Advertisement

Einfache Exzisions- und Rekonstruktionstechniken

  • Johannes Petres
  • Rainer Rompel

Zusammenfassung

Nach spindelförmiger bzw. elliptoider Exzision eines Krankheitsherdes erfolgt der Wundverschluß durch Adaptation der Wundränder mittels Einzelknopf- oder fortlaufender Naht (Abb. 40a). Zur besseren Wundrandadaptation kann es erforderlich sein, insbesondere bei tief subkutan reichenden Inzisionen, einige Subkutannähte zu plazieren.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Mikrographische Chirurgie

  1. Arizpe SR, Candiani JO (1986) Giant epidermoid cyst: clinical aspect and surgical management. J Dermatol Surg Oncol 12: 734–736CrossRefGoogle Scholar
  2. Bennett RG (1988) Fundamentals of cutaneous surgery. Mosby, St. LouisGoogle Scholar
  3. Borges AF (1989) Relaxed skin tension lines. Dermatol Clin 7: 169–177PubMedGoogle Scholar
  4. Borges AF, Alexander JE (1962) Relaxed skin tension lines, Z-plasties on scars, and fusiform excision of lesions. Br J Plast Surg 15: 242–254Google Scholar
  5. Caruthers LD, Griggs R, Snell GF (1986) Office management of epithelial cysts and cutaneous abscesses. Prim Care 13: 477–491Google Scholar
  6. Epstein E Sr, Epstein E Jr (1987) Skin surgery, 6th edn. Saunders, PhiladelphiaGoogle Scholar
  7. Fabri PJ, Adams JR (1987) Simplified excision of lipomas. Surg Gynecol Obstet 165: 173–174PubMedGoogle Scholar
  8. Field LM (1990) Make your incision where you want your final scar line to be: a surgical philosophy. J Dermatol Surg Onco116: 1062–1063Google Scholar
  9. Frumkin A, Cottel WI, Swanson NA (1989) Basic principles of dermatologic surgery. J Am Acad Dermatol 20: 808–814PubMedCrossRefGoogle Scholar
  10. Harrington AC, Adnot J, Chesser RS (1990) Infiltrating lipomas of the upper extremities. J Dermatol Surg Onco116: 834–837Google Scholar
  11. Hudson-Peacock MJ, Lawrence CM (1995) Comparison of wound closure by means of dog ear repair and elliptical excision. J Am Acad Dermatol 32: 627–630PubMedCrossRefGoogle Scholar
  12. Kaneko T, Tokushige H, Kimura N, Moriya S, Toda K (1994) The treatment of multiple angiolipomas by liposuction surgery. J Dermatol Surg Oncol 20: 690–692PubMedCrossRefGoogle Scholar
  13. Lieblich LM, Geronemus RG, Gibbs RC (1982) Use of a biopsy punch for removal of epithelial cysts. J Dermatol Surg Oncol 8: 1059–1062PubMedCrossRefGoogle Scholar
  14. Olbricht SM (1993) Treatment of malignant cutaneous tumors. Clin Plast Surg 20: 167–180PubMedGoogle Scholar
  15. Robertson DB (1994) Dogear repairs. In: Wheeland RG (ed) Cutaneous surgery. Saunders, Philadelphia, pp 295–303Google Scholar
  16. Roenigk RK, Roenigk HH Jr (1989) Dermatologic surgery: principles and practice. Dekker, New YorkGoogle Scholar
  17. Scholz A, Sebastian G, Hackert I, Jatzke M (1992) Wann ist die Serienexzision von Naevi indiziert? In: Burg G, Hartmann AA, Konz B (Hrsg) Onkologische Dermatologie. Neue Aspekte. Altersbedingte Besonderheiten. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen and onkologischen Dermatologie, Bd 7 ), S 238–242Google Scholar
  18. Sharma PK, Janniger CK, Schwartz RA, Rauscher GE, Lambert WC (1991) The treatment of atypical lipoma with liposuction. J Dermatol Surg Oncol 17: 332–334Google Scholar
  19. Thaller SR, Bauer BS (1987) Cysts and cyst-like lesions of the skin and subcutaneous tissue. Clin Plast Surg 14: 327–340PubMedGoogle Scholar
  20. Vidimos AT (1994) Management of lipomas. In: Wheeland RG (ed) Cutaneous surgery. Saunders, Philadelphia, pp 675–682Google Scholar
  21. Weckbecker J (1991) Schnittftihrung bei Exzisionen im Gesichtsbereich. Z Hautkr 66: 539–543Google Scholar
  22. Wheeland RG (1994) Cutaneous surgery. Saunders, PhiladelphiaGoogle Scholar
  23. Young L, Bartell T, Logan SE (1988) Ganglions of the hand and wrist. South Med J 81: 751–76oPubMedCrossRefGoogle Scholar
  24. Zachary CB (1991) Basic cutaneous surgery. Churchill Livingstone, New YorkGoogle Scholar
  25. Zalla MJ (1994) Basic cutaneous surgery. Cutis 53: 172–186PubMedGoogle Scholar
  26. Zitelli JA (1990) TIPS for a better ellipse. J Am Acad Derma-to122: 101–103Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • Johannes Petres
    • 1
  • Rainer Rompel
    • 1
  1. 1.HautklinikStädtischen Kliniken KasselKasselDeutschland

Personalised recommendations