An Illustrated Handbook of Flap-Raising Techniques by Kartik G. Krishnan

By Kartik G. Krishnan

This guide is an introductory advisor to harvesting crucial workhorse
flaps of the torso and top and reduce extremities. Chapters are grouped into
separate sections in line with the anatomic quarter of the flaps. each one bankruptcy
details the serious medical info the physician must comprehend to
effectively harvest flaps, supplying concise descriptions of the guidance,
incision, and dissection strategies. certain illustrations supplementing the
descriptions let surgeons to completely comprehend the technical maneuvers of every


  • Step-by-step descriptions of flap harvesting

  • Thorough dialogue of the appropriate vascular or
    neurovascular anatomy for every dissection
  • More than two hundred illustrations and schematics
    demonstrating key ideas
  • Consistent presentation in every one bankruptcy to facilitate
    reference and evaluate
  • Practical dialogue of universal pitfalls to organize
    the physician for handling the entire diversity of situations within the scientific environment
  • Overview of basic strategies, together with
    microvascular anatomy and styles of vasculature of sentimental tissue flaps,
    instrumentation, and microvascular and microneural suturing techniques

a strong beginning upon which to additional boost surgical abilities, this e-book is an essential source for citizens in plastic and reconstructive surgical procedure, trauma surgical procedure, orthopedics, and neurosurgery.

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58 provided the best sensitivity (75 %) and specificity (75 %) for recurrent glioma [58]. 16 J. Zhou et al. Fig. 3 (a) T1-weighted images (right), ADC map (middle), and perfusion map (left) are shown at baseline prior to SRS for a right parietal brain metastases (top row) and 1 month post SRS treatment (bottom row). Qualitatively, there are significant decreases noted in tumor volume, diffusion, and perfusion 1 month after treatment. (b) Mean ADC histogram analyses performed for the normal tissue (green), a region of interest corresponding to a brain metastases at baseline (blue) and 2 weeks after SRS (red ).

DRRs can then be used to compare to the portal films or their equivalent portal verification images. In most stereotactic radiosurgery systems, the frameless tracking systems use a similar set-up. A simulation CT is taken according to the constraints of the radiosurgery machine, an alignment center is selected by the operator from the planning CT, and a set of DRRs is then generated. In the treatment room, the target’s location (in reference to the alignment center) is aligned to the imaging center of the tracking X-ray source, which has a fixed center in the treatment room.

Hayhurst C, Zadeh G. Tumor pseudoprogression following radiosurgery for vestibular schwannoma. Neuro Oncol. 2012;14(1):87–92. 69. Nagano O, Serizawa T, Higuchi Y, Matsuda S, Sato M, Yamakami I, Okiyama K, Ono J, Saeki N. Tumor shrinkage of vestibular schwannomas after Gamma Knife surgery: results after more than 5 years of follow-up. J Neurosurg. 2010;113(Suppl):122–7. 70. Han JH, Kim DG, Chung HT, Paek SH, Park CK, Kim CY, Hwang SS, Park JH, Kim YH, Kim JW, Kim YH, Song SW, Kim IK, Jung HW. The risk factors of symptomatic communicating hydrocephalus after stereotactic radiosurgery for unilateral vestibular schwannoma: the implication of brain atrophy.

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