RT Book, Section
A1 Yuen, James C.
A2 Morita, Shane Y.
A2 Balch, Charles M.
A2 Klimberg, V. Suzanne
A2 Pawlik, Timothy M.
A2 Posner, Mitchell C.
A2 Tanabe, Kenneth K.
SR Print(0)
ID 1145766052
T1 Principles of Skin Grafting and Flaps
T2 Textbook of Complex General Surgical Oncology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071793315
LK hemonc.mhmedical.com/content.aspx?aid=1145766052
RD 2024/04/19
AB The  grafting  of  skin  originated  among  the  tile-maker  caste  in  India  approximately  3000  years  ago.1  In  1804,  an  Italian  surgeon,  Baronio,  successfully  performed  a  full-thickness  skin  autograft  of  a  lamb.2  Since  then,  numerous  pioneers  and  historical  developments  have  evolved  making  this  procedure  common  place  among  almost  all  surgical  disciplines.  With  proper  techniques  and  instrumentation,  and  the  exercise  of  appropriate  principles,  skin  grafting  has  become  a  reliable  and  successful  operation  for  wound  coverage.  In  situations  in  which  the  wound  or  defect  is  not  amenable  to  a  skin  graft,  or  in  which  the  defect  is  better  served  with  more  durable  coverage,  flap  coverage  would  be  performed  instead.  The  use  of  flaps  for  reconstruction  dates  back  to  600  bc  with  the  earliest  recorded  application  of  pedicle  flaps  for  nasal  reconstruction,  which  was  attributed  to  the  Sushruta  Samhita.3  It  was  not  until  the  1960s  to  1970s  with  the  advancement  in  the  understanding  of  anatomy  and  medical  technology  (microsurgical  instrumentation)  that  the  reconstruction  field  experienced  an  explosion  in  the  development  of  new  categories  of  flaps  and  ever-increasing  named  flaps  based  on  blood  supply  and  location  of  origin.  In  this  chapter,  the  reader  is  introduced  to  the  general  principles  of  skin  graft  and  flap  surgery.  Other  chapters  demonstrate  the  applications  of  various  flaps  in  reconstruction  of  oncological  defects;  therefore,  clinical  application  of  flaps  is  not  thoroughly  discussed  in  this  chapter.