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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_855_Библиотеки_им_академика_М_И_Перельмана
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Conclusion/Summary
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Contents
References 192
6
The Keystone concept emphasizes the role of the
dermatome precincts and the intrinsic neurocutaneous vascular supply of the human skin
[1–35]. These aps are robust all over the body
and vascular complications are rare. However, in
diabetics type II and the immunocompromised,
sometimes vascular complications occur with
tight closures. The 3-phase technique of sutures
simplies closure in spite of elements of tension
existing in wound apposition. Blood vessels and
lymphatic vessels follow nerves, so the
Keystones are based on random multiple arterial
perforators, their venae comitantes and the ne
vascular networks that accompany nerves, all
within the dermatomal mark outs and embryological observation. It Keystone is a very
straightforward ap to raise quickly, safely and
Supplementary Information The online version contains supplementary material available at https://doi.
org/10.1007/978- 3- 031- 39868- 1_6. The videos can be
accessed individually by clicking the DOI link in the
accompanying gure caption or by scanning this link with
the SN More Media App.
will often avoid the need for more complex,
time-consuming, risky and more expensive
methods of repair. In this Atlas of 71 cases ranging from head to toe all feature singularly or collectively Keystone closure characteristics of
P.A.C.E.S. and have achieved a sound and reliable repair are presented in.
Dr Frederick J.Menick wrote in 1998 about
the interface of aesthetic and reconstructive surgery in facial reconstruction. Distant tissue does
not match facial skin in colour, texture or thickness. Nor does it have facial shape. The subunit
approach employing loco-regional tissue in contrast improves the aesthetic reconstructive result.
Herein lies the useful option of the Keystone for
facial reconstruction using loco-regional techniques for repair (Fig.6.1).
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
F. Behan, Atlas of Keystone Reconstructive Technique in Melanoma Management,
https://doi.org/10.1007/978-3-031-39868-1_6
191
192
https://t.me/medicina_free
Fig. 6.1 Conclusion (
https://doi.org/10.1007/000- b6c)
▶
References
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Section of the International Confederation of Plastic
and Reconstructive Surgery. Madrid, The Angiotome
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6 Conclusion/Summary
option to free aps in irradiated tissue. ANZ J Surg.
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