Plastic Surgery Volume 6 Hand and Upper Limb 3rd Edition PDF Free Download
Fully updated to meet the demands of the 21st-century surgeon, Hand and Upper Extremity, Volume 6 of Plastic Surgery, 3rd Edition, provides you with the most current knowledge and techniques hand and upper extremity plastic surgery, allowing you to offer every patient the best possible outcome. Access all the state-of-the-art know-how you need to overcome any challenge you may face and exceed your patients’ expectations.
Apply the very latest advances in hand and upper extremity plastic surgery and ensure optimal outcomes with evidence-based advice from a diverse collection of world-leading authorities.
Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
Master the latest on all aspects of hand surgery – including pediatric and adult conditions – in one comprehensive volume.
Access the most up-to-date information on nerve transfers, hand allotransplantation, functional prosthetics, and fracture fixation, presented by the original innovators themselves.
Know what to look for and what results you can expect with over 1,700 photographs and illustrations.
See how to perform key techniques with 57 surgical videos online.
Access the complete, fully searchable contents online, download all the tables and figures, and take advantage of additional content and images at www.expertconsult.com!
Hardcover: 1136 pages
Language: English
ISBN-10: 1455710571
ISBN-13: 978-1455710577
Geoffrey C. Gurtner
1 Plastic surgery and innovation in medicine 1
Peter C. Neligan
2 History of reconstructive and aesthetic surgery 11
Riccardo F. Mazzola and Isabella C. Mazzola
3 Psychological aspects of plastic surgery 30
Laurie A. Stevens and Mary H. McGrath
4 The role of ethics in plastic surgery 55
Phillip C. Haeck
5 Business principles for plastic surgeons 64
C. Scott Hultman
6 Medico-legal issues in plastic surgery 92
Neal R. Reisman
7 Photography in plastic surgery 104
Brian M. Kinney
8 Patient safety in plastic surgery 124
Bruce Halperin
9 Local anesthetics in plastic surgery 137
A. Aldo Mottura
10 Evidence-based medicine and health services
research in plastic surgery 150
Carolyn L. Kerrigan, E. Dale Collins Vidal, Andrea L. Pusic,
Amy K. Alderman, and Valerie Lemaine
11 Genetics and prenatal diagnosis 176
Daniel Nowinski, Elizabeth Kiwanuka, Florian Hackl,
Bohdan Pomahac, and Elof Eriksson
12 Principles of cancer management 201
Tomer Avraham, Evan Matros, and Babak J. Mehrara
13 Stem cells and regenerative medicine 212
Benjamin Levi, Derrick C. Wan, Victor W. Wong,
Geoffrey C. Gurtner, and Michael T. Longaker
14 Wound healing 240
Chandan K. Sen and Sashwati Roy
15 Skin wound healing: Repair biology, wound,
and scar treatment 267
Ursula Mirastschijski, Andreas Jokuszies, and
Peter M. Vogt
16 Scar prevention, treatment, and revision 297
Peter Lorenz and A. Sina Bari
17 Skin graft 319
Saja S. Scherer-Pietramaggiori, Giorgio Pietramaggiori,
and Dennis P. Orgill
18 Tissue graft, tissue repair, and regeneration 339
Wei Liu and Yilin Cao
19 Tissue engineering 367
Andrea J. O’Connor and Wayne A. Morrison
20 Repair, grafting, and engineering of cartilage 397
Wei Liu and Yilin Cao
21 Repair and grafting of bone 425
Iris A. Seitz, Chad M. Teven, and Russell R. Reid
22 Repair and grafting of peripheral nerve 464
Renata V. Weber, Kirsty U. Boyd, and
Susan E. Mackinnon
23 Vascular territories 479
Steven F. Morris and G. Ian Taylor
24 Flap classification and applications 512
Scott L. Hansen, David M. Young, Patrick Lang,
and Hani Sbitany
25 Flap pathophysiology and pharmacology 573
Cho Y. Pang and Peter C. Neligan
26 Principles and techniques of microvascular
surgery 587
Fu-Chan Wei and Sherilyn Keng Lin Tay
27 Principles and applications of tissue
expansion 622
Malcolm W. Marks and Louis C. Argenta
28 Therapeutic radiation: Principles, effects,
and complications 654
Gabrielle M. Kane
29 Vascular anomalies 676
Arin K. Greene and John B. Mulliken
30 Benign and malignant nonmelanocytic
tumors of the skin and soft tissue 707
Rei Ogawa
31 Melanoma 743
Stephan Ariyan and Aaron Berger
32 Implants and biomaterials 786
Charles E. Butler and Timothy W. King
33 Facial prosthetics in plastic surgery 798
Gordon H. Wilkes, Mohammed M. Al Kahtani, and
Johan F. Wolfaardt
34 Transplantation in plastic surgery 814
David W. Mathes, Peter E. M. Butler, and
W. P. Andrew Lee
35 Technology innovation in plastic surgery:
A practical guide for the surgeon innovator 841
Leila Jazayeri and Geoffrey C. Gurtner
Contents
36 Robotics, simulation, and telemedicine in
plastic surgery 854
Joseph M. Rosen, Todd E. Burdette, Erin Donaldson,
Robyn Mosher, Lindsay B. Katona, and
Sarah A. Long
Volume Two: Aesthetic
Richard J. Warren
1 Managing the cosmetic patient 1
Michelle B. Locke and Foad Nahai
Section I: Aesthetic Surgery of the Face
2 Nonsurgical skin care and rejuvenation 13
Leslie Baumann
3 Botulinum toxin (BoNT-A) 30
Michael A.C. Kane
4 Soft-tissue fillers 44
Trevor M. Born, Lisa E. Airan, and Dimitrios Motakis
5 Facial skin resurfacing 60
Steven R. Cohen, Ryan C. Frank, and E. Victor Ross
6 Anatomy of the aging face 78
Bryan Mendelson and Chin-Ho Wong
7 Forehead rejuvenation 93
Richard J. Warren
8 Blepharoplasty 108
Julius Few Jr. and Marco Ellis
9 Secondary blepharoplasty: Techniques 138
Glenn W. Jelks, Elizabeth B. Jelks, Ernest S. Chiu,
and Douglas S. Steinbrech
10 Asian facial cosmetic surgery 163
Kyung S. Koh, Jong Woo Choi, and Clyde H. Ishii
11.1 Facelift: Principles 184
Richard J. Warren
11.2 Facelift: Introduction to deep tissue
techniques 208
Richard J. Warren
11.3 Facelift: Platysma-SMAS plication 216
Dai M. Davies and Miles G. Berry
11.4 Facelift: Facial rejuvenation with loop sutures,
the MACS lift and its derivatives 223
Mark Laurence Jewell
11.5 Facelift: Lateral SMASectomy 232
Daniel C. Baker
11.6 Facelift: The extended SMAS technique in
facial rejuvenation 238
James M. Stuzin
11.7 Facelift: SMAS with skin attached – the
“high SMAS” technique 257
Fritz E. Barton Jr.
11.8 Facelift: Subperiosteal facelift 266
Oscar M. Ramirez
vi Contents: Volume One to Volume Two
12 Secondary deformities and the secondary
facelift 277
Timothy J. Marten and Dino Elyassnia
13 Neck rejuvenation 313
James E. Zins, Colin Myles Morrison, and
Claude-Jean Langevin
14 Structural fat grafting 327
Sydney R. Coleman and Alesia P. Saboeiro
15 Skeletal augmentation 339
Michael J. Yaremchuk
16 Anthropometry, cephalometry, and
orthognathic surgery 354
Daniel I. Taub, Jordan M.S. Jacobs, and
Jonathan S. Jacobs
17 Nasal analysis and anatomy 373
Joel E. Pessa and Rod J. Rohrich
18 Open technique rhinoplasty 387
Rod J. Rohrich and Jamil Ahmad
19 Closed technique rhinoplasty 413
Mark B. Constantian
20 Airway issues and the deviated nose 450
Bahman Guyuron and Bryan S. Armijo
21 Secondary rhinoplasty 466
Ronald P. Gruber, Simeon H. Wall Jr.,
David L. Kaufman, and David M. Kahn
22 Otoplasty 485
Charles H. Thorne
23 Hair restoration 494
Jack Fisher
Section II: General Aesthetic Surgery
24 Liposuction: A comprehensive review of
techniques and safety 507
Jeffrey M. Kenkel and Phillip J. Stephan
25 Abdominoplasty procedures 530
Dirk F. Richter and Alexander Stoff
26 Lipoabdominoplasty 559
Osvaldo Ribeiro Saldanha,
Sérgio Fernando Dantas de Azevedo,
Osvaldo Ribeiro Saldanha Filho,
Cristianna Bonneto Saldanha, and
Luis Humberto Uribe Morelli
27 Lower bodylifts 568
Al Aly, Khalid Al-Zahrani, and Albert Cram
28 Buttock augmentation 599
Terrence W. Bruner, José Abel de la Peña Salcedo,
Constantino G. Mendieta, and Thomas L. Roberts III
29 Upper limb contouring 617
Joseph F. Capella, Matthew J. Trovato, and
Scott Woehrle
30 Post-bariatric reconstruction 634
Jonathan W. Toy and J. Peter Rubin
31 Aesthetic genital surgery 655
Gary J. Alter
Contents vii
Volume Three: Craniofacial, Head and Neck
Surgery and Pediatric Plastic Surgery
Part 1: Craniofacial, head and neck surgery: Eduardo D. Rodriguez
1 Anatomy of the head and neck 3
Ahmed M. Afifi and Risal Djohan
Section I: Craniofacial Trauma
2 Facial trauma: Soft tissue injuries 23
Reid V. Mueller
3 Facial fractures 49
Eduardo D. Rodriguez, Amir H. Dorafshar,
and Paul N. Manson
4 TMJ dysfunction and obstructive sleep apnea 89
Stephen A. Schendel and Brinda Thimmappa
Section II: Head and Neck Reconstruction
5 Scalp and forehead reconstruction 105
Mark D. Wells and Carla Skytta
6 Aesthetic nasal reconstruction 134
Frederick J. Menick
7 Reconstruction of the ear 187
Burton D. Brent
8 Acquired cranial and facial bone deformities 226
Renee M. Burke, Robert J. Morin,
and S. Anthony Wolfe
9 Midface reconstruction 243
Constance M. Chen, Joseph J. Disa,
and Peter G. Cordeiro
10 Cheek and lip reconstruction 254
Peter C. Neligan
11 Facial paralysis 278
Ronald M. Zuker, Eyal Gur, Gazi Hussain,
and Ralph T. Manktelow
12 Oral cavity, tongue, and mandibular
reconstructions 307
Ming-Huei Cheng and Jung-Ju Huang
13 Hypopharyngeal, esophageal, and neck
reconstruction 336
Peirong Yu
14 Salivary gland tumors 360
Stephan Ariyan, Deepak Narayan, and
Charlotte E. Ariyan
15 Tumors of the facial skeleton: Fibrous
dysplasia 380
You-Wei Cheong and Yu-Ray Chen
16 Tumors of the lips, oral cavity, oropharynx,
and mandible 398
John Joseph Coleman III and Anthony P. Tufaro
17 Carcinoma of the upper aerodigestive tract 420
Michael E. Kupferman, Justin M. Sacks,
and Edward I. Chang
18 Local flaps for facial coverage 440
Ian T. Jackson
19 Secondary facial reconstruction 461
Julian J. Pribaz and Rodney K. Chan
20 Facial transplant 473
Laurent Lantieri
21 Surgical management of migraine headaches 491
Bahman Guyuron and Ali Totonchi
Part 2: Pediatric plastic surgery: Joseph E. Losee
Section I: Clefts
22 Embryology of the craniofacial complex 503
Maryam Afshar, Samantha A. Brugmann,
and Jill A. Helms
23 Repair of unilateral cleft lip 517
Philip Kuo-Ting Chen, M. Samuel Noordhoff,
and Alex Kane
24 Repair of bilateral cleft lip 550
John B. Mulliken
25 Cleft palate 569
William Y. Hoffman
26 Alveolar clefts 584
Richard A. Hopper
27 Orthodontics in cleft lip and palate
management 595
Alvaro A. Figueroa and John W. Polley
28 Velopharyngeal dysfunction 614
Richard E. Kirschner and Adriane L. Baylis
29 Secondary deformities of the cleft lip, nose,
and palate 631
Evan M. Feldman, John C. Koshy, Larry H. Hollier Jr.,
and Samuel Stal
30 Cleft and craniofacial orthognathic surgery 655
Jesse A. Goldstein and Steven B. Baker
Section II: Craniofacial
31 Pediatric facial fractures 671
Joseph E. Losee and Darren M. Smith
32 Orbital hypertelorism 686
Eric Arnaud, Daniel Marchac, Federico Di Rocco,
and Dominique Renier
33 Craniofacial clefts 701
James P. Bradley and Henry K. Kawamoto Jr.
34 Nonsyndromic craniosynostosis 726
Derek M. Steinbacher and Scott P. Bartlett
35 Syndromic craniosynostosis 749
Jeffrey A. Fearon
36 Craniofacial microsomia 761
Joseph G. McCarthy, Barry H. Grayson,
Richard A. Hopper, and Oren M. Tepper
37 Hemifacial atrophy 792
Peter J. Taub, Lester Silver, and Kathryn S.Torok
38 Pierre Robin sequence 803
Christopher G. Zochowski and Arun K. Gosain
39 Treacher–Collins syndrome 828
Fernando Molina
viii Contents: Volume Three to Volume Five
Section III: Pediatrics
40 Congenital melanocytic nevi 837
Bruce S. Bauer and Neta Adler
41 Pediatric chest and trunk defects 855
Lawrence J. Gottlieb, Russell R. Reid, and
Justine C. Lee
42 Pediatric tumors 877
Sahil Kapur and Michael L. Bentz
43 Conjoined twins 893
Oksana Jackson, David W. Low and Don LaRossa
44 Reconstruction of urogenital defects:
Congenital 906
Mohan S. Gundeti and Michael C. Large
Volume Four: Lower Extremity, Trunk
and Burns
David Song
Section I: Lower Extremity Surgery
1 Comprehensive lower extremity anatomy 1
Ginard I. Henry and Grant M. Kleiber
2 Management of lower extremity trauma 63
Shannon Colohan and Michel Saint-Cyr
3 Lymphatic reconstruction of the extremities 92
Ruediger G. H. Baumeister, David W. Chang,
and Peter C. Neligan
4 Lower extremity sarcoma reconstruction 101
Goetz A.Giessler and Michael Sauerbier
5 Reconstructive surgery: Lower extremity
coverage 127
Joon Pio Hong
6 Diagnosis and treatment of painful neuroma and
of nerve compression in the lower extremity 151
A. Lee Dellon
7 Skeletal reconstruction 174
Stephen J. Kovach and L. Scott Levin
8 Foot reconstruction 189
Mark W. Clemens, Lawrence B. Colen,
and Christopher E. Attinger
Section II: Trunk Surgery
9 Comprehensive trunk anatomy 220
Michael A. Howard and Sara R. Dickie
10 Reconstruction of the chest 239
David H. Song and Michelle C. Roughton
11 Reconstruction of the soft tissues of the back 256
Gregory A. Dumanian
12 Abdominal wall reconstruction 279
Navin K. Singh, Marwan R. Khalifeh,
and Jonathan Bank
13 Reconstruction of male genital defects 297
Stan Monstrey, Peter Ceulemans, Nathalie Roche,
Philippe Houtmeyers, Nicolas Lumen, and Piet Hoebeke
14 Reconstruction of acquired vaginal defects 326
Laura Snell, Peter G. Cordeiro, and Andrea L. Pusic
15 Surgery for gender identity disorder 336
Loren S. Schechter
16 Pressure sores 352
Robert Kwon and Jeffrey E. Janis
17 Perineal reconstruction 383
Hakim K. Said and Otway Louie
Section III: Burns Surgery
18 Acute management of burn/electrical injuries 393
Lars Steinstraesser and Sammy Al-Benna
19 Extremity burn reconstruction 435
Lorenzo Borghese, Alessandro Masellis, and
Michele Masellis
20 Cold and chemical injury to the upper
extremity 456
Dennis S. Kao and John Hijjawi
21 Management of facial burns 468
Robert J. Spence
22 Reconstructive burn surgery 500
Matthew B. Klein
23 Management of patients with exfoliative
disorders, epidermolysis bullosa, and TEN 511
Abdullah E. Kattan, Robert C. Cartotto, and Joel S. Fish
Volume Five: Breast
James C. Grotting
1 Anatomy for plastic surgery of the breast 1
Jorge I. de la Torre and Michael R. Davis
Section I: Cosmetic Surgery of the Breast
2 Breast augmentation 13
G. Patrick Maxwell and Allen Gabriel
3 Secondary breast augmentation 39
Mitchell H. Brown
4 Current concepts in revisionary breast surgery 67
G. Patrick Maxwell and Allen Gabriel
5 Endoscopic approaches to the breast 81
Neil A. Fine and Clark F. Schierle
6 Iatrogenic disorders following breast surgery 97
Walter Peters
7 Mastopexy 119
Kent K. Higdon and James C. Grotting
8.1 Reduction mammaplasty 152
Jack Fisher and Kent K. Higdon
8.2 Inferior pedicle breast reduction 165
Jack Fisher
8.3 Superior or medial pedicle 177
Frank Lista and Jamil Ahmad
8.4 Short scar periareolar inferior pedicle reduction
(SPAIR) mammaplasty 194
Dennis C. Hammond
Contents ix
Volume Six: Hand and Upper Extremity
James Chang
Introduction: Plastic surgery contributions
to hand surgery xxxvii
James Chang
Section I: Introduction and Principles
1 Anatomy and biomechanics of the hand 1
James Chang, Francisco Valero-Cuevas,
Vincent R. Hentz, and Robert A. Chase
2 Examination of the upper extremity 47
Ryosuke Kakinoki
3 Diagnostic imaging of the hand and wrist 68
Alphonsus K. Chong and David M.K. Tan
4 Anesthesia for upper extremity surgery 92
Jonay Hill, Vanila M. Singh and Subhro K. Sen
5 Principles of internal fixation as applied to
the hand and wrist 106
Jeffrey Yao and Christopher Cox
Section II: Acquired Traumatic Disorders
6 Nail and fingertip reconstruction 117
Michael W. Neumeister, Elvin G. Zook,
Nicole Z. Sommer, and Theresa A. Hegge
7 Hand fractures and joint injuries 138
Warren C. Hammert
8 Fractures and dislocations of the wrist and
distal radius 161
Kevin C. Chung and Steven C. Haase
9 Flexor tendon injury and reconstruction 178
Jin Bo Tang
10 Extensor tendon injuries 210
Kai Megerle and Günther Germann
11 Replantation and revascularization 228
William W. Dzwierzynski
12 Reconstructive surgery of the mutilated hand 250
William C. Pederson and Randolph Sherman
13 Thumb reconstruction: Nonmicrosurgical
techniques 282
Nicholas B. Vedder and Jeffrey B. Friedrich
14 Thumb and finger reconstruction: Microsurgical
techniques 295
Fu Chan Wei and Wee Leon Lam
Section III: Acquired Nontraumatic Disorders
15 Benign and malignant tumors of the hand 311
Justin M. Sacks, Kodi K. Azari, Scott Oates,
and David W. Chang
16 Infections of the hand 333
Sean M. Bidic and Tim Schaub
17 Management of Dupuytren’s disease 346
Andrew J. Watt and Caroline Leclercq
18 Occupational hand disorders 363
Steven J. McCabe
8.5 The L short-scar mammaplasty 206
Armando Chiari Jr.
8.6 Periareolar technique with mesh support 216
Joao Carlos Sampaio Góes
8.7 Sculpted pillar vertical reduction mammaplasty 228
Kent K. Higdon and James C. Grotting
9 Revision surgery following breast reduction
and mastopexy 242
Kenneth C. Shestak
Section II: Reconstructive Surgery of the Breast
10 Breast cancer: Diagnosis therapy and
oncoplastic techniques 266
Elisabeth Beahm and Julie E. Lang
11 The oncoplastic approach to partial breast
reconstruction 296
Albert Losken
12 Patient-centered health communication 314
Gary L. Freed, Alice Andrews, and E. Dale Collins Vidal
13 Imaging in reconstructive breast surgery 326
Jaume Masia, Carmen Navarro, and Juan A. Clavero
14 Expander-implants breast reconstruction 336
Maurizio B. Nava, Giuseppe Catanuto, Angela Pennati,
Valentina Visintini Cividin, and Andrea Spano
15 Latissimus dorsi flap breast reconstruction 370
Scott L. Spear and Mark W. Clemens
16 The bilateral pedicled TRAM flap 393
L. Franklyn Elliott, John D. Symbas, and
Hunter R. Moyer
17 Free TRAM breast reconstruction 411
Joshua Fosnot and Joseph M. Serletti
18 The deep inferior epigastric artery perforator
(DIEAP) flap 435
Phillip N. Blondeel, Colin M. Morrison, and
Robert J. Allen
19 Alternative flaps for breast reconstruction 457
Maria M. LoTempio, Robert J. Allen, and
Phillip N. Blondeel
20 Omentum reconstruction of the breast 472
Joao Carlos Sampaio Góes and Antonio Luiz
Vasconcellos Macedo
21 Local flaps in partial breast reconstruction 482
Moustapha Hamdi and Eugenia J. Kyriopoulos
22 Reconstruction of the nipple-areola complex 499
Ketan M. Patel and Maurice Y. Nahabedian
23.1 Congenital anomalies of the breast 521
Egle Muti
23.2 Poland syndrome 548
Pietro Berrino and Valeria Berrino
24 Contouring of the arms, breast, upper trunk, and
male chest in the massive weight loss patient 558
Jonathan W. Toy and J. Peter Rubin
25 Fat grafting to the breast 582
Henry Wilson and Scott L. Spear
x Contents: Volume Six
19 Rheumatologic conditions of the hand
and wrist 371
Douglas M. Sammer and Kevin C. Chung
20 Osteoarthritis in the hand and wrist 411
Brian T. Carlsen, Karim Bakri, Faisal M. Al-Mufarrej
and Steven L. Moran
21 The stiff hand and the spastic hand 449
David T. Netscher
22 Ischemia of the hand 467
Hee Chang Ahn and Neil F. Jones
23 Complex regional pain syndrome in the upper
extremity 486
Ivica Ducic and John M. Felder III
24 Nerve entrapment syndromes 503
Michael Bezuhly, James P. O’Brien and
Donald Lalonde
Section IV: Congenital Disorders
25 Congenital hand I: Embryology, classification,
and principles 526
Michael Tonkin and Kerby Oberg
26 Congenital hand II: Disorders of formation
(transverse and longitudinal arrest) 548
Gill Smith and Paul Smith
27 Congenital hand III: Disorders of formation –
thumb hypoplasia 572
Joseph Upton III and Amir Taghinia
28 Congenital hand IV: Disorders of differentiation
and duplication 603
Steven E.R. Hovius
29 Congenital hand V: Disorders of overgrowth,
undergrowth, and generalized skeletal
deformities 634
Leung Kim Hung, Ping Chung Leung, and
Takayuki Miura (Addendum by Michael Tonkin)
30 Growth considerations in pediatric upper
extremity trauma and reconstruction 651
Marco Innocenti and Carla Baldrighi
31 Vascular anomalies of the upper extremity 667
Joseph Upton III
Section V: Paralytic Disorders
32 Peripheral nerve injuries of the upper
extremity 694
Simon Farnebo, Johan Thorfinn, and Lars B. Dahlin
33 Nerve transfers 719
Kirsty U. Boyd, Ida K. Fox, and Susan E. Mackinnon
34 Tendon transfers in the upper extremity 745
Neil F. Jones
35 Free-functioning muscle transfer in
the upper extremity 777
Isaac Harvey and Gregory H. Borschel
36 Brachial plexus injuries: Adult and pediatric 789
David Chwei-Chin Chuang
37 Restoration of upper extremity function in
tetraplegia 817
Catherine Curtin and Vincent R. Hentz
Section VI: Rehabilitation
38 Upper extremity composite allotransplantation 843
Vijay S. Gorantla, Stefan S. Schneeberger,
and W.P. Andrew Lee
39 Hand therapy 855
Christine B. Novak and Rebecca L. von der Heyde
40 Treatment of the upper extremity amputee 870
Gregory A. Dumanian and Todd A. Kuiken
Index to all volumes i1–i204
Plastic Surgery Volume 6 Hand and Upper Limb 3rd Edition PDF Ebook
MB, FRCS(I), FRCSC, FACS
Professor of Surgery
Department of Surgery, Division of Plastic
Surgery
University of Washington
Seattle, WA, USAVolume Editor
James Chang
MD
Professor and Chief
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center
Stanford, CA, USA
FilesDo Part1 , FilesDo Part2 , FilesDo Part3