December 1977

Microvascular Reconstructive Surgery

Author Affiliations

New Haven, Conn


by B. M. O'Brien, 359 pp, $38, Churchill Livingstone, 1977.

Arch Surg. 1977;112(12):1505. doi:10.1001/archsurg.1977.01370120095013

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There has been a clear need for a book that pulls together in one place the hard-won experience, methods, techniques, instrumentation, and conclusions of the revolutionary advance in the capabilities of reconstructive surgery, which is the subject of this book. The author speaks with authority and experience; he is a principal pioneer in microvascular reconstructive surgery.

The technology–the microscope, instruments, sutures, basic technique, unit organization, and technical problems–is fully presented. The author then systematically and clearly explains the practical, clinical applications of this technology, starting with replantation work in the upper extremity. He is thorough in covering the various possibilities of free tissue transfer–skin flaps, toe-to-hand transfer, omentum, muscle, bone and joint, and so forth. There is a balanced and thoughtful assessment for the indications for such surgery. It is a major judgmental issue when free tissue transfer by microvascular surgery offers the best reconstruction over the classical techniques.


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