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Ebook Principles and practice of surgery(6th edition): Part 2

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Nội dung chi tiết: Ebook Principles and practice of surgery(6th edition): Part 2

Ebook Principles and practice of surgery(6th edition): Part 2

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

Ebook Principles and practice of surgery(6th edition): Part 2 Urological surgery Neurosurgery Transplantation surgery Ear, nose and throat surgery Orthopaedic surgery281302325345379399424444459476279J.D. Watson1

8Plastic and reconstructive surgeryCHAPTER CONTENTSIntroduction 281Stfucture and functions of skin 281Wounds 281Bums 289Prognosis 291Skin and soft tis Ebook Principles and practice of surgery(6th edition): Part 2

sue lesions 294INTRODUCTIONPlastic and reconstructive surgery is concerned with the restitution of form and function after trauma and ablative surgery

Ebook Principles and practice of surgery(6th edition): Part 2

. The techniques by which this is achieved are applicable to virtually every surgical subspecialty and are not limited to any single anatomical region

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

Ebook Principles and practice of surgery(6th edition): Part 2ig. 18.1). It is important to distinguish plastic and reconstructive surgery from cosmetic, or aesthetic, surgery. In the latter, the techniques of th

e former are applied to improve appearance but not physical function, although there may be considerable psychological benefit.STRUCTURE AND FUNCTIONS Ebook Principles and practice of surgery(6th edition): Part 2

OF SKINSkin consists of epidermis and dermis. The epidermis is a layer of keratinized, stratified squamous epithelium (Fig. 18.2) that sends three ap

Ebook Principles and practice of surgery(6th edition): Part 2

pendages (liair follicles, sweat glands and sebaceous glands) into the underlying dermis. Because of their deep location, the appendages escape destru

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

Ebook Principles and practice of surgery(6th edition): Part 2 keratin-producing cells (keratino-cytes), which become increasingly keratinized and flattened as they migrate to the surface, where they are shed. Th

e basal layer also contains pigment cells (melanocytes) that produce melanin, which is passed to the keratinocytes and protects the basal layer from u Ebook Principles and practice of surgery(6th edition): Part 2

ltraviolet light.The dermis is composed of collagen, elastic fibres and fat. It supports blood vessels, lymphatics, nerves and the epidermal appendage

Ebook Principles and practice of surgery(6th edition): Part 2

s. The junction between the epidermis and the dermis is undulating where dermal papillae push up towards the epidermis.The three types of epidermal ap

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

Ebook Principles and practice of surgery(6th edition): Part 2elanocytes within the follicle. The sebaceous glands secrete sebum into the hair follicles, which lubricates theskin and hair. The sweat glands are co

iled tubular glands lying within the dermis and are of two types; eccrine sweat glands secrete salt and water on to the entire skin surface, while apo Ebook Principles and practice of surgery(6th edition): Part 2

crine glands secrete a musty-smelling fluid in the axilla, eyelids, ears, nipple and areola, genital areas and the perianal region. Hidradenitis suppu

Ebook Principles and practice of surgery(6th edition): Part 2

rativa affects the latter.The nails are flat, horny structures composed of keratin. They arise from a matrix of germinal cells, which can be seen aS a

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

Ebook Principles and practice of surgery(6th edition): Part 2mpossible, and the layer of epidermal cells covering the nailbed thickens to form a keratinized protective layer.WOUNDSA wound may be defined as disru

ption of the normal continuity of bodily structures due to trauma, which may be penetrating or non-penetrating. In both cases, inspection of the body Ebook Principles and practice of surgery(6th edition): Part 2

surface may give little indication of the extent of underlying damage.Types of woundWounds can be classified according to the mechanism of injury:

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

SECTION®!Surgical specialtiesPlastic and reconstructive surgery The breast Endocrine surgery Vascular and endovascular surgery Cardiothoracic surgery

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