Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

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Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

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LANGUAGE: ENGLISH

Authors: Michael M. Pavletic
Release date: 2018
ISBN: 978-11-19267-50-8
Pages: 880
Binding: Hard cover
Format: 22,1 x 28,4

Wound management and reconstructive surgery are among the most challenging and innovative subspecialties of veterinary surgery for the management of traumatic injuries and neoplastic conditions commonly encountered in small animals. Atlas of Small Animal Wound Management and Reconstructive Surgery, Fourth Edition presents detailed procedures for surgical reconstruction and essential information on the principles of wound healing and wound management for dogs and cats. Coverage encompasses the pathophysiology and management of the wide variety of wounds encountered in small animal practice and the most current reconstructive techniques for closing the most challenging defects.


220,10 €

209,10 €

Michael M. Pavletic, DVM, Diplomate ACVS

Director of Surgical Services at Angell Animal Medical Center in Boston, Massachusetts, USA.

Foreword
Preface 		
Acknowledgments		
About the Companion Website 		
	1. The Ski	
		Skin Functio
		Skin Structur
		Cutaneous Adnex
		The Hypodermi
		Cutaneous Circulatio
		Pinna: Cutaneous Considerations
		Congenital Skin Disorders
	2. Basic Principles of Wound Healing	
		Introduction
		Wound Healing
		Acute Versus Chronic Open Wounds
		Species Variations in Wound Healing
		“Artificial Skin”
	3. Basic Principles of Wound Management	
		Introduction
		Patient Presentation
		Mechanisms of Injury and Wound Terminology
		Wound Classification
		Options for Wound Closure
		“Pointers” in Selecting the Proper Closure Technique
		Basic Wound Management in Six Simple Steps
		Exposed Bone: Osteostixis
		Acute Versus Chronic Wounds
	4. Topical Wound Care Products and Their Use	
		Wound Exudate
		Wound Drainage Systems
		Negative Pressure Wound Therapy (NPWT)
		Concept of Moist Wound Healing (MWH)
		Topical Wound Care Products
		The Maggot and Leach in Wound Care
		Common Topical Antiseptic and Cleansing Agents
		Alternative Forms of Wound Therapy
		Concluding Remarks
		Plate 1: Vacuum‐Assisted Closure
	5. Dressings, Bandages, External Support, and Protective Devices	
		Introduction
		Dressings: The Primary Layer
		Dressings: The Secondary Layer 
		Dressings: The Tertiary Layer 
		Preventing Bandage Displacement 
		Tie‐Over Dressing/Bandage Technique 
		Pressure Points: Bandage Options 
		Bandage “Access Windows” 
		Bandaging Techniques for Skin Grafts 
		Bandaging Techniques for Skin Flaps 
		Splints, Casts, Reinforced Bandages 
		Miscellaneous Protective Devices 
		Plate 2: Basic Bandage Application for Extremities 
		Plate 3: Tape Stirrups and Padding Dos and Don’ts 
		Plate 4: Elasticon Bandage Platforms and Saddles 
		Plate 5: Spica Bandages/Splints 
		Plate 6: Schroeder‐Thomas Splint 
		Plate 7: Schroeder‐Thomas Splint: Security Band Application 
		Plate 8: Body Brace 
		Plate 9: Tape Hobbles for the Rear Extremities 
	6. Common Complications in Wound Healing 	
		Improper Nutritional Support 
		Medications and Their Influence on Healing 
		Hypovolemia and Anemia 
		The Nonhealing Wound: General Considerations 
		Failure to Heal by Second Intention 
		Scarring and Wound Contracture 
		Infection and Biofilm Formation 
		Draining Tracts 
		Use of Tourniquets for Lower Extremity Procedures 
		Seromas 
		Hematomas 
		Exposed Bone 
		Wound Dehiscence 
	7. Management of Specific Wounds 	
		Bite Wounds 
		Burns 
		Inhalation Injuries 
		Chemical Burns 
		Electrical Injuries 
		Radiation Injuries 
		Frostbite 
		Projectile Injuries 
		Explosive Munitions: Ballistic, Blast, and Thermal Injuries 
		Impalement Injuries 
		Pressure Ulcers 
		Hygroma 
		Snakebite 
		Brown Recluse Spider Bites 
		Porcupine Quills 
		Lower Extremity Shearing Wounds 
		Plate 10: Pipe Insulation Protective Device: Elbow 
		Plate 11: Pipe Insulation to Protect the Great Trochanter 
		Plate 12: Vacuum Drain Management of Elbow Hygromas 
	8. Regional Considerations 	
		The Canine and Feline Profiles 
		Plates 13A and 13B: Surgical Technique Menu 
	9. Tension‐Relieving Techniques 	
		Introduction 
		Skin Tension in the Dog and Cat 
		Plate 14: Tension Lines 
		Plate 15: Effects of Skin Tension on Wound Closure 
		Plate 16: Patient Positioning Techniques 
		Plate 17: Undermining Skin 
		Plate 18: Geometric Patterns to Facilitate Wound Closure 
		Plate 19: V‐Y Plasty 
		Plate 20: Z‐Plasty (Option I) 
		Plate 21: Z‐Plasty (Option II) 
		Plate 22: Multiple Z‐Plasties 
		Plate 23: Relaxing/Release Incisions 
		Plate 24: The “Hidden” Intradermal Release/ Relaxing Incision 
		Plate 25: Multiple Release Incisions for Extremity Wounds 
		Plate 26: Suture Options to Alter Skin Traction and Retraction 
		Plate 27: Walking Suture Technique 
		Plate 28: Skin Stretchers to Offset Incisional Tension 
		Plate 29: “Tension” Suture Patterns 
		Plate 30: Retention Sutures 
		Plate 31: Stent 
		Plate 32: Skin “Directing” for Maximum Coverage 
		Plate 33: Relaxing Incision to Reduce Flap Tension 
		10. Skin‐Stretching Techniques 
		Physiology of Skin Stretching 
		Presuturing 
		Load Cycling 
		Skin Stretchers 
		Skin Expanders 
		Plate 34: Presuturing Technique 
		Plate 35: Application of Skin Stretchers 
		Plate 36: Skin Stretchers to Enhance Length of Axial Pattern Flaps 
		Plate 37: Skin Stretcher Substitution for Presuturing 
		Plate 38: Skin Expanders 
	11. Local Flaps 	
		Introduction 
		Advancement Flaps 
		Rotating (Pivoting) Flaps 
		Plate 39: Single Pedicle Advancement Flap 
		Plate 40: Bipedicle Advancement Flap 
		Plate 41: Transposition Flap (90 degrees) 
		Plate 42: Transposition Flap (45 degrees) 
		Plate 43: Transposition Flap (Oblique Angle) 
		Plate 44: Local Facial Flap Options vs. Auricular Axial Pattern Flap 
		Plate 45: Transposition Flaps in Partial Wound Closure 
		Plate 46: Interpolation Flap 
		Plate 47: Rotation Flap 
		Plate 48: Forelimb Fold Flap 
	12. Distant Flap Techniques 	
		Distant Flaps 
		Direct Flaps 
		Indirect Flaps 
		The Delay Phenomenon 
		Plate 49: Direct Flap: Single Pedicle (Hinge) Flap 
		Plate 50: Direct Flap Closure of Knee Defect 
		Plate 51: Direct Flap: Bipedicle (Pouch) Flap 
		Plate 52: Indirect Flap: Delayed Tube Flap 
		13. Axial Pattern Skin Flaps 
		Introduction: Axial Pattern Flaps 
		Island Arterial Flaps 
		Reverse Saphenous Conduit Flaps 
		Secondary Axial Pattern Flaps 
		Options to Extend the Length of Axial Pattern Flaps 
		Plate 53: Four Major Axial Pattern Flaps of the Canine Trunk 
		Plate 54: Skin Position and Axial Pattern Flap Development 
		Plate 55: Omocervical Axial Pattern Flap 
		Plate 56: Thoracodorsal Axial Pattern Flap 
		Plate 57: Lateral Thoracic Axial Pattern Flap 
		Plate 58: Superficial Brachial Axial Pattern Flap 
		Plate 59: Caudal Superficial Epigastric Axial Pattern Flap 
		Plate 60: Cranial Superficial Epigastric Axial Pattern Flap 
		Plate 61: Deep Circumflex Iliac Axial Pattern Flap: Dorsal Branch 
		Plate 62: Deep Circumflex Iliac Axial Pattern Flap: Ventral Branch 
		Plate 63: Flank Fold Flap: Hind Limb 
		Plate 64: Genicular Axial Pattern Flap 
		Plate 65: Reverse Saphenous Conduit Flap 
		Plate 66: Caudal Auricular Axial Pattern Flap 
		Plate 67: Superficial Temporal Axial Pattern Flap 
		Plate 68: Lateral Caudal (Tail) Axial Pattern Flap 
	14. Free Grafts 	
		Free Skin Grafts 
		Classification of Free Grafts 
		Graft Thickness 
		Partial‐Coverage Grafts 
		Dermatomes 
		Preservation by Refrigeration 
		Intraoperative Considerations 
		Bandaging Technique for Skin Grafts 
		Use of Plates 
		Plate 69: Punch Grafts 
		Plate 70: Pinch Grafts 
		Plate 71: Strip Grafts 
		Plate 72: Stamp Grafts 
		Plate 73: Sheet Grafts 
		Plate 74: Dermatome: Split‐Thickness Skin Graft Harvesting 
		Plate 75: Mesh Grafts (With Expansion Units) 
		Plate 76: Mesh Grafts (With Scalpel Blades) 
	15. Facial Reconstruction 	
		Introduction: Facial Reconstructive Surgery 
		Plate 77: Repair of Upper Lip Avulsion 
		Plate 78: Repair of Lower Labial Avulsion 
		Plate 79: Wedge Resection Technique 
		Plate 80: Rectangular Resection Technique 
		Plate 81: Full‐Thickness Labial Advancement Technique (Upper Lip) 
		Plate 82: Full‐Thickness Labial Advancement Technique (Lower Lip) 
		Plate 83: Buccal Rotation Technique 
		Plate 84: Lower Labial Lift‐Up Technique 
		Plate 85: Upper Labial Pull‐Down Technique 
		Plate 86: Labial/Buccal Reconstruction with Inverse Tubed Skin Flap 
		Plate 87: Skin Flap for Upper Labial and Buccal Replacement (Facial [Angularis Oris] Axial Pattern Flap) 
		Plate 88: Feline Facial Axial Pattern Flap 
		Plate 89: Cleft Lip Repair (Primary Cleft, Cheiloschisis, Harelip) 
		Plate 90: Unilateral Rostral Labial Pivot Flaps 
		Plate 91: Bilateral Rostral Labial Pivot Flaps 
		Plate 92: Oral Commissure Advancement Technique 
		Plate 93: Brachycephalic Facial Fold Correction 
		Plate 94: Cheilopexy Technique for Drooling 
	16. Myocutaneous Flaps and Muscle Flaps 	
		Introduction 
		Myocutaneous Flaps 
		Muscle Flaps 
		Plate 95: Latissimus Dorsi Myocutaneous Flap 
		Plate 96: Cutaneous Trunci Myocutaneous Flap 
		Plate 97: Latissimus Dorsi Muscle Flap 
		Plate 98: Latissimus Dorsi Bipedicle Muscle Flap 
		Plate 99: Triceps Replacement with Latissimus Dorsi Muscle 
		Plate 100: External Abdominal Oblique Muscle Flap 
		Plate 101: Caudal Sartorius Muscle Flap 
		Plate 102: Cranial Sartorius Muscle Flap 
		Plate 103: Temporalis Muscle Flap 
		Plate 104: Transversus Abdominis Muscle Flap 
		Plate 105: Semitendinosus Muscle and Myocutaneous Flaps 
		Plate 106: Flexor Carpi Ulnaris Muscle Flap 
		Plate 107: Cranial Tibial Muscle Flap 
		Plate 108: Internal Obturator Muscle Flap 
		Plate 109: Superficial Gluteal Flap for Perineal Hernia Closure 
	17. Oral Reconstructive Surgical Techniques 	
		Introduction 
		Cleft Palate 
		Palatal Defects/Oronasal Fistulas 
		Plate 110: Mucosal Flaps 
		Plate 111: Palatoplasty: Bipedicle Advancement Technique 
		Plate 112: Cleft Palate Repair: Mucoperiosteal Flap Technique 
		Plate 113: Palatine Mucosal Flap 
		Plate 114: Soft Palate/Pharyngeal Mucosal Flaps 
		Plate 115: Full‐Thickness Labial Flap Closure of Oronasal Fistulas 
		Plate 116: Cartilage Grafts for Palatal Fistulas 
		Plate 117: Angularis Oris Mucosal Flap 
	18. Foot Pad Reconstruction 	
		Introduction 
		Pad Laceration and Lesion Excision 
		Digital Pad Transfer 
		Metacarpal/Metatarsal Pad Transfer 
		Accessory Carpal Pad 
		Pad Grafting 
		Digital Flaps for Wound Closure 
		Fusion Podoplasty 
		Plate 118: Digital Flap Technique: Major Digital/ Interdigital Defects 
		Plate 119: Digital Flap Technique: Major Defects of Digits Two or Five 
		Plate 120: Digital Pad Transfer 
		Plate 121: Metatarsal/Metacarpal Pad Transfer 
		Plate 122: Pad Grafting 
		Plate 123: Segmental Pad Grafting Technique 
		Plate 124: Fusion Podoplasty 
	19. Major Eyelid Reconstruction 	
		Introduction 
		The Eyelids 
		Plate 125: Skin Flap Options for Cutaneous Defects of the Eyelid Regions 
		Plate 126: Lip‐to‐Lid Procedure 
		Plate 127: Oral Mucosal Graft onto Skin Flap 
		Plate 128: Third Eyelid–Skin Flap Reconstruction of the Lower Eyelid 
	20. Nasal Reconstruction Techniques 	
		Introduction: Nasal Anatomy 
		Traumatic Wound Management 
		Neoplasia 
		Neoplasms and Surgical Margins 
		Nasal Reconstruction Options 
		Options for Managing Nasal Stenosis 
		Plate 129: Septal Coverage Using Cutaneous Advancement Flaps 
		Plate 130: Bilateral Sulcus Flap Technique 
		Plate 131: Septal Resection Technique 
		Plate 132: Dorsal Nasal Splitting Technique to Enhance Exposure of Septum 
		Plate 133: Alar Fold Flaps 
		Plate 134: Musculofascial Island Labial Flap 
		Plate 135: Labial Mucosal Inversion Technique 
		Plate 136: Nasal Reconstruction with the “Lip‐to‐ Lid Technique” Variation 
		Plate 137: Oral Mucosal Graft with Nasal Stenting 
		Plate 138: Intranasal Septal Window Technique 
		Plate 139: Cantilever Suture Technique 
	21. Cosmetic Closure Techniques 	
		Cosmetic Considerations 
		Causes of Scars 
		Minimization of Scarring 
		Dog Ears 
		Plate 140: Scar Concealment 
		Plate 141: W‐Plasty 
		Plate 142: Dog Ear: Surgical Correction 
	22. Preputial Reconstructive Surgery 	
		Introduction 
		Surgical Conditions 
		Surgical Techniques 
		Plate 143: Preputial Ostium Enlargement 
		Plate 144: Preputial Ostium Reduction 
		Plate 145: Preputial Advancement Technique 
		Plate 146: Phallopexy 
		Plate 147: Urethral Reconstruction for Subanal Hypospadias 
		Plate 148: Preputial Urethrostomy Technique 
		Plate 149: Urine Diversion Technique 
	23. Pinnal Reconstructive Surgery 	
		Introduction 
		Anatomy of the Pinna 
		Surgical Conditions 
		Wound Management and Reconstructive Surgical Techniques 
		Aural Hematoma Management Options 
		Plate 150: Skin Advancement Closure: Rostral Pinnal Base 
		Plate 151: Skin Advancement Closure: Caudal Pinnal Base 
		Plate 152: Transposition Flap Technique for Smaller Medial Pinnal Defects 
		Plate 153: Transposition Flap Technique for Minor Lateral Pinnal Defects 
		Plate 154: Large Transposition Flap Closure After Major Medial Pinnal Resection 
		Plate 155: Transposition Flap for Major Lateral Pinnal Defects 
		Plate 156: Direct Flap Reconstruction of the Pinna 
		Plate 157: Resection of the Terminal Third of the Pinna 
		Plate 158: Inverted “Triangle” Resection of the Central Third of the Pinna 
		Plate 159: Incisional Drainage of Aural Hematomas 
		Plate 160: Bandaging the Pinna 
		Plate 161: Vacuum Drain Management of Aural Hematomas 
	24. Miscellaneous Reconstructive Surgical Techniques 	
		Omentum 
		Scrotum 
		Tail Fold Intertrigo (Screw Tail) 
		Disorders of the Vulva 
		Managing Skin Fold Inversion of Urethrostomies 
		Fecal Incontinence: Treatment Options 
		Plate 162: Omental Flap Options 
		Plate 163: Scrotal Flap Technique 
		Plate 164: Caudectomy for Tail Fold Intertrigo 
		Plate 165: Episioplasty 
		Plate 166: Fascia Lata Sling and Silicone Banding for Managing Fecal Incontinence 
		Plate 167: Spiral Rectal Diaphragm Technique (Rectal Rifling) 
Index 		

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Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

LANGUAGE: ENGLISH

Authors: Michael M. Pavletic
Release date: 2018
ISBN: 978-11-19267-50-8
Pages: 880
Binding: Hard cover
Format: 22,1 x 28,4

Escribe tu opinión

Escribe tu opinión

Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

LANGUAGE: ENGLISH

Authors: Michael M. Pavletic
Release date: 2018
ISBN: 978-11-19267-50-8
Pages: 880
Binding: Hard cover
Format: 22,1 x 28,4

Escribe tu opinión

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