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send two copies to: Publications Department, The Royal College of


Surgeons of England, 35–43 Lincoln’s Inn Fields, London WC2A
3PE. Book reviews are published at the discretion of the editor.

doi 10.1308/003588414X13814021680193

Book Reviews
The Angiosome Concept and Aesthetic and Reconstructive
Tissue Transfer Breast Surgery: Solving
G IAN TAYLOR, WEI-REN PAN Complications and Avoiding
EXTENT P/H 1,220 p, hardback Unfavorable Results
PRICE/ISBN £423.00 9781576261613
SETH THALLER, ZUBIN J PANTHAKI
PUBLISHER CRC Press (Boca Raton), 2013
REVIEWER Patrick Addison EXTENT P/H 206 p, hardback
STAR RATING **** PRICE/ISBN £175.00 9781841848471
PUBLISHER Informa (London), 2012
REVIEWER Ashu Gandhi
STAR RATING **
This two-volume set may look a little daunting and dry;
indeed, parts of it will hold less interest to some readers.
However, it is a well written and exacting presentation of This book contains 18 chapters and is illustrated through-
the career-long studies of the lead author and his col- out with colour photographs. The 2 editors and almost all
leagues, concerning the vascular territories and anatomy of the 36 contributors are plastic surgeons in the US. Only
of the human body. It reflects countless hours spent in the one of the contributors is from outside the US.
dissecting room, and a vast and critical understanding of As indicated in its title and the preface, the ambition is to
the concepts underlying tissue transfer. provide surgeons with guidance on how to solve complica-
The prose displays the clarity and consistency that is tions in breast reconstructive and aesthetic surgery, and to
often lacking in other texts with multiple authors. No detail avoid unfavourable results in outcome. With this in mind, I
is spared from head to toe and the knowledge to be eagerly anticipated reading the book and learning new points.
gleaned will be beneficial to all reconstructive surgeons. Unfortunately, the book does not quite live up to its
The clear colour illustrations and presentation are typical promise. Chapter 2 presents a good general discussion of
of other books by this publisher. Poland syndrome and tuberous breasts. Conversely, the
Volume 1, Chapter 1 begins with a short history of our treatment for these conditions lacks any detail to help the
knowledge of vascular anatomy, leading to the story of the surgeon in treating patients. This lack of detail seems to be
first vascularised free tissue transfer carried out in Australia a running theme through the various chapters.
in 1977. There follows a comprehensive and chronological The chapters on breast asymmetry and mastopexy pro-
review of the authors’ experience (part clinical, part vide a good general sweep of the techniques used but any
research) describing how many and varied reconstructive descriptions of surgical technique are sparse and disap-
problems were overcome, culminating in the widely revered pointing. Chapter 6 has a very good section on preopera-
whole body studies of the human vasculature and the pre- tive evaluation of patients being considered for reduction
sentation of the angiosome concept. mammoplasty. However, there is no real mention of how
Chapter 2 presents the anatomical and embryological stud- to solve complications or avoid unfavourable results. The
ies underpinning the angiosome concept, and offers a compa- section on oncoplastic surgery of the breast makes no
rative anatomy section where a critical appraisal is made of the mention of the Grisotti flap or how to deal with positive
similarities and differences between the vascularity of humans surgical excision margins after performing oncoplastic sur-
and research animals. While this chapter might not suit the gery for breast cancer. Curiously, there is discussion of
casual reader, it is highly informative and enlightening. acellular dermal matrix reconstruction in the chapter on
Chapter 3 introduces the fundamental concepts behind the lumpectomy and radiotherapy.
clinical application of the anatomical knowledge. This will be Chapter 10 deals with tissue expander reconstruction
of great value and interest to all reconstructive surgeons and, again, while it lacks any detailed description of the
wishing to broaden their horizons and improve their surgical surgical technique of tissue expansion, there is a very good
outcomes. This section leads on naturally into Volume 2, a discussion of the complications of such reconstructions and
detailed, region-by-region description of human vasculature how to avoid any potential problems. Chapters 11 to 13
and clinical applications. present a good overview of pedicled and free flaps but the
This book is not merely a historical description of the level of discussion is more for a general surgical trainee or
foundation of current practice; it is the basis for many breast surgeon than a plastic surgeon with aspirations to
future developments and advances. perform such operations.

Ann R Coll Surg Engl 2014; 96: 563 563

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