Atlas of small animal wound management and reconstructive surgery

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1. Verfasser: Pavletic, Michael M. (VerfasserIn)
Format: Buch
Sprache:English
Veröffentlicht: Ames, Iowa Wiley-Blackwell 2010
Ausgabe:3. ed.
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adam_text Atlas of Small Animal Wound Management and Reconstructive Surgery Third Edition Michael M. Pavletic DVM Diplomate American College of Veterinary Surgeons Director of Surgical Services Angell Animal Medical Center Boston, Massachusetts )WILEY-BLACKWELL A John Wiley amp; Sons, Inc., Publication Contents Preface xm The Skin Skin Function 4 Skin Structure 4 Cutaneous Adnexa 7 The Hypodermis 10 Cutaneous Circulation 10 Congenital Skin Disorders 14 Basic Principles of Wound Healing 17 Introduction 18 Wound Healing 18 Species Variations in Wound Healing 28 Artificial Skin 28 3. Basic Principles of Wound Management Introduction 32 Patient Presentation 32 Mechanisms of Injury and Wound Terminology 32 Wound Classification 33 Options for Wound Closure 35 Pointers in Selecting the Proper Closure Technique 42 Basic Wound Management in Six Simple Steps 43 31 4. Wound Care Products and Their Use 51 Wound Drainage Systems 52 Topical Wound Care Products 61 Alternative Forms of Wound Therapy 76 Concluding Remarks 76 Plate 1: Vacuum-Assisted Closure 78 5. Dressings, Bandages, External Support, and Protective Devices 81 Introduction 82 Composition of a Bandage 82 Preventing Bandage Displacement 99 Tie-over Dressing/Bandage Technique 100 Pressure Points: Bandage Options 100 Bandage Access Windows 100 Bandaging Techniques for Skin Grafts 101 Bandaging Techniques for Skin Flaps 101 Splints, Casts, Reinforced Bandages 101 Miscellaneous Protective Devices 102 Plate 2: Basic Bandage Application for Extremities 110 Plate 3: Tape Stirrups and Padding Dos and Don ts 112 Plate 4: Elasticon Bandage Platforms and Saddles 114 Plate 5: Spica Bandages/Splints 116 Plate 6: Schroeder-Thomas Splint 118 Plate 7: Schroeder-Thomas Splint: Security Band Application 122 Plate 8: Body Brace 124 vii Vlll Contents 6. Common Complications in Wound Healing 127 Improper Nutritional Support 128 Medications and Their Influence on Healing 129 Hypovolemia and Anemia 130 The Nonhealing Wound: General Considerations 130 Failure to Heal by Second Intention 132 Scarring and Wound Contracture 138 Infection 138 Draining Tracts 145 Use of Tourniquets for Lower Extremity Procedures 149 Seromas 150 Hematomas 151 Exposed Bone 151 Wound Dehiscence 153 7. Management of Specific Wounds 159 Bite Wounds 160 Burns 170 Inhalation Injuries 181 Chemical Burns 182 Electrical Injuries 184 Radiation Injuries 187 Frostbite 191 Projectile Injuries 193 Impalement Injuries 214 Pressure Sores 216 Hygroma 221 Snakebite 224 Brown Recluse Spider Bites 225 Porcupine Quills 225 Plate 9: Pipe Insulation Protective Device: Elbow 230 8. Regional Considerations.... The Canine and Feline Profiles 234 Plate 10: Surgical Technique Menu 236 233 9. Tension Relieving Techniques 241 Introduction 242 Skin Tension in the Dog and Cat 242 Plate 11: Tension Lines 248 Plate 12: Effects of Skin Tension on Wound Closure 250 Plate 13: Patient Positioning Techniques 252 Plate 14: Undermining Skin 254 Plate 15: Geometric Patterns to Facilitate Wound Closure 256 Plate 16: V-Y Plasty 258 Plate 17: Z-Plasty (Option I) 260 Plate 18: Z-Plasty (Option II) 262 Plate 19: Multiple Z-Plasties 264 Plate 20: Relaxing/Release Incisions 266 Plate 21: The Hidden Intradermal Release Incision 268 Plate 22: Multiple Release Incisions for Extremity Wounds 270 Plate 23: Walking Suture Technique 272 Plate 24: Skin Stretchers to Offset Incisional Tension 274 Plate 25: Tension Suture Patterns 276 Plate 26: Retention Sutures 278 Plate 27: Stent 280 Plate 28: Skin Directing for Maximum Coverage 282 Plate 29: Relaxing Incision to Reduce Flap Tension 284 10. Skin-Stretching Techniques 287 Physiology of Skin Stretching 288 Presuturing 288 Skin Stretchers 288 Skin Expanders 293 Plate 30: Presuturing Technique 296 Plate 31: Application of Skin Stretchers 298 Plate 32: Skin Stretcher Substitution for Presuturing 300 Plate 33: Skin Expanders 302 11. Local Flaps 307 Introduction 308 Advancement Flaps 309 Rotating (Pivoting) Flaps 309 Plate 34: Single Pedicle Advancement Flap 318 Plate 35: Bipedicle Advancement Flap 320 Plate 36: Transposition Flap (90 degrees) 322 Plate 37: Transposition Flap (45 degrees) 326 Contents IX Plate 38: Interpolation Flap 328 Plate 39: Rotation Flap 332 Plate 40: Forelimb Fold Flap 334 12. Distant Flap Techniques 337 Distant Flaps 338 Direct Flaps, 338 Indirect Flaps 338 The Delay Phenomenon 342 Plate 41: Direct Flap: Single Pedicle (Hinge) Flap 344 Plate 42: Direct Flap: Bipedicle (Pouch) Flap 348 Plate 43: Indirect Flap: Delayed Tube Flap 354 13. Axial Pattern Skin Flaps 357 Introduction: Axial Pattern Flaps 358 Island Arterial Flaps 358 Reverse Saphenous Conduit Flaps 358 Secondary Axial Pattern Flaps 358 Plate 44: Four Major Axial Pattern Flaps of the Canine Trunk 370 Plate 45: Skin Position and Axial Pattern Flap Development 372 Plate 46: Omocervical Axial Pattern Flap 374 Plate 47: Thoracodorsal Axial Pattern Flap 376 Plate 48: Lateral Thoracic Axial Pattern Flap 378 Plate 49: Superficial Brachial Axial Pattern Flap 380 Plate 50: Caudal Superficial Epigastric Axial Pattern Flap 382 Plate 51: Cranial Superficial Epigastric Axial Pattern Flap 384 Plate 52: Deep Circumflex Iliac Axial Pattern Flap: Dorsal Branch 386 Plate 53: Deep Circumflex Iliac Axial Pattern Flap: Ventral Branch 388 Plate 54: Flank Fold Flap: Hind Limb 390 Plate 55: Genicular Axial Pattern Flap 392 Plate 56: Reverse Saphenous Conduit Flap 394 Plate 57: Caudal Auricular Axial Pattern Flap 396 Plate 58: Superficial Temporal Axial Pattern Flap 398 Plate 59: Lateral Caudal (Tail) Axial Pattern Flap 400 14. Free Grafts 403 Free Skin Grafts 404 Classification of Free Grafts 404 Graft Thickness 405 Partial-Coverage Grafts 405 Dermatomes 405 Preservation by Refrigeration 409 Intraoperative Considerations 409 Bandaging Technique for Skin Grafts 411 Plate 60: Punch Grafts 416 Plate 61: Pinch Grafts 418 Plate 62: Strip Grafts 420 Plate 63: Stamp Grafts 422 Plate 64: Sheet Grafts 424 Plate 65: Dermatome: Split-Thickness Skin Graft Harvesting 426 Plate 66: Mesh Grafts (With Expansion Units) 428 Plate 67: Mesh Grafts (With Scalpel Blades) 430 15. Facial Reconstruction 433 Introduction: Facial Reconstructive Surgery 434 Plate 68: Repair of Lower Labial Avulsion 446 Plate 69: Repair of Upper Lip Avulsion 448 Plate 70: Wedge Resection Technique 450 Plate 71: Rectangular Resection Technique 452 Plate 72: Full-Thickness Labial Advancement Technique (Upper Lip) 454 Plate 73: Full-Thickness Labial Advancement Technique (Lower Lip) 456 Plate 74: Buccal Rotation Technique 458 Plate 75: Lower Labial Lift-Up Technique 460 Plate 76: Upper Labial Pull-Down Technique 462 Plate 77: Labial/Buccal Reconstruction with Inverse Tubed Skin Flap 464 Plate 78: Skin Flap for Upper Labial and Buccal Replacement (Facial Axial Pattern Flap) 468 Plate 79: Cleft Lip Repair (Primary Cleft, Cheiloschisis, Harelip) 470 Plate 80: Rostral Labial Pivot Flaps 472 Plate 81: Oral Commissure Advancement Technique 474 Contents Plate 82: Brachycephalic Facial Fold Correction 476 Plate 83: Cheilopexy Technique for Drooling 478 16. Myocutaneous Flaps and Muscle Flaps 481 Introduction 482 Myocutaneous Flaps 482 Muscle Flaps 482 Plate 84: Latissimus Dorsi Myocutaneous Flap 490 Plate 85: Cutaneous Trunci Myocutaneous Flap 492 Plate 86: Latissimus Dorsi Muscle Flap 494 Plate 87: External Abdominal Oblique Muscle Flap 496 Plate 88: Caudal Sartorius Muscle Flap 498 Plate 89: Cranial Sartorius Muscle Flap 500 Plate 90: Temporalis Muscle Flap 502 Plate 91: Transversus Abdominis Muscle Flap 504 Plate 92: Semitendinosus Muscle and Myocutaneous Flaps 506 Plate 93: Flexor Carpi Ulnaris Muscle Flap 508 18. Foot Pad Reconstruction 535 Introduction 536 Pad Laceration and Lesion Excision 536 Digital Pad Transfer 538 Metacarpal/Metatarsal Pad Transfer 538 Accessory Carpal Pad 538 Pad Grafting 538 Digital Flaps for Wound Closure 538 Fusion Podoplasty 538 Plate 102: Digital Flap Technique: Major Digital-Interdigital Defects 546 Plate 103: Digital Flap Technique: Major Defects of Digits Two or Five 548 Plate 104: Digital Pad Transfer 550 Plate 105: Metatarsal/Metacarpal Pad Transfer 552 Plate 106: Pad Grafting 554 Plate 107: Segmental Pad Grafting Technique 556 Plate 108: Fusion Podoplasty 558 19. Major Eyelid Reconstruction 561 Introduction 562 The Eyelids 562 Plate 109: Lip-to-Lid Procedure 564 Plate 110: Oral Mucosal Graft onto Skin Flap 568 Plate 111: Third Eyelid-Skin Flap Reconstruction of the Lower Eyelid 570 17. Oral Reconstructive Surgical Techniques 511 Introduction 512 Plate 94: Mucosal Flaps 518 Plate 95: Palatoplasty: Bipedicle Advancement 519 Plate 96: Cleft Palate Repair: Mucoperiosteal Flap Technique 522 Plate 97: Palatine Mucosal Flap 524 Plate 98: Soft Palate/Pharyngeal Mucosal Flaps 526 Plate 99: Full-Thickness Labial Flap Closure of Oronasal Fistulas 528 Plate 100: Cartilage Grafts for Palatal Fistulas 530 Plate 101: Angularis Oris Mucosal Flap 532 20. Nasal Reconstruction Techniques 573 Introduction: Nasal Anatomy 574 Traumatic Wound Management 574 Neoplasia 576 Neoplasms and Surgical Margins 576 Nasal Reconstruction Options 577 Plate 112: Septal Coverage Using Cutaneous Advancement Flaps 584 Plate 113: Bilateral Sulcus Flap Technique 586 Plate 114: Septal Resection Technique 588 Plate 115: Alar Fold Flaps 590 Plate 116: Musculofascial Island Labial Flap 592 Plate 117: Cantilever Suture Technique 596 Plate 118: Labial Mucosal Inversion Technique 600 Contents XI 21. Cosmetic Closure Techniques 603 Cosmetic Considerations 604 Causes of Scars 604 Minimization of Scarring 604 Plate 119: Scar Concealment 608 Plate 120: W-Plasty 610 Plate 121: Dog Ear: Surgical Correction 612 22. Preputial Reconstructive Surgery 615 Introduction 616 Surgical Conditions 616 Surgical Techniques 625 Plate 122: Preputial Ostium Enlargement 632 Plate 123: Preputial Ostium Reduction 634 Plate 124: Preputial Advancement Technique 636 Plate 125: Phallopexy 640 Plate 126: Urethral Reconstruction for Subanal Hypospadias 642 Plate 127: Preputial Urethrostomy Technique 644 23. Miscellaneous Reconstructive Surgical Techniques 647 Omentum 648 Scrotum 649 Tail Fold Intertrigo (Screw Tail) 650 Vulvar Fold Pyoderma 651 Closure Options for Defects of the Pinna 657 Plate 128: Omental Flap Options 658 Plate 129: Scrotal Flap Technique 660 Plate 130: Caudectomy for Tail Fold Intertrigo 662 Plate 131: Episioplasty 664 Plate 132: Closure Options for Select Pinnal Defects 666 Index. 669
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spelling Pavletic, Michael M. Verfasser aut
Atlas of small animal wound management and reconstructive surgery Michael M. Pavletic
3. ed.
Ames, Iowa Wiley-Blackwell 2010
XIII, 680 S. zahlr. Ill.
txt rdacontent
n rdamedia
nc rdacarrier
Rev. ed. of: Atlas of small animal reconstructive surgery / Michael M. Pavletic. 2nd ed. c1999. - Includes bibliographical references and index
dogs cabt
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Wundversorgung (DE-588)4138255-9 gnd rswk-swf
Katze (DE-588)4030046-8 s
Wundversorgung (DE-588)4138255-9 s
Wiederherstellungschirurgie (DE-588)4065971-9 s
1\p DE-604
Hund (DE-588)4026181-5 s
2\p DE-604
Chirurgie (DE-588)4009987-8 s
3\p DE-604
4\p DE-604
HEBIS Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=022259319&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk
2\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk
3\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk
4\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk
spellingShingle Pavletic, Michael M.
Atlas of small animal wound management and reconstructive surgery
dogs cabt
cats cabt
plastic surgery cabt
cosmetic surgery cabt
surgical operations cabt
wounds cabt
wound treatment cabt
Hund (DE-588)4026181-5 gnd
Chirurgie (DE-588)4009987-8 gnd
Katze (DE-588)4030046-8 gnd
Wiederherstellungschirurgie (DE-588)4065971-9 gnd
Wundversorgung (DE-588)4138255-9 gnd
subject_GND (DE-588)4026181-5
(DE-588)4009987-8
(DE-588)4030046-8
(DE-588)4065971-9
(DE-588)4138255-9
title Atlas of small animal wound management and reconstructive surgery
title_auth Atlas of small animal wound management and reconstructive surgery
title_exact_search Atlas of small animal wound management and reconstructive surgery
title_full Atlas of small animal wound management and reconstructive surgery Michael M. Pavletic
title_fullStr Atlas of small animal wound management and reconstructive surgery Michael M. Pavletic
title_full_unstemmed Atlas of small animal wound management and reconstructive surgery Michael M. Pavletic
title_short Atlas of small animal wound management and reconstructive surgery
title_sort atlas of small animal wound management and reconstructive surgery
topic dogs cabt
cats cabt
plastic surgery cabt
cosmetic surgery cabt
surgical operations cabt
wounds cabt
wound treatment cabt
Hund (DE-588)4026181-5 gnd
Chirurgie (DE-588)4009987-8 gnd
Katze (DE-588)4030046-8 gnd
Wiederherstellungschirurgie (DE-588)4065971-9 gnd
Wundversorgung (DE-588)4138255-9 gnd
topic_facet dogs
cats
plastic surgery
cosmetic surgery
surgical operations
wounds
wound treatment
Hund
Chirurgie
Katze
Wiederherstellungschirurgie
Wundversorgung
url http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=022259319&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv AT pavleticmichaelm atlasofsmallanimalwoundmanagementandreconstructivesurgery