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Atlas of Small Animal Wound Management and Reconstructive Surgery 4th edition [Hardback]

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Edited by (Director, Surgical Services, Angell Animal Medical Center, Boston, MA)
  • Formāts: Hardback, 880 pages, height x width x depth: 285x224x43 mm, weight: 2019 g
  • Izdošanas datums: 18-Apr-2018
  • Izdevniecība: Wiley-Blackwell
  • ISBN-10: 1119267501
  • ISBN-13: 9781119267508
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Atlas of Small Animal Wound Management and Reconstructive Surgery 4th editionPalielināt
  • Formāts: Hardback, 880 pages, height x width x depth: 285x224x43 mm, weight: 2019 g
  • Izdošanas datums: 18-Apr-2018
  • Izdevniecība: Wiley-Blackwell
  • ISBN-10: 1119267501
  • ISBN-13: 9781119267508
Citas grāmatas par šo tēmu:
Permanent link: https://www.kriso.lv/db/9781119267508.html
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A one-stop reference for the surgical treatment of wounds in small animal patients

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. 

This updated edition is presented with additional full color images and now includes color in each illustration, to enhance the reader’s understanding of each subject and successful execution of the surgical techniques covered.  It imparts new and updated information on a wide variety of topics, including skin and muscle flap techniques, skin fold disorders, facial and nasal reconstructive surgery, foot pad surgery, urogenital reconstructive surgery, and includes a new chapter on reconstructive surgery of the pinna.

  • Provides a key reference for general practitioners, surgeons, surgical residents, veterinary students, and small animal technicians in a single source
  • Discusses current and new wound management and reconstructive surgical techniques for all body regions, including the face, ear, mouth, eye, nose, trunk, external genitalia, and foot
  • Contains 35brand-new plate illustrations, updated and enhanced color plate illustrations and drawings, and additional clinical photographs throughout
  • Features a new chapter dedicated to the surgical management of pinnal injuries and disorders, including new reconstructive surgical options developed by the author
  • Includes information boxes to emphasize important points and the author’s personal observations, drawing on more than forty years of surgical experience

Atlas of Small Animal Wound Management and Reconstructive Surgery, Fourth Edition is a valuable one-stop reference for veterinary surgeons, residents, and small animal practitioners. 

Foreword xi
Preface xii
Acknowledgments xiii
1 The Skin 1(16)
Skin Function
2(1)
Skin Structure
2(3)
Cutaneous Adnexa
5(3)
The Hypodermis
8(1)
Cutaneous Circulation
8(2)
Pinna: Cutaneous Considerations
10(1)
Congenital Skin Disorders
10(7)
2 Basic Principles of Wound Healing 17(16)
Introduction
18(1)
Wound Healing
18(11)
Acute Versus Chronic Open Wounds
29(1)
Species Variations in Wound Healing
29(1)
"Artificial Skin"
30(3)
3 Basic Principles of Wound Management 33(20)
Introduction
34(1)
Patient Presentation
34(1)
Mechanisms of Injury and Wound Terminology
34(1)
Wound Classification
35(2)
Options for Wound Closure
37(6)
"Pointers" in Selecting the Proper Closure Technique
43(1)
Basic Wound Management in Six Simple Steps
44(5)
Exposed Bone: Osteostixis
49(1)
Acute Versus Chronic Wounds
50(3)
4 Topical Wound Care Products and Their Use 53(42)
Wound Exudate
54(1)
Wound Drainage Systems
54(6)
Negative Pressure Wound Therapy (NPWT)
60(7)
Concept of Moist Wound Healing (MWH)
67(2)
Topical Wound Care Products
69(10)
The Maggot and Leach in Wound Care
79(2)
Common Topical Antiseptic and Cleansing Agents
81(4)
Alternative Forms of Wound Therapy
85(4)
Concluding Remarks
89(6)
Plate 1 Vacuum-Assisted Closure
92(3)
5 Dressings, Bandages, External Support, and Protective Devices 95(48)
Introduction
96(1)
Dressings: The Primary Layer
96(15)
Dressings: The Secondary Layer
111(1)
Dressings: The Tertiary Layer
112(1)
Preventing Bandage Displacement
113(1)
Tie-Over Dressing/Bandage Technique
114(1)
Pressure Points: Bandage Options
115(1)
Bandage "Access Windows"
115(1)
Bandaging Techniques for Skin Grafts
115(1)
Bandaging Techniques for Skin Flaps
115(1)
Splints, Casts, Reinforced Bandages
115(1)
Miscellaneous Protective Devices
116(27)
Plate 2 Basic Bandage Application for Extremities
124(2)
Plate 3 Tape Stirrups and Padding Dos and Don'ts
126(2)
Plate 4 Elasticon Bandage Platforms and Saddles
128(2)
Plate 5 Spica Bandages/Splints
130(2)
Plate 6 Schroeder-Thomas Splint
132(4)
Plate 7 Schroeder-Thomas Splint: Security Band Application
136(2)
Plate 8 Body Brace
138(2)
Plate 9 Tape Hobbles for the Rear Extremities
140(3)
6 Common Complications in Wound Healing 143(30)
Improper Nutritional Support
144(1)
Medications and Their Influence on Healing
145(1)
Hypovolemia and Anemia
146(1)
The Nonhealing Wound: General Considerations
146(1)
Failure to Heal by Second Intention
147(5)
Scarring and Wound Contracture
152(2)
Infection and Biofilm Formation
154(4)
Draining Tracts
158(7)
Use of Tourniquets for Lower Extremity Procedures
165(1)
Seromas
166(1)
Hematomas
167(1)
Exposed Bone
167(2)
Wound Dehiscence
169(4)
7 Management of Specific Wounds 173(82)
Bite Wounds
174(9)
Burns
183(12)
Inhalation Injuries
195(1)
Chemical Burns
196(1)
Electrical Injuries
197(4)
Radiation Injuries
201(3)
Frostbite
204(1)
Projectile Injuries
205(22)
Explosive Munitions: Ballistic, Blast, and Thermal Injuries
227(1)
Impalement Injuries
227(1)
Pressure Ulcers
228(6)
Hygroma
234(6)
Snakebite 239 Brown Recluse Spider Bites
240(1)
Porcupine Quills
240(3)
Lower Extremity Shearing Wounds
243(12)
Plate 10 Pipe Insulation Protective Device: Elbow
248(2)
Plate 11 Pipe Insulation to Protect the Great Trochanter
250(2)
Plate 12 Vacuum Drain Management of Elbow Hygromas
252(3)
8 Regional Considerations 255(10)
The Canine and Feline Profiles
256(9)
Plates 13A and 13B Surgical Technique Menu
258(7)
9 Tension-Relieving Techniques 265(58)
Introduction
266(1)
Skin Tension in the Dog and Cat
266(57)
Plate 14 Tension Lines
282(2)
Plate 15 Effects of Skin Tension on Wound Closure
284(2)
Plate 16 Patient Positioning Techniques
286(2)
Plate 17 Undermining Skin
288(2)
Plate 18 Geometric Patterns to Facilitate Wound Closure
290(2)
Plate 19 V-Y Plasty
292(2)
Plate 20 Z-Plasty (Option I)
294(2)
Plate 21 Z-Plasty (Option II)
296(2)
Plate 22 Multiple Z-Plasties
298(2)
Plate 23 Relaxing/Release Incisions
300(2)
Plate 24 The "Hidden" Intradermal Release/Relaxing Incision
302(2)
Plate 25 Multiple Release Incisions for Extremity Wounds
304(2)
Plate 26 Suture Options to Alter Skin Traction and Retraction
306(2)
Plate 27 Walking Suture Technique
308(2)
Plate 28 Skin Stretchers to Offset Incisional Tension
310(2)
Plate 29 "Tension" Suture Patterns
312(2)
Plate 30 Retention Sutures
314(2)
Plate 31 Stent
316(2)
Plate 32 Skin "Directing" for Maximum Coverage
318(2)
Plate 33 Relaxing Incision to Reduce Flap Tension
320(3)
10 Skin-Stretching Techniques 323(28)
Physiology of Skin Stretching
324(1)
Presuturing
324(1)
Load Cycling
324(2)
Skin Stretchers
326(9)
Skin Expanders
335(16)
Plate 34 Presuturing Technique
338(2)
Plate 35 Application of Skin Stretchers
340(2)
Plate 36 Skin Stretchers to Enhance Length of Axial Pattern Flaps
342(2)
Plate 37 Skin Stretcher Substitution for Presuturing
344(2)
Plate 38 Skin Expanders
346(5)
11 Local Flaps 351(44)
Introduction
352(1)
Advancement Flaps
353(3)
Rotating (Pivoting) Flaps
356(39)
Plate 39 Single Pedicle Advancement Flap
370(2)
Plate 40 Bipedicle Advancement Flap
372(2)
Plate 41 Transposition Flap (90 degrees)
374(4)
Plate 42 Transposition Flap (45 degrees)
378(2)
Plate 43 Transposition Flap (Oblique Angle)
380(2)
Plate 44 Local Facial Flap Options vs. Auricular Axial Pattern Flap
382(2)
Plate 45 Transposition Flaps in Partial Wound Closure
384(2)
Plate 46 Interpolation Flap
386(4)
Plate 47 Rotation Flap
390(2)
Plate 48 Forelimb Fold Flap
392(3)
12 Distant Flap Techniques 395(22)
Distant Flaps
396(1)
Direct Flaps
396(1)
Indirect Flaps
396(4)
The Delay Phenomenon
400(17)
Plate 49 Direct Flap: Single Pedicle (Hinge) Flap
402(4)
Plate 50 Direct Flap Closure of Knee Defect
406(2)
Plate 51 Direct Flap: Bipedicle (Pouch) Flap
408(6)
Plate 52 Indirect Flap: Delayed Tube Flap
414(3)
13 Axial Pattern Skin Flaps 417(46)
Introduction: Axial Pattern Flaps
418(1)
Island Arterial Flaps
418(3)
Reverse Saphenous Conduit Flaps
421(1)
Secondary Axial Pattern Flaps
421(6)
Options to Extend the Length of Axial Pattern Flaps
427(36)
Plate 53 Four Major Axial Pattern Flaps of the Canine Trunk
430(2)
Plate 54 Skin Position and Axial Pattern Flap Development
432(2)
Plate 55 Omocervical Axial Pattern Flap
434(2)
Plate 56 Thoracodorsal Axial Pattern Flap
436(2)
Plate 57 Lateral Thoracic Axial Pattern Flap
438(2)
Plate 58 Superficial Brachial Axial Pattern Flap
440(2)
Plate 59 Caudal Superficial Epigastric Axial Pattern Flap
442
Plate 60 Cranial Superficial Epigastric Axial Pattern Flap
44(402)
Plate 61 Deep Circumflex Iliac Axial Pattern Flap: Dorsal Branch
446(2)
Plate 62 Deep Circumflex Iliac Axial Pattern Flap: Ventral Branch
448(2)
Plate 63 Flank Fold Flap: Hind Limb
450(2)
Plate 64 Genicular Axial Pattern Flap
452(2)
Plate 65 Reverse Saphenous Conduit Flap
454(2)
Plate 66 Caudal Auricular Axial Pattern Flap
456(2)
Plate 67 Superficial Temporal Axial Pattern Flap
458(2)
Plate 68 Lateral Caudal (Tail) Axial Pattern Flap
460(3)
14 Free Grafts 463(30)
Free Skin Grafts
464(1)
Classification of Free Grafts
465(1)
Graft Thickness
465(1)
Partial-Coverage Grafts
466(1)
Dermatomes
467(1)
Preservation by Refrigeration
467(5)
Intraoperative Considerations
472(1)
Bandaging Technique for Skin Grafts
472(1)
Use of Plates
473(13)
Plate 69 Punch Grafts
476(2)
Plate 70 Pinch Grafts
478(2)
Plate 71 Strip Grafts
480(2)
Plate 72 Stamp Grafts
482(2)
Plate 73 Sheet Grafts
484(2)
Plate 74 Dermatome: Split-Thickness Skin Graft
Harvesting
486(7)
Plate 75 Mesh Grafts (With Expansion Units)
488(2)
Plate 76 Mesh Grafts (With Scalpel Blades)
490(3)
15 Facial Reconstruction 493(60)
Introduction: Facial Reconstructive Surgery
494(59)
Plate 77 Repair of Upper Lip Avulsion
515(1)
Plate 78 Repair of Lower Labial Avulsion
516(2)
Plate 79 Wedge Resection Technique
518(2)
Plate 80 Rectangular Resection Technique
520(2)
Plate 81 Full-Thickness Labial Advancement Technique (Upper Lip)
522(2)
Plate 82 Full-Thickness Labial Advancement Technique (Lower Lip)
524(2)
Plate 83 Buccal Rotation Technique
526(2)
Plate 84 Lower Labial Lift-Up Technique
528(2)
Plate 85 Upper Labial Pull-Down Technique
530(2)
Plate 86 Labial/Buccal Reconstruction with Inverse Tubed Skin Flap
532(4)
Plate 87 Skin Flap for Upper Labial and Buccal Replacement (Facial [ Angularis Oris] Axial Pattern Flap)
536(2)
Plate 88 Feline Facial Axial Pattern Flap
538(2)
Plate 89 Cleft Lip Repair (Primary Cleft, Cheiloschisis, Harelip)
540(2)
Plate 90 Unilateral Rostral Labial Pivot Flaps
542(2)
Plate 91 Bilateral Rostral Labial Pivot Flaps
544(2)
Plate 92 Oral Commissure Advancement Technique
546(2)
Plate 93 Brachycephalic Facial Fold Correction
548(2)
Plate 94 Cheilopexy Technique for Drooling
550(3)
16 Myocutaneous Flaps and Muscle Flaps 553(46)
Introduction
554(1)
Myocutaneous Flaps
554(1)
Muscle Flaps
554(45)
Plate 95 Latissimus Dorsi Myocutaneous Flap
568(2)
Plate 96 Cutaneous Trunci Myocutaneous Flap
570(2)
Plate 97 Latissimus Dorsi Muscle Flap
572(2)
Plate 98 Latissimus Dorsi Bipedicle Muscle Flap
574(2)
Plate 99 Triceps Replacement with Latissimus Dorsi Muscle
576(2)
Plate 100 External Abdominal Oblique Muscle Flap
578(2)
Plate 101 Caudal Sartorius Muscle Flap
580(2)
Plate 102 Cranial Sartorius Muscle Flap
582(2)
Plate 103 Temporalis Muscle Flap
584(2)
Plate 104 Transversus Abdominis Muscle Flap
586(2)
Plate 105 Semitendinosus Muscle and Myocutaneous Flaps
588(2)
Plate 106 Flexor Carpi Ulnaris Muscle Flap
590(2)
Plate 107 Cranial Tibial Muscle Flap
592(2)
Plate 108 Internal Obturator Muscle Flap
594(2)
Plate 109 Superficial Gluteal Flap for Perineal Hernia Closure
596(3)
17 Oral Reconstructive Surgical Techniques 599(26)
Introduction
600(1)
Cleft Palate
601(1)
Palatal Defects/Oronasal Fistulas
602(23)
Plate 110 Mucosal Flaps
606(2)
Plate 111 Palatoplasty: Bipedicle Advancement Technique
608(4)
Plate 112 Cleft Palate Repair: Mucoperiosteal Flap Technique
612(2)
Plate 113 Palatine Mucosal Flap
614(2)
Plate 114 Soft Palate/Pharyngeal Mucosal Flaps
616(2)
Plate 115 Full-Thickness Labial Flap Closure of Oronasal Fistulas
618(2)
Plate 116 Cartilage Grafts for Palatal Fistulas
620(2)
Plate 117 Angularis Oris Mucosal Flap
622(3)
18 Foot Pad Reconstruction 625(32)
Introduction
626(1)
Pad Laceration and Lesion Excision
626(5)
Digital Pad Transfer
631(1)
Metacarpal/Metatarsal Pad Transfer
632(1)
Accessory Carpal Pad
632(2)
Pad Grafting
634(1)
Digital Flaps for Wound Closure
634(1)
Fusion Podoplasty
634(23)
Plate 118 Digital Flap Technique: Major Digital/Interdigital Defects
642(2)
Plate 119 Digital Flap Technique: Major Defects of Digits Two or Five
644(2)
Plate 120 Digital Pad Transfer
646(2)
Plate 121 Metatarsal/Metacarpal Pad Transfer
648(2)
Plate 122 Pad Grafting
650(2)
Plate 123 Segmental Pad Grafting Technique
652(2)
Plate 124 Fusion Podoplasty
654(3)
19 Major Eyelid Reconstruction 657(14)
Introduction
658(1)
The Eyelids
658(13)
Plate 125 Skin Flap Options for Cutaneous Defects of the Eyelid Regions
660(2)
Plate 126 Lip-to-Lid Procedure
662(4)
Plate 127 Oral Mucosal Graft onto Skin Flap
666(2)
Plate 128 Third Eyelid-Skin Flap Reconstruction of the Lower Eyelid
668(3)
20 Nasal Reconstruction Techniques 671(48)
Introduction: Nasal Anatomy
672(1)
Traumatic Wound Management
672(1)
Neoplasia
673(1)
Neoplasms and Surgical Margins
673(1)
Nasal Reconstruction Options
673(9)
Options for Managing Nasal Stenosis
682(37)
Plate 129 Septal Coverage Using Cutaneous Advancement Flaps
692(2)
Plate 130 Bilateral Sulcus Flap Technique
694(2)
Plate 131 Septal Resection Technique
696(2)
Plate 132 Dorsal Nasal Splitting Technique to Enhance Exposure of Septum
698(2)
Plate 133 Alar Fold Flaps
700(2)
Plate 134 Musculofascial Island Labial Flap
702(4)
Plate 135 Labial Mucosal Inversion Technique
706(2)
Plate 136 Nasal Reconstruction with the "Lip-to-Lid Technique" Variation
708(2)
Plate 137 Oral Mucosal Graft with Nasal Stenting
710(2)
Plate 138 Intranasal Septal Window Technique
712(2)
Plate 139 Cantilever Suture Technique
714(5)
21 Cosmetic Closure Techniques 719(12)
Cosmetic Considerations
720(1)
Causes of Scars
720(1)
Minimization of Scarring
720(2)
Dog Ears
722(9)
Plate 140 Scar Concealment
724(2)
Plate 141 W-Plasty
726(2)
Plate 142 Dog Ear: Surgical Correction
728(3)
22 Preputial Reconstructive Surgery 731(42)
Introduction
732(1)
Surgical Conditions
732(10)
Surgical Techniques
742(31)
Plate 143 Preputial Ostium Enlargement
756(2)
Plate 144 Preputial Ostium Reduction
758(2)
Plate 145 Preputial Advancement Technique
760(4)
Plate 146 Phallopexy
764(2)
Plate 147 Urethral Reconstruction for Subanal Hypospadias
766(2)
Plate 148 Preputial Urethrostomy Technique
768(2)
Plate 149 Urine Diversion Technique
770(3)
23 Pinnal Reconstructive Surgery 773(48)
Introduction
774(1)
Anatomy of the Pinna
774(5)
Surgical Conditions
779(1)
Wound Management and Reconstructive
Surgical Techniques
780(6)
Aural Hematoma Management Options
786(35)
Plate 150 Skin Advancement Closure: Rostral Pinnal Base
796(2)
Plate 151 Skin Advancement Closure: Caudal Pinnal Base
798(2)
Plate 152 Transposition Flap Technique for Smaller Medial Pinnal Defects
800(2)
Plate 153 Transposition Flap Technique for Minor Lateral Pinnal Defects
802(2)
Plate 154 Large Transposition Flap Closure After Major Medial Pinnal Resection
804(2)
Plate 155 Transposition Flap for Major Lateral Pinnal Defects
806(2)
Plate 156 Direct Flap Reconstruction of the Pinna
808(2)
Plate 157 Resection of the Terminal Third of the Pinna
810(2)
Plate 158 Inverted "Triangle" Resection of the Central Third of the Pinna
812(2)
Plate 159 Incisional Drainage of Aural Hematomas
814(2)
Plate 160 Bandaging the Pinna
816(2)
Plate 161 Vacuum Drain Management of Aural Hematomas
818(3)
24 Miscellaneous Reconstructive Surgical Techniques 821(30)
Omentum
822(1)
Scrotum
822(1)
Tail Fold Intertrigo (Screw Tail)
823(4)
Disorders of the Vulva
827(8)
Managing Skin Fold Inversion of Urethrostomies
835(1)
Fecal Incontinence: Treatment Options
835(16)
Plate 162 ()mental Flap Options
838(2)
Plate 163 Scrotal Flap Technique
840(2)
Plate 164 Caudectomy for Tail Fold Intertrigo
842(2)
Plate 165 Episioplasty
844(2)
Plate 166 Fascia Lata Sling and Silicone Banding for Managing Fecal Incontinence
846(2)
Plate 167 Spiral Rectal Diaphragm Technique (Rectal Rifling)
848(3)
Index 851
The author MICHAEL M. PAVLETIC, DVM, Diplomate ACVS, is Director of Surgical Services at Angell Animal Medical Center in Boston, Massachusetts, USA.