Estudiante

An Atlas of Surgical Anatomy

An Atlas of

Surgical Anatomy

Surgical commentary by Alain C Masquelet, MD

Illustrations by Léon Dorn

© 2005 Taylor & Francis, an imprint of the Taylor & Francis Group First published in the United Kingdom in 2005 by Taylor & Francis, an imprint of the Taylor & Francis Group, 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Tel.: +44 (0) 1235828600 Fax.: +44 (0) 1235 829000 E-mail: info@dunitz.co.uk Website: http://www.dunitz.co.uk All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright,Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP. Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or editions any omissions brought to ourattention. Although every effort has been made to ensure that drug doses and other information are presented accurately in this publication, the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held responsible for errors or for any consequences arising from the use of information contained herein. For detailed prescribing information orinstructions on the use of any product or procedure discussed herein, please consult the prescribing information or instructional material issued by the manufacturer. A CIP record for this book is available from the British Library. Library of Congress Cataloging-in-Publication Data Data available on application ISBN 1 84184 000 0 Distributed in North and South America by Taylor & Francis 2000 NW CorporateBlvd Boca Raton, FL 33431, USA Within Continental USA Tel.: 800 272 7737; Fax.: 800 374 3401 Outside Continental USA Tel.: 561 994 0555; Fax.: 561 361 6018 E-mail: orders@crcpress.com Distributed in the rest of the world by Thomson Publishing Services Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel.: +44 (0)1264 332424 E-mail: salesorder.tandf@thomsonpublishingservices.co.ukTypeset by Scribe Design, Ashford, Kent Printed and bound by

Contents

Preface

vii viii ix

3 Gynaecological surgery
The lower approach of the prolapse and the separation of the vagina and the bladder 60 Treatment of genital prolapse after hysterectomy 65 Surgical treatment of elytrocele 70

Léon Dorn: A biographical note Léon Dorn: Notes on method

1 Reconstructive surgery
The tree offlaps for the upper limb 2 Flap from the lateral head of gastrocnemius 3 Soleus muscle flaps 5 Sural skin flap 8 Vascularised osteoperiosteal flap from the femur 10 Vascularised fibula transfer 11 Lateral brachial flap 14 Forearm radial flap 16 Posterior interosseous flap 18 Pronator quadratus muscle flap 20

4 Urological surgery
Allotransplantation of the kidney 74 Surgery of renal lithiasis79 Extrophy of the bladder in a young boy 81 Hypospadias surgery 86 Prosthesis for erectile function of penis 90 Amputation of the penis for sexual ambiguity: feminisation 97

5 Abdominal surgery
Reconstruction of a urinary bladder Gastrectomy 110 The liver 115 106

2 Hand and peripheral nerve surgery
Anatomy of the hand 24 The trapezium: volar approach 27 The ‘boutonnière’ deformity 31Arthrolysis of the PIP joint 34 Protective flaps for the median nerve at the wrist 36 Flexor digitorum superficialis transfer to the thumb 38 Vascularised bone transfer from the metaphysis of the second metacarpal 39 Dupuytren’s disease 40 Surgery of the wrist 44 Pollicisation of the index finger 45 Brachial plexus 49 Exposure of the interosseous nerve 54 Exposure of the radial nerve at the elbow 57...