|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| D. The upper and lower muscles are then cut, ligating the superior epigastric artery. As much or as little muscle can be taken as needed. The pedicle is left intact until the recipient site is prepared. The lower end of the muscle should be reattached with a stabilizing "safety" stitch to prevent accidental avulsion of the vascular pedicle while the muscle is awaiting transfer.
A 33-year-old woman was pushed from a car and caught her left hand under the tire as the car pulled away.
FIG. 20-01. Initially, all digits were viable.
A 35-year-old woman had been punctured on the left ankle by a sting ray months before admission.
FIG. 20-10. Several debridements had been undertaken, but the wound remained unhealed, with exposed structure behind the medial malleolus.
|Ch. 20 Page 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10|