Abdominoplasty & the Angiosome

Chapter 36 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

17 viva questions in this chapter

1. This is a photograph of a woman’s abdomen, marked pre-operatively. Describe it.
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2. What do you want from the history?
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3. Examine her for me. What are you looking for?
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4. Talk me through the blood supply of the abdominal wall.
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5. How do you decide which operation to offer?
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6. Take me through the operation.
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7. Drains or no drains?
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8. What about her pain relief?
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9. She comes back on day 8 with a breaking-down wound.
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10. What does this photograph illustrate?
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11. What is an angiosome?
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12. What do you mean by a delayed flap?
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13. Apply the angiosome concept to this DIEP flap.
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14. So which is right — Hartrampf or Holm?
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15. You need all four zones for a very large breast. What do you do?
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16. There is no usable internal mammary vein.
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17. This patient had an abdominoplasty five years ago and now needs a breast reconstruction. Same abdomen — what has changed?
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