Felix Behan – författare

This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals – the basic procedures, how to get started, and technical tips – as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book’s final chapters are focused on assessment, decision-making and lessons learned – essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications.Rather than demonstrate exactly how to execute flaps, the book’s primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.

Simple solutions solve problems and this KPIF Atlas for Melanoma becomes a welcome companion to any surgical speciality including plastic and reconstructive surgeons, surgical oncologists, general surgeons and dermatologists.

Worldwide, it is quoted that 85% of Melanoma cases are treated surgically. The reliability of the Keystone Perforator Island Flap (KPIF) as a reconstructive technique has wide applications.  Its low complication rate is the key to its surgical success. The technique is clearly explained in this Atlas by the author, a renowned plastic and reconstructive surgeon, who established this reconstructive principle over 20 years.   The illustrations range from simple to complex cases in an easy-to-follow format.   Audio files, as a supplementary tool, amplify the technique to enhance the reader’s experience and foster clear understanding. Chapters focussing on anatomical regions contain carefully selected cases accompanied by images to demonstrate a step-by-step surgical technique.  The basic design format for all Keystones are highlighted, all sitting within the dermatomal precincts.  The KPIF must contain a fascial base for lining and the island outline is an essential pre-requisite.  It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing.  Undermining up to 2/3 is permissible as long as there is a deep attachment of 1/3 at the base of the flap to contain the random perforator vascular support.  This design allows the rotation, advancement and transposition (ART) of the flap to facilitate the reconstructive closures. Presumably, there are somatic and autonomic neural support lines accompanying the vascular pathways of these random perforator flaps.  The vascular perforator tree must not be skeletonised (as in propellor flaps) to allow preservation of such anatomical elements - somatic, autonomic and lymphatic pathways, all of which are an essential component in any surgical repair.  This KPIF provides an alternative to microvascular procedures where the biggest drawback is tissue match.  The KPIF addresses this problem admirablywith a low pain component, an excellent aesthetic match with a low vascular complication rate and a performed in an expeditious manner – these all characterise the KPIF.  Simple solutions solve problems and this KPIF Atlas for Melanoma becomes a welcome companion to any surgical speciality including plastic and reconstructive surgeons, surgical oncologists, general surgeons and dermatologists.

KDPIF, or Keystone Design Perforator Island Flap, is the main reconstructive tool available as a valid alternative to microsurgical procedures;

KDPIF, or Keystone Design Perforator Island Flap, is the main reconstructive tool available as a valid alternative to microsurgical procedures; its low complication rate is the key to its surgical success. This stepwise guide illustrates the technique’s applications in orthopaedic reconstruction. The sections of the book cover the upper limb (including Dupuytren’s disease), the lower limb defects (from groin to foot) and the rare vascular complications of the technique. The illustrations range from simple to complex cases in an easy-to-follow format, with audio files, acting as a supplementary tool to amplify and illustrate the technique to enhance the reader’s experience and foster clear understanding. The basic design format for all Keystones are highlighted, all sitting within the dermatomal precincts. The KDPIF must contain a fascial base for lining and must be aligned within the dermatomal precincts.  This island outline is an essential pre-requisite for  its success. It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing: the KDPIF technique provides an alternative to microvascular procedures where the biggest drawback is tissue match. The KDPIF addresses this problem admirably with a low pain component, an excellent aesthetic match with a low vascular complication rate and executed in an expeditious manner with sensory recovery and resolution of oedema. Keystone Flap for Complex Orthopaedic Problems: Reconstructive Surgery with Audiovisual Guidelines will be a valued companion to plastic and reconstructive surgeons and orthopaedic surgeons, that might find a valid alternative to  microsurgical techniques.

KDPIF, or Keystone Design Perforator Island Flap, has proven to be a reliable solution for complex surgical defect reconstructions, offering consistent results with reduced complications. The illustrations cover complex cases in a clear format, with video audio files, acting as a supplementary tool to illustrate the technique and expand the reader’s experience to show others how to simply master the technique. The basic design format for all Keystones is highlighted, all sitting within the dermatomal precincts. The KDPIF must contain a fascial base for lining and must be aligned within the dermatomal precincts which ensures their neurovascular and lymphatic input. This island outline is an essential pre-requisite for its success. It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing: the KDPIF technique provides an alternative to microvascular procedures where the biggest drawbacks are theatre time and tissue match which reduces aesthetics. The KDPIF addresses these problems admirably with a low pain component, an excellent aesthetic match with a low vascular complication rate when executed in an expeditious manner, with sensory recovery and resolution of oedema. The first publication of this Keystone principle occurred in the ANZ Journal of Surgery in 2003 and its applications since have resulted in over 35 further peer reviewed publications leading to textbook publications applying these principles all over the body.Volume 1 explains the technique’s embryological foundation and evolution, while focusing on major reconstructions of the head and neck region—including the parotid, ear, nose, lips, scalp, and forehead. Detailed illustrations and clinical outcomes support key concepts such as the sympathectomy effect, dermatomal alignment, and tension-free closure, reinforcing why the Keystone flap can replace more complex microsurgical methods. With its wealth of cases and stepwise indications, Keystone Reconstructive Solutions for Major Surgical Defects Vol. 1 will be a valued companion to plastic and reconstructive surgeons and general surgeons, offering a sound alternative to microsurgical techniques.