By Adrian Richards, Hywel Dafydd
This is the recent version of the concise yet entire instruction manual that are supposed to be owned through all surgical trainees specialising in cosmetic surgery. Taking a pithy systematic strategy, Key Notes on Plastic Surgery deals the most recent advancements in the box in bullet aspect shape and comprises key papers for viva voces. it's knowledgeable via the present FRCS (Plast) curriculum, making it perfect practise for the united kingdom go out exam or an identical overseas board exam.
- Fully covers the complete scope of plastic surgery
- Clearly divided into 10 sections with logical subheadings for simple fact-finding
- Acts as an accessory to the verified longer texts
- Brand new bankruptcy on ethics and the legislation – a mandatory component to the oral examination
- Illustrations outlining key surgeries and appropriate anatomy
Fully revised to incorporate all of the most modern medical instructions, Key Notes on Plastic Surgery is the precise swift reference device for trainees in cosmetic surgery and dermatologic surgical procedure who require speedy, exact answers.
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Additional info for Key Notes on Plastic Surgery
Advancement ﬂaps Simple • Rely on skin elasticity. General Principles Modiﬁed • Incorporate one of the following at the ﬂap’s base to increase advancement: ∘ Counter incision ∘ Excision of Burow’s triangle ∘ Z-plasty. Counter incision at base Burow's triangle at base Z-plasty at base V-Y • These are incised along their cutaneous borders. • Their blood supply comes from deep tissue through a subcutaneous pedicle. • Horn ﬂaps and oblique V-Y ﬂaps are modiﬁcations of the original V-Y. 17 18 Chapter 1 Traditional V-Y flap Horn flap Keystone • Trapezoidal ﬂaps used to close elliptical defects.
These increase cell proliferation and migration. • Endothelial cells swell, causing vasodilatation and allowing egress of polymorphonuclear neutrophils (PMNs) and monocytes into the tissue. • T lymphocytes migrate into the wound under the inﬂuence of interleukin-1. • Lymphocytes secrete various cytokines, including epidermal growth factor and basic ﬁbroblast growth factor (bFGF). ∘ They also play a role in cellular immunity and antibody production. Proliferation • Begins on the 2nd or 3rd day and lasts for 2–4 weeks.
The resulting polyclonal anti-thymoglobulin (ATG) and anti-lymphocyte sera (ALS) deplete recipient T cells. • Speciﬁc techniques of immunosuppression involve monoclonal antibodies directed towards speciﬁc antigens. ∘ Basiliximab prevents IL-2-mediated clonal expansion of activated lymphocytes. ∘ This is an area of intense research as new antibody targets are discovered. Immunological tolerance • Transplant research is focused on development of immunological tolerance. • Tolerance is the state of immunologic acceptance or unresponsiveness of a recipient to donor allograft or xenograft.
Key Notes on Plastic Surgery by Adrian Richards, Hywel Dafydd