Expert guidance on the use of perforator flaps for reconstruction from leading pioneers in the field

Nearly two decades ago, the first edition of Perforator Flaps: Anatomy, Technique, & Clinical Applications was published, thereby filling a gap in the literature, and providing invaluable clinical pearls on the use of soft tissue flaps for reconstructive surgery. Since the publication of the second edition, technological advances including MRI angiography, standard color duplex ultrasound, ultra-high frequency ultrasound, and indocyanine green enabled better understanding of select pertinent physiology and delineation of perforators anywhere in the body. Greater anatomical knowledge and the ability to map the course of individual perforators is reflected in the updated third edition by renowned global experts and editors of the prior editions, Phillip N. Blondeel, Steven F. Morris, Geoffrey G. Hallock, and Peter C. Neligan.

The primary goal of the third edition is to discuss evidenced-based perforator concepts and techniques that have been incorporated into global practice worldwide. Although condensed into a single volume, the new edition follows a similar format as prior editions, with chapters divided into four sections. The first section provides a solid foundation of knowledge with discussion of rudimentary fundamentals. The second section illustrates the use of basic types of local perforator flaps; introduces the vascularized dermal graft; describes routine suprafascial flap dissections with perforators themselves as recipient and donor vessels; lymphatics reconstituted in concert with perforator flaps; and how to minimize donor site morbidity with "kiss" flaps. The third section outlines basic anatomy and techniques for common perforator flaps, while the fourth section provides a brief overview of suggested preferences for clinical applications, with both sections organized by body region.

Fifty-nine chapters with contributions from leading worldwide experts present trailblazing opinions and how-to tutorials
Sixty-one videos provide invaluable visual insights on how to successfully harvest donor sites, transfer tissue, and create a wide range of perforator flaps
The latest updates including microsurgery, ICG angiography, lymphedema surgery, skin perforator flaps, and keystone flaps
Algorithms and summary boxes offer quick access to essential information, while stepwise photos provide additional guidance on challenging techniques
This must-have text and video resource provides reconstructive plastic surgeons with a solid foundation of vascular anatomy knowledge, techniques for particular selections, and utilization of perforator flaps for all clinical situations.

This print book includes complimentary access to a digital copy on https://medone.thieme.com.


Section I Fundamentals
1 History of Perforator Flap Surgery
2 Vascular Territories of the Integument
3 Perforator Flaps: Overview, Definitions, Classifications, and Nomenclature
4 Instructional Models for Learning Dissection Techniques for Perforator Flaps
5 How to Find the Perforator: Preoperative and Intraoperative
6 How to Dissect a Perforator Vessel and Avoid Complications
Section II Variations in Perforator Flap Design
7 Local Perforator Flaps
8 Various Planes for Perforator Flap Elevatoin and the Concept of Perforator-to-Perforator Flaps
9 Perforator Flaps and Lymphatics
10 Pure Skin Perforator Flap
11 Kiss and Sequential Flaps for Perforator Flap Donor Site Primary
Section III Regional Flaps: Anatomy and Technique
Head and Neck
12 Vascular Anatomy of the Integument of the Head and Neck
13 Temporoparietal Artery Perforator Flap
14 Facial Artery Perforator Flap
15 Facial Artery Musculomucosal Flap
16 Submental Artery Perforator Flap
17 The Ascending Helical Rim Flap
18 Supraclavicular Perforator Flap
19 Supratrochlear Artery and Supraorbital Artery Perforator Flaps
20 Chimeric Flaps for the Head and Neck
Upper Extremity
21 Vascular Supply of the Integument of the Upper Extremity
22 Lateral Arm Perforator Flap
23 Posterior Interosseous Artery Perforator Flap
24 Ulnar Artery Perforator Flap
25 Radial Artery Perforator Flap
26 Perforator Flaps of the Hand
Trunk
27 Anatomy of the Integument of the Trunk
28 Thoracoacromial Artery Perforator Flap
29 Internal Mammary Artery Perforator Flap
30 Superior Epigastric Artery Perforator Flap
31 Deep Inferior Epigastric Artery Perforator Flap
32 Superficial Inferior Epigastric Artery Flap
33 Deep Circumflex Iliac Artery Perforator Flap
34 Superficial Circumflex Iliac Artery Perforator Flap
35 Circumflex Scapular Artery Perforator Flap
36 Dorsal Scapular Artery Perforator Flap
37 Thoracodorsal Artery Perforator Flap
38 Intercostal Artery Perforator Flaps
39 Lumbar Artery Perforator Flaps
40 Gluteal Artery Perforator Flaps
Lower Extremity
41 Anatomy of the Integument of the Lower Extremity
42 The Lateral Thigh Perforator Flap
43 Lateral Circumflex Femoral Artery Tensor Fascia Lata Perforator Flap
44 Lateral Circumflex Femoral Artery Vastus Lateralis Perforator Flap
45 Superficial Femoral Artery Perforator Flap
46 Profunda Femoris Artery Perforator Flap
47 The Medial Femoral Condyle and Descending Genicular Artery Perforator Flap
48 Superior Lateral Genicular Artery Perforator Flap
49 The Medial Sural Artery Perforator Flap
50 Distally Based Sural Artery Flap
51 Medial Plantar Artery Perforator Flaps with Emphasis on the Medialis Pedis Flap
Section VI Clinical Applications
Head and Neck
52 Flap Options and Technical Considerations in Head and Neck Reconstruction
Upper Extremity
53 Flap Options and Technical Considerations in the Upper Extremity
Trunk
54 Flap Options and Technical Considerations in the Trunk
55 Breast Reconstruction
56 Trunk Reconstruction
57 Perforator Flaps in Pelvic Reconstruction
58 Perineogenital Reconstruction
Lower Extremity
59 Flap Options and Technical Considerations in the Lower Extremity