| |  Online-Ressource |
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| Verfasst von: | Senghaas, Annika [VerfasserIn]  |
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| | Kremer, Thomas [VerfasserIn] |
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| | Schmidt, Volker-Jürgen [VerfasserIn] |
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| | Harhaus-Wähner, Leila [VerfasserIn] |
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| | Hirche, Christoph [VerfasserIn] |
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| | Kneser, Ulrich [VerfasserIn] |
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| | Bigdeli, Amir Khosrow [VerfasserIn] |
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| Titel: | Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect |
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| Titelzusatz: | a case report |
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| Verf.angabe: | Annika Senghaas MD, Thomas Kremer MD, Volker J. Schmidt MD, Leila Harhaus MD, Christoph Hirche MD, Ulrich Kneser MD, Amir K. Bigdeli MD |
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| Jahr: | 2019 |
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| Umfang: | 4 S. |
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| Fussnoten: | First published: 16 February 2018 ; Gesehen am 05.12.2019 |
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| Titel Quelle: | Enthalten in: Microsurgery |
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| Ort Quelle: | New York, NY [u.a.] : Wiley-Liss, 1979 |
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| Jahr Quelle: | 2019 |
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| Band/Heft Quelle: | 39(2019), 2, Seite 174-177 |
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| ISSN Quelle: | 1098-2752 |
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| Abstract: | Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary treatment and multiple extensive debridements, a massive full-thickness defect (40 cm × 35 cm) of the right abdominal wall was present. The abdominal contents were covered with a resorbable mesh to prevent evisceration. Finally, the composite defect was successfully reconstructed through a contralateral extended free transverse rectus abdominis myocutaneus (TRAM) flap (50 cm × 38 cm). An arterio-venous loop to the superficial femoral vessels using the great saphenous vein was necessary to allow the flap to reach the defect. Postoperatively, a minor wound healing disorder of the flap was successfully treated with split skin grafting. Six month after surgery, the patient presented with a completely healed flap coverage area and a small abdominal hernia without the need of further surgical revision. This case illustrates the use of a sliding free TRAM flap for closure of a massive abdominal wall defect. |
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| DOI: | doi:10.1002/micr.30309 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1002/micr.30309 |
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| | Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30309 |
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| | DOI: https://doi.org/10.1002/micr.30309 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| K10plus-PPN: | 1677557001 |
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| Verknüpfungen: | → Zeitschrift |
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Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect / Senghaas, Annika [VerfasserIn]; 2019 (Online-Ressource)
