The Anatomy Purist

Episode 4 of The Anatomy Purist. Dev breaks down the blood supply to skin, the plexus system from deep fascia to papillary dermis, random versus axial flap supply, and the work of Taylor and Palmer in 1987 that gave us the angiosome concept and changed reconstructive surgery permanently. Covering perforator classification, the DIEP flap, and the clinical failure that anatomy could have predicted....

Episode 3 of The The Anatomy Purist, Dev takes you into the dermis. Two zones, two collagen types, and a set of lines that Karl Langer mapped on cadavers in 1861 that still determine whether your incision scars or disappears. Covering the papillary and reticular dermis, Langer's lines, the biology of collagen remodelling, solar elastosis, and why full-thickness grafts contract less than split-thic...

Every time you plan an incision, you make a decision. Buthow many surgeons understand the structural logic behind that decision? In this episode, Dev explores Langer's lines, the collagenorientation maps first described by Viennese anatomist Karl Langer in 1861 using a circular awl and a set of cadavers. The history of how he discovered them, the century-long controversy they provoked, and wha...

Anatomy is poorly taught and often considered a tickbox exercise for students. Crammed for examinations, reproduced on diagrams, and quietly forgotten. But the forgetting has consequences and nowhere is this more apparent than in the largest organ in the body. In this first episode, Dev explores the Skin as a surgically applied subject: the avascular epidermis, the vascular architecture of the der...