PURPOSE Although abdominal-based flaps remain the first choice for autologous breast reconstruction, alternative donor sites are necessary when the abdomen is unavailable. Abdominal donor site suitability is determined, at times, according to deep inferior epigastric perforator (DIEP)-protocol computed tomographic angiography (CTA) results. CTA provides information about the pelvis/upper thigh ...

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Understand the anatomy of the fingertip. 2. Describe the methods of evaluating fingertip injuries. 3. Discuss reconstructive options for various tip injuries. SUMMARY The fingertip is the most commonly injured part of the hand, and therefore fingertip injuries are among the most frequent injuries that plast...

Extensive surgical resection of the aerodigestive track can result in a large and complex defect of the oropharynx, which represents a significant reconstructive challenge for the plastic surgery. Development of microsurgical techniques has allowed for free flap reconstruction of oropharyngeal defects, with superior outcomes as well as decreases in postoperative complications. The reconstructiv...

Abdominal free flaps for microsurgical breast reconstruction are most commonly harvested based on the deep inferior epigastric vessels that supply skin and fat via perforators through the rectus muscle and sheath. Intact perforator anatomy and connections are vital for subsequent optimal flap perfusion and avoidance of necrosis, be it partial or total. The intraflap vessels are delicate and eas...

Reconstruction of the posterolateral corner (PLC) of the knee is essential to restore knee joint function. Controversy exists regarding a standardized nomenclature, the connective attachments and the relationships between them, and the frequency of occurrence among all structures of the PLC. Thirty human cadaveric knee specimens were investigated. The lateral collateral ligament, popliteus tend...

Address for Correspondence: Dr. Vikas Maheshwari, MS MCh (Neurosurgery) Dept of Neurosurgery, Command Hospital, AFMC, Pune, India. Phone No.: +919545638380 E-Mail: [email protected] Background: To study the microsurgical anatomy of supraclinoid ICA, the size and number of perforators, any anomalies in normal anatomy of ICA, its branches and surrounding structures in North West Indian pop...

http://www.neuroanatomy.org ISSN 1303-1775 (electronic) 1303-1783 (printed) Introduction Lesions originating from the neurovascular structures in the jugular foramen constitute one of the major challenges of skull base surgery. Jugular foramen is indeed the most complex of the foramina through which the cranial nerves pass, although the subject of many studies, remains poorly understood. Surger...

Training of microvascular anastomosis techniques comprise the major part of surgical skills, necessary for revascularization surgeries. Training can be performed in several stages based on the experience of trainees. This should mainly start with various models of artificial materials that simulate tissues. In the next stage, trainee should practice microsurgical skill on a non-living tissue mo...

The widespread use of microsurgery in numerous surgical fields has increased the need for basic microsurgical training outside of the operating room. The traditional start of microsurgical training has been in undertaking a 5-day basic microsurgery course. In an era characterised by financial constraints in academic and healthcare institutions as well as increasing emphasis on patient safety, t...

The trigeminal artery is the largest of the fetal carotid-basilar anastomotic arteries, and it persists for the longest embryonic period. The artery usually involutes after the development of the posterior communicating artery. The exact causes of persistence of this primitive vessel into adulthood are not completely clear. Angiographic and anatomical descriptions of the various persistent trig...