This superbly illustrated text-atlas comprehensively demonstrates all surgical procedures involving the skin and subcutaneous tissues as well as structures in the skin. Case studies systematically review, explain and demonstrate every critical step in common procedures, from pre-operative evaluation to post-operative follow-up. Both dermatologists and plastic surgeons alike will benefit from the 2,100+ high-quality, full-colour illustrations. The brilliantly clear line drawings were commissioned especially for this book and are supported by an instructive commentary featuring practical tips and technical pointers.
For daily reference in the operating theatre.
Inhalt
A General Principles of Dermatologic Surgery.- 1 Preoperative Measures.- 1.1 Patient Selection.- 1.2 Consultation.- 1.2.1 History.- 1.2.2 Informed Consent.- 1.2.3 Operability.- 1.3 Indications.- 1.4 Planning the Operation.- 1.5 Preparing for the Operation.- 1.5.1 Surgical Instruments.- 1.5.2 Suture Material.- 2 Postoperative Measures.- 3 Anesthesia.- 3.1 Local Anesthesia.- 3.1.1 Cryoanesthesia.- 3.1.2 Topical Anesthesia.- 3.1.3 Infiltration Anesthesia.- 3.2 Regional Anesthesia.- 3.2.1 General Principles.- 3.2.2 Special Techniques.- 3.3 General Anesthesia.- 4 Basic Surgical Techniques.- 4.1 Incision Techniques.- 4.2 Suturing Techniques.- 4.2.1 Subcutaneous Sutures.- 4.2.2 Skin Sutures.- 5 Diagnostic Biopsies.- 5.1 Skin Biopsy.- 5.2 Muscle Biopsy.- 5.3 Nerve Biopsy.- 5.4 Testicular Biopsy.- 6 Methods of Superficial Tissue Removal.- 6.1 Curettage.- 6.2 Shave or Tangential Excision.- 6.3 Scissors Excision.- 6.4 Dermabrasion.- 6.5 Salabrasion.- 6.6 Removal of Superficial Foreign Bodies.- 7 Micrographie Surgery.- 7.1 Principles and Indications.- 7.2 Mohs Micrographie Surgery.- 7.2.1 Mohs Fixed-Tissue Technique.- 7.2.2 Mohs Fresh-Tissue Technique.- 7.2.3 Mohs Check.- 7.3 Other Modifications of Micrographie Surgery.- 8 Simple Excision and Repair Techniques.- 8.1 Primary Closure.- 8.2 Undermining.- 8.3 Serial or Staged Excision.- 8.4 Dog-Ear Repair.- 8.5 Excision of Cysts.- 8.6 Excision of Lipomas.- 8.7 Excision of Deep Lipomas.- 9 Plastic Procedures: Flaps.- 9.1 Z-Plasty.- 9.2 VY-Plasty.- 9.3 WY-Plasty.- 9.4 Double WY-Plasty.- 9.5 Advancement Flap (Burow).- 9.6 U-Plasty (Schimanowski).- 9.7 H-Plasty.- 9.8 Trapezoid Flap.- 9.9 Rotation Flap (Imre).- 9.10 Double Rotation Flap (Webster).- 9.11 Advancement or Rotation Flap with Back Cut.- 9.12 Transposition Flap.- 9.13 Bilobed Flap.- 9.14 Rhomboid Transposition Flaps (Limberg, Dufourmentel).- 9.15 Subcutaneous Pedicle Flap.- 9.16 Island or Tunnel Flap.- 9.17 Forehead Flap with Vascular Pedicle.- 9.18 Temporal Flap with Vascular Pedicle.- 9.19 Other Two-Stage Flaps.- 9.20 Tissue Expanders.- 10 Plastic Procedures: Grafts and Transfers.- 10.1 Skin Grafts.- 10.1.1 Split-Thickness Skin Grafts.- 10.1.2 Mesh Grafts.- 10.1.3 Pinch Grafts (Reverdin).- 10.1.4 Full-Thickness Skin Grafts.- 10.1.5 Composite Grafts.- 10.1.6 Fat Transplantation.- 10.2 Advanced Flaps.- 10.2.1 Tubed Flaps.- 10.2.2 Myocutaneous Flaps.- 10.2.3 Microvascularized Flaps.- 11 Electrosurgery.- 11.1 Electrosection or Electrocutting.- 11.2 Electrocoagulation.- 11.3 Electrodesiccation.- 11.4 Electrofulguration.- 12 Laser Therapy.- 12.1 Basic Principles.- 12.2 Argon Laser.- 12.3 Neodymium-YAG Laser.- 12.4 C02 Laser.- 12.5 Tunable Dye Laser.- 12.6 Other Lasers.- 13 Cryosurgery.- 13.1 Principles of Cryobiology.- 13.2 Methods of Cryosurgery.- 13.3 Tissue Reactions to Cryosurgery.- 13.4 Clinical Effects and Complications.- 14 Operative Treatment of Venous Disease.- 14.1 Anatomy.- 14.2 Anesthesia.- 14.3 Planning the Operation.- 14.4 Surgical Techniques.- 14.4.1 High Ligation - Avulsion of Saphenofemoral Junction.- 14.4.2 High Ligation - Avulsion of Saphenopopliteal Junction.- 14.4.3 Operations for Perforating Veins.- 14.4.4 Phlebectomy.- 14.4.5 Removal of Thrombosed Varicosity.- 15 Surgical Treatment of Venous Leg Ulcers.- 15.1 Pathogenesis.- 15.2 Anesthesia.- 15.3 Planning the Operation.- 15.4 Surgical Techniques.- 16 Scar Revision.- 16.1 General Principles.- 16.2 Planning the Operation.- 16.3 Surgical Techniques.- 17 Collagen Injection.- 17.1 Indications.- 17.2 Materials.- 17.3 Prerequisites for Treatment.- 17.4 Injection Techniques.- 18 Complications in Dermatologic Surgery.- 18.1 Causes of Complications.- 18.1.1 Intraoperative Changes in the Operative Plan.- 18.2 Complications of Cosmetic Procedures.- 18.3 Complications of Minor Procedures.- 18.4 Complications of Flaps.- 18.5 Complications of Grafts.- 18.6 Medical-Legal Aspects.- B Regional Operative Techniques.- 19 Head and Neck.- 19.1 Scalp.- 19.1.1 Anatomy.- 19.1.2 Anesthesia.- 19.1.3 Planning the Operation.- 19.1.4 Surgical Techniques.- 19.2 Forehead.- 19.2.1 Anatomy.- 19.2.2 Anesthesia.- 19.2.3 Planning the Operation.- 19.2.4 Surgical Techniques.- 19.3 Temples.- 19.3.1 Anatomy.- 19.3.2 Anesthesia.- 19.3.3 Planning the Operation.- 19.3.4 Surgical Techniques.- 19.4 Eyelids and Eyebrows.- 19.4.1 Anatomy.- 19.4.2 Anesthesia.- 19.4.3 Planning the Operation.- 19.4.4 Surgical Techniques.- 19.4.5 Blepharoplasty.- 19.5 Cheeks.- 19.5.1 Anatomy.- 19.5.2 Anesthesia.- 19.5.3 Planning the Operation.- 19.5.4 Surgical Techniques.- 19.6 Nose.- 19.6.1 Anatomy.- 19.6.2 Anesthesia.- 19.6.3 Planning the Operation.- 19.6.4 Surgical Techniques.- 19.6.5 Rhinophyma Surgery.- 19.7 Lips.- 19.7.1 Anatomy.- 19.7.2 Anesthesia.- 19.7.3 Planning the Operation.- 19.7.4 Surgical Techniques.- 19.8 Oral Cavity.- 19.8.1 Anesthesia.- 19.8.2 Planning the Operation.- 19.8.3 Surgical Techniques.- 19.9 Chin.- 19.9.1 Anatomy.- 19.9.2 Anesthesia.- 19.9.3 Planning the Operation.- 19.9.4 Surgical Techniques.- 19.10 External Ear.- 19.10.1 Anatomy.- 19.10.2 Anesthesia.- 19.10.3 Planning the Operation.- 19.10.4 Surgical Techniques.- 19.10.5 Operations for Chondrodermatitis nodularis helicis.- 19.11 Neck and Nape.- 19.11.1 Anatomy.- 19.11.2 Anesthesia.- 19.11.3 Planning the Operation.- 19.11.4 Surgical Techniques.- 20 Trunk.- 20.1 Breast, Abdomen, Back, and Buttocks.- 20.1.1 Anatomy.- 20.1.2 Anesthesia.- 20.1.3 Planning the Operation.- 20.1.4 Surgical Techniques.- 20.1.5 Abdominal Lift.- 20.2 Axillary Region.- 20.2.1 Anatomy.- 20.2.2 Anesthesia.- 20.2.3 Planning the Operation.- 20.2.4 Surgical Techniques.- 20.2.5 Operations for Hyperhidrosis.- 20.2.6 Axillary Lymph Node Dissection.- 20.3 Inguinal Region and Mons Pubis.- 20.3.1 Anatomy.- 20.3.2 Anesthesia.- 20.3.3 Planning the Operation.- 20.3.4 Surgical Techniques.- 20.3.5 Inguinal Lymph Node Dissection.- 20.4 External Genitalia and Perineum.- 20.4.1 Anatomy.- 20.4.2 Anesthesia.- 20.4.3 Male Genitalia.- 20.4.4 Female Genitalia.- 20.5 Anal and Perianal Region.- 20.5.1 Anatomy.- 20.5.2 Anesthesia.- 20.5.3 Planning the Operation.- 20.5.4 Surgical Techniques.- 21 Extremities.- 21.1 Arms and Legs.- 21.1.1 Anatomy.- 21.1.2 Anesthesia.- 21.1.3 Planning the Operation.- 21.1.4 Surgical Techniques.- 21.2 Hands, Feet, and Digits.- 21.2.1 Anatomy.- 21.2.2 Anesthesia.- 21.2.3 Planning the Operation.- 21.2.4 Surgical Techniques.- 21.3 Nails.- 21.3.1 Anatomy.- 21.3.2 Anesthesia.- 21.3.3 Planning the Operation.- 21.3.4 Surgical Techniques.- References Part A.- References Part B.