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Handchir Mikrochir Plast Chir 2012; 44(02): 93-96
DOI: 10.1055/s-0031-1299743
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Die M. latissimus dorsi-Lappenplastik – Salvage-Option bei der komplizierten Rezidiv-Narbenhernie

The Latissimus Dorsi Myocutaneous Free Flap – A Salvage Option for Abdominal Wall Reconstruction in Complex Incisional Hernias
F. Rauchfuss
1   University Hospital Jena, Department of General, Visceral and Vascular Surgery, Jena
,
R.-D. Bader
2   University Hospital Jena, Department of Oral and Maxillofacial Surgery/Plastic Surgery, Jena
,
Y. Dittmar
1   University Hospital Jena, Department of General, Visceral and Vascular Surgery, Jena
,
S. Schultze-Mosgau
2   University Hospital Jena, Department of Oral and Maxillofacial Surgery/Plastic Surgery, Jena
,
U. Settmacher
1   University Hospital Jena, Department of General, Visceral and Vascular Surgery, Jena
,
H. Scheuerlein
1   University Hospital Jena, Department of General, Visceral and Vascular Surgery, Jena
› Author Affiliations
Further Information

Publication History

eingereicht 02 March 2011

akzeptiert 03 December 2011

Publication Date:
11 April 2012 (online)

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Zusammenfassung

Komplizierte Narbenhernien stellen für den Patienten eine erhebliche Belastung und für den Chirurgen oft eine Herausforderung dar. In der Versorgung solcher Befunde besteht häufig ein Hauptproblem in der Defektdeckung, nachdem minderwertiges Gewebe großflächig reseziert werden muss. Wir beschreiben 2 Patienten, bei denen durch das komplexe Konzept einer primären Deckung mittels M. latissimus dorsi-Lappenplastik die tragfähige chirurgische Versorgung eines problematischen Ausgangsbefundes möglich war. Die Hernienreparation auf Faszien­niveau erfolgte dabei mittels Rinderperikard (Tutomesh®).

Abstract

Complex incisional hernias are a serious burden for the patient and a challenge for the surgeon. The main problem is the covering of the defect after the resection of large proportions of low-grade tissue. In this work, we describe 2 patients who underwent complex reconstruction of recurrent incisional hernias using a bovine pericardium mesh (Tutomesh®) and a latissimus dorsi myocutaneous free flap.··

Schlüsselwörter

komplizierte Narbenhernie - Bauchdeckendefekt - M. latissimus dorsi-Lappenplastik - Rinderperikard - Netzinfektion

Key words

complex incisional hernia - abdominal wall defect - latissimus dorsi myocuta­neous free flap - bovine pericardium - mesh infection
 

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