Fasciotomy
Fasciotomy Parth B. Amin W. John Sharp Fascial envelopes surround the major muscle groups in the leg, dividing them into compartments. Arterial bleeding, venous hemorrhage, or severe edema within a…
Femoral to Popliteal Bypass
Femoral to Popliteal Bypass Parth B. Amin Melhem J. Sharafuddin A number of conduits have been used to bypass obstructed segments of the femoropopliteal system. Autogenous saphenous vein has the…
Peripheral Embolectomy
Peripheral Embolectomy Parth B. Amin Rachael Nicholson Acute peripheral arterial ischemia is commonly a result of cardioembolic phenomenon. History and physical examination can adequately diagnose this problem and allow for…
Venous Access: Saphenous Vein Cutdown
Venous Access: Saphenous Vein Cutdown The greater saphenous vein is an anatomically constant vein that is easily cannulated for emergency venous access. The saphenous vein at the ankle is constant,…
Ligation, Stripping, and Harvesting of the Saphenous Vein
Ligation, Stripping, and Harvesting of the Saphenous Vein Amir F. Sleiman Jamal J. Hoballah This chapter first covers excision of the greater and lesser saphenous veins for management of varicosities,…
Above-Knee Amputation
Above-Knee Amputation Above-knee amputation is performed when it is not possible to save the knee joint because of the extent of injury or ischemic damage. Generally, the longer the stump,…
Below-Knee Amputation
Below-Knee Amputation Most amputations are performed for ischemia. The choice of the level of amputation requires mature judgment. Although it is important to salvage as much length as possible, a…
Transmetatarsal and Ray Amputations
Transmetatarsal and Ray Amputations Transmetatarsal and ray amputations require meticulous patient selection and attention to surgical technique when performed in patients with peripheral vascular disease. Transmetatarsal amputation is performed for…
Debridement and Split-Thickness Skin Graft
Debridement and Split-Thickness Skin Graft This chapter describes two strategies for debridement of burns or necrotizing soft tissue infections. It also details the technique of split-thickness skin graft. Skin grafting…
Introduction
Introduction The final section of the book is devoted to the anatomy of the lower extremity as encountered by the general surgeon. First, a discussion of soft tissue infections including…
