Simply Local Flaps

This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals - the basic procedures, how to get started, and technical tips - as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book's final chapters are focused on assessment, decision-making and lessons learned - essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications. Rather than demonstrate exactly how to execute flaps, the book's primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.

Intro; Foreword; Preface; Contents; Acknowledgements; About the Authors; Part I: Fundamentals; 1: Introduction; What Are Local Flaps?; Classification of Local Flaps; Planning a Local Flap; Aesthetic Subunit Principle; Scar Considerations; Flint's Circle Technique for Determining the Optimum Scar Lines; Anatomical Landmarks; Sources of Spare Skin on the Face of Good Donor Sites for Skin Flaps; References; 2: Getting Started: Planning and Drawing; Planning with Flint's Circles; References; 3: Technical Tips for Local Flap Surgery; Documentation; Local Anaesthesia; Sterile Technique

Standard Surgical InstrumentsGentle Tissue Handling; Suture Without Tension; Photograph and Measure Everything for the Record, Especially Complications of Treatment; Precise Surgical Dissection; Designing a Local Flap to Avoid Tension in Hand Wound Defects; Managing Patients on Aspirin and Anticoagulants; References; Part II: Traditional Local Flaps; 4: Elliptical Excision and Sliding Flap Repair; Modifications of the Ellipse; Crescentic Ellipse; Asymmetrical Ellipse; Wedge Excision; M-plasty [4, 5]; Crown Excision [6]; Modifications of the Wedge Excision [4, 5]; Dog-ears; Summary; References

5: Advance…