Palliative plastische Chirurgie im multimodalen
                    Therapiekonzept

Kippenhan, T.; Hirche, Christoph; Lehnhardt, Marcus; Daigeler, Adrien

doi:10.1055/s-0032-1328184

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…Nonetheless, even large reconstructions should not be shunned in the face of palliation, if the patient is capable and willing to undertake such a journey. In this way, defects that are painful, bleeding, and demand extensive wound care can be covered, enabling the patient to regain their independence and quality of life ( 5 , 6 ).…”

Section: General Considerationsmentioning

confidence: 99%

Microsurgical Reconstruction of Extensive Oncological Scalp Defects

et al. 2015

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Although most small to medium defects of the scalp can be covered by local flaps, large defects or complicating factors, such as a history of radiotherapy, often require a microsurgical reconstruction. Several factors need to be considered in such procedures. A sufficient preoperative planning is based on adequate imaging of the malignancy and a multi-disciplinary concept. Several flaps are available for such reconstructions, of which the latissimus dorsi and anterior-lateral thigh flaps are the most commonly used ones. In very large defects, combined flaps, such as a parascapular/latissimus dorsi flaps, can be highly useful or necessary. The most commonly used recipient vessels for microsurgical scalp reconstructions are the superficial temporal vessels, but various other feasible choices exist. If the concomitant veins are not sufficient, the jugular veins represent a safe back-up alternative but require a vessel interposition or long pedicle. Post-operative care and patient positioning can be difficult in these patients but can be facilitated by various devices. Overall, microsurgical reconstruction of large scalp defects is a feasible undertaking if the mentioned key factors are taken into account.

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Section: General Considerationsmentioning

confidence: 99%

Microsurgical Reconstruction of Extensive Oncological Scalp Defects

et al. 2015

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“…Durch eine der individuellen Situation angepasste rekonstruktive Lösung können blutende, übelriechende und schmerzhafte Tumoren und Ulzerationen sicher verschlossen und so die Lebensqualität dieser Patienten verbessert werden. Die begrenzte Lebenserwartung ist hier unserer Meinung nach keine Kontraindikation zur Durchführung auch komplexerer, aber sicherer Defektdeckungen, sondern vielmehr der Hauptgrund, den Patienten für diese Zeit ein Maximum an Lebensqualität geben zu können [8].…”

Section: Plastisch-chirurgische Möglichkeiten Der Thoraxwandrekonstruunclassified

Plastisch-chirurgische Möglichkeiten der Thoraxwandrekonstruktion

et al. 2015

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The integrity of the thoracic wall and therefore the protection of the thoracic organs is paramount for survival. This integrity can be compromised by various factors, be it tumours, wound-healing disorders or injuries. An adequate surgical therapy for these entities often requires (partial) resections of the thoracic wall resulting in a loss of its protective function. A safe and timely reconstruction of the thoracic wall is therefore mandatory and can be achieved by means of reconstructive procedures. This article therefore aims to illustrate such reconstructive procedures utilising our own clinical cases while also giving a review of the literature in order to construct an algorithm for the reconstruction procedure.

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“…In such cases, palliative tumor resections and coverage of the resulting defects can help these patients to regain their independence and enable them to socially interact again ( 34 ). In a palliative setting, the use of reliable and safe techniques is of utmost importance to reduce the duration of hospital stay for those patients with regard to their limited life expectancy.…”

Section: Palliationmentioning

confidence: 99%

Plastic Surgery for the Oncological Patient

et al. 2014

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The therapy of oncological patients has seen tremendous progress in the last decades. For most entities, it has been possible to improve the survival as well as the quality of life of the affected patients. To supply optimal cancer care, a multidisciplinary approach is vital. Together with oncologists, radiotherapists and other physicians, plastic surgeons can contribute to providing such care in all stages of treatment. From biopsies to the resection of advanced tumors, the coverage of the resulting defects and even palliative care, plastic surgery techniques can help to improve survival and quality of life as well as mitigate negative effects of radiation or the problems arising from exulcerating tumors in a palliative setting. This article aims to present the mentioned possibilities by illustrating selected cases and reviewing the literature. Especially in oncological patients, restoring their quality of life with the highest patient safety possible is of utmost importance.

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Palliative plastische Chirurgie im multimodalen Therapiekonzept

Cited by 6 publications

References 22 publications

Microsurgical Reconstruction of Extensive Oncological Scalp Defects

Microsurgical Reconstruction of Extensive Oncological Scalp Defects

Plastisch-chirurgische Möglichkeiten der Thoraxwandrekonstruktion

Plastic Surgery for the Oncological Patient

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