Dekubitalulkusdeckung durch mikrochirurgische Lappenplastiken

Schoeller, Thomas; Shafighi, Maziar; Huemer, Georg M.; Wechselberger, Gottfried; Piza‐Katzer, Hildegunde

doi:10.1007/s00104-003-0668-9

Cited by 8 publications

(4 citation statements)

References 40 publications

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“…Notably, several authors controversially discussed vasculature of the thigh region [23]. They noted that possible variants in the vascular anatomy of the region should be examined carefully [22,23]. Several authors also reported the disadvantages of the AMT such as anatomical variations in the lateral circumflex femoral system and its cutaneous perforators.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Tayfur

Mağden²,

Edizer³

et al. 2016

Folia Morphol

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Section: Discussionmentioning

confidence: 99%

Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Tayfur

Mağden²,

Edizer³

et al. 2016

Folia Morphol

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“…In addition, these patients also suffer from severe atherosclerosis. 11 Also, scarred tissue provides a challenge in exposing of suitable vessels for anastomosis. Previous studies have described the gluteal vessels as possible recipients.…”

Section: Discussionmentioning

confidence: 99%

“…2,11 Although flaps like the gluteus maximus or medial gluteal flap are standard, long term results show recurrent pressure sores from 2 to 100%. 13,14 Innervated local flaps provide a better long term prognosis.…”

Section: Discussionmentioning

confidence: 99%

Combined latissimus dorsi and serratus anterior flaps for pelvic reconstruction

et al. 2011

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In recurrent pressure sores, adjacent tissue has already been consumed by multiple surgeries. Additional problems are several co-morbidities of patients. Especially, severe atherosclerosis would be a contraindication for using free flaps. However, microsurgical techniques allow circumventing these limitations and preparing even severely atherosclerotic vessels. We performed a total of eight sacral pressure sore coverage in our standardized fashion, using the free combined latissimus dorsi and serratus anterior free flaps. All patients had severe atherosclerosis and needed large soft tissue coverage of the sacral defects. Five patients presented after bowel resection, three with recurrent sacral pressure sores. The average follow-up was 12 months. Postoperatively, all patients were allowed to be prone on the operated area. One minor wound dehiscence was sutured in local anesthesia. CT imaging analysis of the pelvis showed complete void space coverage. The combined latissimus dorsi and serratus anterior flaps are a valuable tool for pelvic reconstruction in our hands. In addition, severe atherosclerosis should not be considered an obstacle to microsurgery and the use of free flaps.

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“…Bei diesen Patienten muss also nach einem initialen chirurgischen Debridement zeitgerecht nach alternativen Behandlungsmöglichkeiten gesucht werden. Freie Lappenplastiken wurden für solche Patienten zwar bereits vorgeschlagen [17], werden nach unserer Erwartung aber nur in Einzelfällen anwendbar sein. Wenn ideale Behandlungsmöglichkeiten nicht mehr genutzt werden können und alternativ auf Verfahren der zweiten und dritten Wahl ausgewichen werden muss, kommt einer intermittierenden Lokaltherapie mit geeigneten Methoden eine besondere Bedeutung zu.…”

Section: Introductionunclassified

V.A.C.®-Therapie zur Optimierung eines mehrzeitigen Vorgehens bei der Sanierung komplexer Druckgeschwüre

Reichert¹

2006

Zentralbl Chir

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V.A.C.-therapy has improved the treatment of extended pressure sores, because of its beneficial effect on the wound surface and the safe microbial barrier. Definitive reconstructive surgery can be performed earlier. Using modern aids fixation of the device will be possible even in difficult locations as the perianal area. This is important for immobile and multi-morbid patients. On the other hand, this area still shows limitations of the method. In recurrent cases it is difficult to use classical methods of reconstruction. Long-term-treatment is necessary, which is economically difficult. It is important for hospitals to cooperate with specialised wound therapeutics so that these patients can be dismissed earlier. This may allow reconstructive procedures, even if this takes several hospital stays over a long period of time.

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Dekubitalulkusdeckung durch mikrochirurgische Lappenplastiken

Abstract: In this series of five patients with six free flaps, we were able to show that the microsurgical transfer of tissue is a valuable option in the treatment of difficult pressure sores. Even in older and debilitated patients, this method is a good alternative to conventional local flaps.

Cited by 8 publications

References 40 publications

Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Combined latissimus dorsi and serratus anterior flaps for pelvic reconstruction

V.A.C.®-Therapie zur Optimierung eines mehrzeitigen Vorgehens bei der Sanierung komplexer Druckgeschwüre

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