosis / I. Koshima, T. Moriguchi 525.

Notes:

Includes bibliographical references and index.

ISBN:

4431703187

OCLC:

51957460