DAFTAR ISIKata Pengantar.....................................................................................................iLembar pengesahan.............................................................................................iiDaftar Isi...............................................................................................................iiiDaftar Gambar......................................................................................................vDaftar Tabel............................................................................................................viBAB I Pendahuluaan..............................................................................................1BAB II Pembahasan...............................................................................................31 Anatomi pembuluh darah kulit.........................................................................31.1 Area arterial...............................................................................................31.2 Drainase pembuluh darah.........................................................................71.3 Area neurovaskular...................................................................................91.3.1. Klasifikasi area neovaskuler otot......................................................12 1.4 Konsep Angiosome...................................................................................142. Klasifikasi flap................................................................................................16 2.1. Flap otot dan flap musculocutaneous.......................................................19 2.2. Flap fascial dan fascutaneus......................................................................23 2.3. Perforator flap...........................................................................................26 2.4. Flap abdominal visceral..............................................................................263. Modifikasi flap................................................................................................28 3.1. Ekspansi Jaringan....................................................................................28 3.2. Transposisi flap segmental.......................................................................29 3.3 Tulang tervascularisasi.............................................................................30 3.4 Flap otot fungsional...................................................................................32 3.5. Flap sensorik............................................................................................33 3.6. Flap kombinasi.........................................................................................344. Musculocutaneus.............................................................................................36 4.1. Flap pra laminasi dan pra fabrikasi............................................................36 4.2. Flap berdasar distal dan flap aliran balik...................................................37 4.3. Flap transposisi terbalik.............................................................................38 4.4. Flap venosus..........................................................................................40 4.5. Transplantasi jaringan komposit microvascular........................................405. Aplikasi Flap....................................................................................................42 5.1. Keuntungan dan kerugia flap otot dan musculocutaneus.........................48 5.2. Keuntungan dan kerugian flap fascial dan flap fasciocutaneus.................49 5.3. Transposisi flap dan busur rotasi...............................................................50 5.4. Perkiraan wilayah kulit..............................................................................52 5.5. Pemilihan otot spesifik flap musculocutaneus............................................54 5.6. Pemilihan fascial khusus dan flap fasciocutaneus......................................556. Manajemen pra operasi dan pasca operasi.......................................................56 6.1. Memposisikan pasien................................................................................59 6.2. Teknik memonitor flap...............................................................................627. Komplikasi.......................................................................................................628. Kegagalan flap...................................................................................................64BAB III Kesimpulan......................................................................................................70Daftar Pustaka...........................................................................................................71

DAFTAR GAMBARGambar 1. Struktur anatomi kulit................................................................................5Gambar 2. Dermal pleksus dan subdermal pleksus...................................................6Gambar 3. Skematis Pembuluh darah perforator......................................................6Gambar 4. Skematis Pembuluh darah perforator......................................................8Gambar 5. Klasifikasi neurovaskular pada otot..........................................................13Gambar 6. Konsep Angiosome ...........................................................................15 Gambar 7. Flap otot dan muculocutaneus..................................................................23 Gambar 8. Flap fascial dan flap fascucutaneus...........................................................28 Gambar 9. Transposition Flap....................................................................................30Gambar 10 . Functional Muscle Transfer .................................................................33Gambar 11 . Sensory flap.............................................................................................34 Gambar 12 . Combination flap modification................................................................36 Gambar 13 . Microvascular composite tissue transplantation.....................................42

DAFTAR TABEL

Tabel 1. Klasifikasi neurovaskular otot.......................................................................14Tabel 2. Tipe 1 vascular pattern layer........................................................................20Tabel 3. Tipe 2 Vascular pattern layer.......................................................................21Tabel 4. Tipe 3 vascular pattern layer.........................................................................21Tabel 5. Tipe 4 vascular pattern layer..........................................................................22Tabel 6. Tipe 5 vascular pattern layer..........................................................................22Tabel 7. Flap abdominal visceral.................................................................................28

iv