Clinical Implications of the Fascial System: A Commentary on One Surgeon’s Journey

Author:

Rehnke Robert D.1ORCID

Affiliation:

1. Private Practice of Plastic Surgery, Saint Petersburg, FL 33710, USA

Abstract

A review of the most important concepts of the last 100 years on the topic of fascia and its fundamental importance to tissue and organ structure and function is provided as a basis for the author’s commentary on the self-organizing nature of fascia. Implications for clinical applications in medicine, in both pathophysiology and the treatment of disease, follow from these anatomic insights. Organizing principles of nature put forth by D’Arcy Thompson, Buckminster Fuller, Benoit Mandelbrot, and Adrian Bejan set the stage for understanding tissue and fascial form. The author presents videos from the operating room of living anatomy illustrating the concept of a basic fascia segment, which differentiates according to need in the various locations of the body.

Publisher

MDPI AG

Subject

Paleontology,Space and Planetary Science,General Biochemistry, Genetics and Molecular Biology,Ecology, Evolution, Behavior and Systematics

Reference32 articles.

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3. Andreas Vesalius’ 500th Anniversary: Initiation of the Superficial Facial System and Superficial Musculoaponeurotic System Concepts;Brinkman;Ann. Plast. Surg.,2016

4. Tumescent anaesthesia;Conroy;Surgeon,2013

5. Thompson, D.W. (1942). On Growth and Form, Cambridge University Press.

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