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Mammakarzinom pp 165-170 | Cite as

Rekonstruktion mit Eigengewebe

  • Ch. Papp
  • Ch. Windhofer
  • S. Gruber
Chapter
  • 827 Downloads

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Der myokutane M. latissimus-dorsi-Lappen wurde erstmals von Tansini zur Defektdeckung des Thorax nach radikaler Mastektomie verwendet. Dies geschah bereits 1906 (Tansini, 1906). Da Tansini wegen dieser Technik von namhaften Chirurgen seiner Zeit stark angegriffen wurde, hat sich diese Operation nicht schon zu seiner Zeit durchgesetzt. Ein weiterer Grund lag in der neu eingeführten Technik der radikalen Mastektomie nach Rotter-Halsted, welche nur selten Hautdefekte nach sich zog und aus diesem Grund eine Haut-Weichteil-Deckung nicht notwendig war. Erst Olivari hat im Jahre 1976 den myokutanen M.-latissimus-dorsi-Lappen wieder entdeckt und zur Rekonstruktion nach Mastektomie mit Silikonimplantaten verwendet (Olivari, 1976). 1978 haben Bostwick und Vascones unabhängig davon diese Technik in ähnlicher Weise beschrieben. Erst im Jahre 1982, parallel zu den Veröffentlichungen von Hartrampf’s TRAM (Hartrampf et al., 1982) hat erstmals Böhme (1982) den „versenkten Latissimus-dorsi-Lappen“ in einer gynäkologischen Kongresszusammenfassung beschrieben, die leider den Wenigsten zugänglich war.

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Copyright information

© Springer-Verlag / Wien 2007

Authors and Affiliations

  • Ch. Papp
    • 1
  • Ch. Windhofer
    • 2
  • S. Gruber
    • 2
  1. 1.Facharzt für Allgemein-Chirurgie und für Plastische, Ästhetische und WiederherstellungschirurgieKrankenhaus Barmherzige BrüderSalzburg
  2. 2.Abteilung für Plastische und WiederherstellungschirurgieKrankenhaus der Barmherzigen BrüderSalzburg

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