[Two-stage microsurgical soft tissue reconstruction of a complex sacral wound using an arteriovenous loop].

IF 0.4 4区 医学 Q4 SURGERY Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-08-01 Epub Date: 2024-03-12 DOI:10.1055/a-2246-2116
Benjamin Geber, Kristina Landscheidt, Ole Goertz, Jochen-Frederick Hernekamp
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Abstract

The surgical reconstruction of sacral soft tissue defects is challenging, and complications are frequent. We report a successful two-stage three-dimensional microsurgical soft tissue reconstruction of a wide and deep sacral defect anastomosing a free combined ALT/TFL/rectus femoris flap to an ipsilateral vena saphena magna arteriovenous loop which was applied primarily. This case shows that complex microsurgical procedures can be promising in this demanding patient population if the indication is correct and the operative/perioperative strategy is clear.

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[利用动静脉环路对复杂的骶骨伤口进行两阶段显微手术软组织重建]。
骶骨软组织缺损的手术重建极具挑战性,且并发症频发。我们报告了一例成功的两阶段三维显微外科软组织重建手术,该手术将一个游离的 ALT/TFL/ 股直肌联合皮瓣吻合到主要应用的同侧隐静脉动静脉环上,重建了宽而深的骶骨缺损。该病例表明,如果适应症正确,手术/围手术期策略明确,复杂的显微外科手术在这类要求较高的患者群体中大有可为。
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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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