Index 109 Index A Allen test F radial forearm flap 11, 14 fasciocutaneous flap based on posterior interosseous ulnar artery free flap 15 artery 18–20 anastomoses see sutures and anastomoses femoral artery/vessels antibiotics (perioperative), greater omentum flap 91 gracilis flap 25 arcuateline(lineaarcuata) 57,58,59 groin flap 61, 63 arm flaps 3, 3–10 iliac crest flap 65 axial pattern skin flaps 96–97 femoral cutaneous nerve, lateral see cutaneous nerve axillary artery 69, 70, 74, 80 femoral nerve, lateral circumflex 28, 29 axillary fold, posterior 75 fibula flap, vascularized 36–40 axillary nerve, cutaneous branch 4–5 finger pulp reconstruction 49 axillary vein, latissimus dorsi flap 75 flexor digitorum superficialis flap 3 fluorescein dye, gracilis flap 27 B foot flaps blood vessels see vasculature dorsal 44–48 brachial cutaneous nerve, lateral 4–5 medial plantar 49–51 forearm flaps 3, 11–20 C free skin flaps (in general) 97 chicken wing, training on 108 confluence anastomoses 106, 107 G cranial (skull) base reconstruction 74 gastrocnemius muscle 98 cutaneous branches flap 32–35, 98 of circumflex scapular artery 80 in sural flap dissection 42 of T12 segment see T12 segment gastroepiploic arteries/vessels 90 of ulnar artery 16 gluteal nerve, superior, descending branch 28, 29 cutaneous grafts and flaps see skin; skin grafts gluteus maximus 98 cutaneous nerve gracilis flap 23, 24–27, 31 of arm, lower lateral 8 groin flap 61–64 of forearm lateral 11 H medial 11 hand flaps 3 posterior 8, 18, 20 handling instruments 105–107 lateral brachial 4–5 humeral artery, posterior circumflex 4 lateral femoral in groin flap 62 I in tensor fasciae latae flap 28, 29 iliac artery/vessels, circumflex deep, in iliac crest flap 67 D superficial deltoid (fasciocutaneous) flap 4–6 in groin flap 61, 62 digital branch of deep plantar nerve 46 in iliac crest flap 65 dorsalis pedis flaps 44–48 iliac crest free flap 65–68 E in latissimus dorsi flap 74, 75 end-to-end anastomoses 106, 107 in tensor fasciae latae flap 28, 29 end-to-side anastomoses 106, 107 inguinal ligament 65–67 epigastric arteries/vessels, inferior 58, 59 instrumentation 101–104 deep handling of instruments 105–107 in iliac crest flap 67 intercostal artery 85 in rectus abdominis flap 56, 58, 59 intercostal muscles 85, 86 epigastric arteries/vessels, superior 58 intercostal nerves 85 extensor pollicis longus 20 interosseous artery anterior 16, 18, 19 posterior 18, 19, 20 aus: Krishnan, An Illustrated Handbook (ISBN 9873131477613) @ 2008 Georg Thieme Verlag KG 110 Index interosseous flap, posterior 3, 18–20 perforator vessels interosseous nerve, posterior 19, 20 posterior interosseous flap 18 rib flap 85–86 K serratus anterior flap 71 kitchen exercises 108 sural flap 42 knee area, defect reconstruction 32 ulnar artery free flaps 16 knots, microsurgical 106 peroneal nerve deep L in dorsalis pedis flap 46 lateral arm flap 3, 7–10 in fibula flap 38 latissimus dorsi 99 superficial, in dorsalis pedis flap 46 flap 31, 74–79, 99 peroneal vessels linea arcuata 57, 58, 59 dorsalis pedis flap 44 loupes, prismatic magnifying 102 fibula flap 36 lower extremity 21–51 sural flap 42 lung and free vascularized rib flaps 85, 86, 87 plantar artery, deep 44, 47 lymphatic vessels, greater omentum flap 90, 91 plantar flap, medial 49–51 lymphedema 90 plantar nerve, medial, digital branch 46 pleura and free vascularized rib flaps 85, 86 M popliteal artery 41 malleolus, lateral 42 posterior interosseous flap 3, 18–20 Mathes and Nahai classification of vascular patterns of prescapular flap 80–81 muscles 98–99 profunda brachii artery 7, 8 metatarsal arteries, first dorsal 44, 47 profunda femoris artery 29 microsurgery 93–108 instrumentation see instrumentation R muscle (and muscle flaps), vascular patterns 97–99 radial artery with radial forearm flap 11, 12, 14 muscle relaxants see myorelaxants radial collateral artery 7–8, 8 myorelaxants (muscle relaxants) radial forearm flap 11–14 gracilis flap 24 radial nerve 8, 9, 12 latissimus dorsi flap 74 radial perforator flap 13–14 serratus anterior flap 69 randompatternskinflaps 96 rectus abdominis 98 N flap 56–60, 98–99 needles, microsurgical 102–103 rectus femoris 29, 98 nerves, microsurgical sutures 107–108 flap 98 nutrient arteries regional skin flaps 97 fibular 36, 37 rib(s) iliac 65 free vascularized 85–89 serratus anterior attachments 69 O obturator nerve 25 S omental flaps 90–92 saphenous veins operating microscope 101–102 anatomy relating to dorsalis pedis flap 44–46, 46 optical magnification 101–102 graft for radial forearm flap 14 osteofasciocutaneous flap of posterior interosseous sartorius muscle 63 artery 20 scalp reconstruction 74 osteoseptocutaneous flap scapula fibula shaft 36–40 angle of 75 lateral arm 9 winging 73 scapular artery/vessels, circumflex 76, 80, 83 P scapular skin flap 80–81 parietal pleura and free vascularized rib flaps serratus anterior 98 85, 86 flap 69–73, 98–99 pectoralis major 99 latissimus dorsi flap and, overlapping territory perforator flap 55 75 radial 13–14 simulation exercise 108 aus: Krishnan, An Illustrated Handbook (ISBN 9873131477613) @ 2008 Georg Thieme Verlag KG Index 111 skin (and skin flaps), vascular patterns 96–97 thoracodorsal nerve, latissimus dorsi flap 74–75, 75 skin grafts (donor site closure) thoracodorsal neurovascular bundle, latissimus dorsi deltoid flap 5 flap 76 dorsalis pedis flap 46–47 thumb reconstruction 44 fibula flap 39 tibial artery, posterior lateral arm flap 9 medial plantar flap 49 radial forearm flap 14 sural flap 42 tensor fasciae latae flap 30 tibial nerve ulnar artery free flap 16–17 fibular flap 37–38 skull base reconstruction 74 gastrocnemius flap 33, 34 soft-tissue flaps, vascular patterns 96–100 toe transfer, free 44–48 subscapular artery/arterial system torso flaps 53–92 latissimus dorsi flap 74, 75 training on chicken wing 108 scapular skin flap 80, 83 triangular space, scapular flap 80, 82, 83 serratus anterior flap 69, 70 triceps muscle 9 suprafascial dissection technique, radial forearm flap 13 U sural arteries, lateral and medial 32 ulnar artery sural flap 41–43 free flap 15–17 sural nerve in radial forearm flap 11, 12, 14 anatomy ulnar nerve 16 gastrocnemius flap 33, 34 upper extremity 1–20 sural flap 42 graft, serratus anterior flap 71 V sutures and anastomoses (microsurgery) vasculature/microvasculature materials and instruments 102–103 patterns in soft-tissue flaps 96–100 techniques 105–107 sutures and anastomoses 106–107 venous drainage (incl. venae comitantes/comitant T veins) T12 segment, cutaneous branch of dorsalis pedis flap 44–46 in groin flap 62 greater omentum flap 90 in tensor fasciae latae flap 28, 29 groin flap 61–62 tensor fasciae latae 98 iliac crest flap 67 flap 28–31, 98 posterior interosseous flap 18 thoracic artery latissimus dorsi flap 75 lateral 69 rectus abdominis flap 58, 59 long 69, 70 scapular skin flap 80 thoracic nerve, long 70 sural flap 42 thoracodorsal artery latissimus dorsi flap 74–75 W serratus anterior flap 69, 70, 71–72 wound healing 95 aus: Krishnan, An Illustrated Handbook (ISBN 9873131477613) @ 2008 Georg Thieme Verlag KG.