By J. L. Burton MD BSc FRCP, B. J. L. Burton MA MRCP

ISBN-10: 0443056927

ISBN-13: 9780443056925

A favored and hugely revered publication which begun the AIDS. this can be a list-type revision publication which gives the basic evidence in an simply assimilable shape.

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The side of the abdomen contralateral to the side to be reconstructed is preferred, as this provides for easier insetting at the time of surgery. With the patient in supine position, a Doppler probe is used to identify the main perforators of the deep inferior epigastric artery. This road map of the largest perforators helps the surgeon make decisions intraoperatively. The superficial inferior epigastric artery and vein are likewise found with the Doppler and marked. The operation is performed under general anesthesia, with the patient in supine position and the arms positioned beside the trunk.

Solid silicone or the silicone rubber used for facial implants is a vulcanized form of polysiloxane. Silicone implants are used to augment the contours of the facial skeleton. Solid silicone has the following advantages: it can be sterilized by steam or irradiation; it can be carved with either a scissors or scalpel; and it can be stabilized with a screw or a suture. Because it is smooth, it can be removed quite easily. Disadvantages include the tendency to cause resorption of underlying bone, particularly when used to augment the chin; the potential to migrate if not fixed; and the potential for its fibrous capsule to be visible when placed under a thin soft tissue cover.

The vascular territory of the TDAP flap essentially lies on top of and anterior to the latissimus dorsi muscle. The extent of the skin flap is limited mainly by the need of primary closure. Skin flaps up to 14 3 25 cm have been used without complications. 5–7 Patient Evaluation and Selection As a pedicled flap with a longitudinally oriented skin island, the TDAP flap reaches the upper arm and elbow, neck, shoulder, and upper back area to provide reliable skin coverage. When it is transversely oriented, the skin flap takes advantage of a natural fold in the skin and subcutaneous tissue of the back.

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Aids to Undergraduate Medicine, Sixth Edition by J. L. Burton MD BSc FRCP, B. J. L. Burton MA MRCP

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