Download Color Atlas of Cutaneous Excisions and Repairs by Ken K. Lee PDF

By Ken K. Lee

This full-color atlas offers an in-depth pictorial demonstrate of cutaneous surgical procedure designed for all these attracted to bettering their surgical abilities, from scholars and citizens to skilled surgeons throughout quite a lot of scientific specialties. It offers step by step directions via a chain of distinct colour pictures and illustrations. The excisions and ensuing defects featured inside disguise various destinations. The maintenance range in sort and dimension so one can offer a number of strategies in reconstruction. The chapters are separated into anatomic areas to permit the reader easy accessibility to precise anatomic defects.

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Example text

B, C. The wound is then closed by the rule of halves with the key stitch in the middle of the wound. Further bisection of each half in sequential fashion results in an ‘‘S’’ shape. 10 M-plasty. An M-plasty is used to prevent the extension of an incision into significant cosmetic areas such as the eyebrows. The M-plasty is used to wrap the incisions above and below the eyebrow. A. The design of the M-plasty involves creating two 30° angles at one end of the fusiform ellipse; this shortens the length of the scar by one-fourth to one-third.

D. Cyst is removed intact. E. Small incision sutured closed. 12 Lipoma Excision. The goal of lipoma removal is similar to cyst surgery but through even a smaller incision. A. Small stab incision made through the center of the skin overlying the lipoma. B. Blunt dissection is performed around the entire lipoma. Unlike a cyst, there is no lining. C. With very firm pressure, the lipoma is expressed. D. As more of the lipoma is expressed out, forceps can be used to provide gentle traction. E. After complete removal.

B. Forceps are used grasp the elliptical piece of skin to provide upward traction in order to facilitate the identification of the plane around the cyst sac. C. Dissection is continued underneath the cyst in order to free it from the surrounding tissue. D. Cyst is removed intact. E. Small incision sutured closed. 12 Lipoma Excision. The goal of lipoma removal is similar to cyst surgery but through even a smaller incision. A. Small stab incision made through the center of the skin overlying the lipoma.

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