Skip to main content
SpringerLink
Log in

Freie Lappenplastiken

  • Chapter
Brustchirurgie

  • 2703 Accesses

Zusammenfassung

Die DIEP und ms-TRAM-Lappenplastiken sind Standardlappenplastiken in der Eigengewebsrekonstruktion. Die ersten TRAM-Lappenplastiken, transverser Rectus-abdominis-Muskel-Lappen, wurden mit einer queren Hautinsel am M. rectus abdominis kranial gestielt in die Brust transponiert. Die Durchblutung kommt bei der Lappenplastik aus der A. epigastrica superior. Nachteilig ist, dass die quere Unterbauchhautinsel eigentlich dominant aus der A. epigastrica inferior versorgt wird, und die Anastomosen zwischen der superioren und inferioren epigastrischen Arterie nicht immer ausreichen, den Unterbauch komplett zu versorgen. Die Entnahme des gesamten Muskels und der Faszie führte mitunter zu Problemen der Bauchdecke, wie Bauchwandschwächen oder gar -hernien, konsekutiven Netzeinlagen oder Schmerzen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

Literatur zu 12.1

  • Chen L, Hartrampf CR Jr, Bennett GK. Successful pregnancies following TRAM flap surgery. Plast Reconstr Surg. 1993;91:69-71

    Google Scholar 

  • Eom JS, Kim DY, Kim EK, Lee TJ. The Low DIEP Flap: An Enhancement to the Abdominal Donor Site. Plast Reconstr Surg. 2016;137:7e-13e

    Google Scholar 

  • Figus A, Wade RG, Gorton L, Rubino C, Griffiths MG, Ramakrishnan VV. Venous perforators in DIEAP flaps: An observational anatomical study using duplex ultrasonography. J Plast Reconstr Aesthet Surg. 2012; 65: 1051–1059

    Google Scholar 

  • Gravvanis A, Tsoutsos D, Papanikolaou G, Diab A, Lambropoulou P, Karakitsos D. Refining perforator selection for deep inferior epigastric perforator flap: The impact of the dominant venous perforator. Microsurgery 2014; 34: 169–176

    Google Scholar 

  • Mohan AT, Zhu L, Wang Z., Vijayasekaran A, Saint-Cyr M. Techniques and Perforator Selection in Single, Dominant DIEP Flap Breast Reconstruction: Algorithmic Approach to Maximize Efficiency and Safety. Plast. Reconstr Surg 2016;138:790-803

    Google Scholar 

  • Moon HK, Taylor GI. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg. 1988;82:815-32

    Google Scholar 

  • Munhoz AM, Pellarin L, Montag E, Filassi JR, Tachibana A, Gebrim H, Gemperli R, Ferreira MC. Superficial inferior epigastric artery (SIEA) free flap using perforator vessels as a recipient site: clinical implications in autologous Breast reconstruction. Am J Surg. 2011;202: 612-7

    Google Scholar 

  • Pülzl P, Schoeller T, Wechselberger G. Respecting the aesthetic unit in autologous Breast reconstruction improves the outcome. Plast Reconstr Surg. 2006;117:1685-91

    Google Scholar 

  • Sarik JR, Bank J, Wu LC, Serletti JM. Superficial Inferior Epigastric Artery: Learning Curve versus Reality. Plast Reconstr Surg. 2016;137:1e-6e

    Google Scholar 

Literatur zu 12.2

  • Allen RJ, Haddock NT, Ahn CY, Sadeghi A. Breast reconstruction with the profunda artery perforator flap. Plast Reconstr Surg. 2012;129:16e-23e

    Google Scholar 

  • Arnez ZM, Pogorelec D, Planinsek F, Ahcan U. Breast reconstruction by the free transverse gracilis (TUG) flap. Br J Plast Surg. 2004;57:20-6

    Google Scholar 

  • Fansa H, Schirmer S, Warnecke IC, Cervelli A, Frerichs O. The transverse myocutaneous gracilis muscle flap: a fast and reliable method for Breast reconstruction. Plast Reconstr Surg. 2008;122:1326-33

    Google Scholar 

  • Fansa H, Schirmer S, Cervelli A, Gehl HB. Computed tomographic angiography imaging and clinical implications of internal mammary artery perforator vessels as recipient vessels in autologous Breast reconstruction. Ann Plast Surg. 2013;71:533-7

    Google Scholar 

  • Fattah A, Figus A, Mathur B, Ramakrishnan VV. The transverse myocutaneous gracilis flap: technical refinements. J Plast Reconstr Aesthet Surg. 2010;63:305-13

    Google Scholar 

  • Hunter JE, Lardi AM, Dower DR, Farhadi J. Evolution from the TUG to PAP flap for Breast reconstruction: Comparison and refinements of technique. J Plast Reconstr Aesthet Surg. 2015;68:960-5

    Google Scholar 

  • Park JE, Alkureishi LW, Song DH. TUGs into VUGs and Friendly BUGs: Transforming the Gracilis Territory into the Best Secondary Breast Reconstructive Option. Plast Reconstr Surg. 2015;136:447-54

    Google Scholar 

  • Schoeller T, Huemer GM, Wechselberger G. The transverse musculocutaneous gracilis flap for Breast reconstruction: guidelines for flap and patient selection. Plast Reconstr Surg. 2008;122:29-38

    Google Scholar 

  • Whitaker IS, Karavias M, Shayan R, et al. The Gracilis Myocutaneous Free Flap: A Quantitative Analysis of the Fasciocutaneous Blood Supply and Implications for Autologous Breast Reconstruction. Lin SJ, ed. PLoS ONE. 2012;7(5):e36367. doi:10.1371/journal.pone.0036367

  • Yousif NJ, Matloub HS, Kolachalam R, Grunert BK, Sanger JR. The transverse gracilis musculocutaneous flap. Ann Plast Surg. 1992;29: 482-90

    Google Scholar 

Literatur zu 12.3

  • Papp C, Windhofer C, Gruber S. Breast reconstruction with the fasciocutaneous infragluteal free flap (FCI). Ann Plast Surg. 2007;58:131-6

    Google Scholar 

  • Struckmann V, Peek A, Wingenbach O, Harhaus L, Kneser U, Holle G. The free fasciocutaneous infragluteal (FCI) flap: Outcome and patient satisfaction after 142 Breast reconstructions. J Plast Reconstr Aesthet Surg. 2016;69:461-9

    Google Scholar 

Literatur zu 12.4

  • Becker C. Autologous Lymph Node Transfers. J Reconstr Microsurg. 2016;32:28-33

    Google Scholar 

  • Saaristo AM, Niemi TS, Viitanen TP, Tervala TV, Hartiala P, Suominen EA. Microvascular Breast reconstruction and lymph node transfer for postmastectomy lymphedema patients. Ann Surg. 2012;255:468-73

    Google Scholar 

Literatur zu anderen Lappenplastiken

    Lateral Thigh Flap

    • Tuinder SMH, Beugels J, Lataster A, de Haan MW, Piatkowski A, Saint-Cyr M, van der Hulst RRWJ, Allen RJ. The lateral thigh perforator (LTP) flap for autologous Breast reconstruction: A prospective analysis of 138 flaps. Plast Reconstr Surg. 2017 Oct 10. doi: 10.1097/PRS.0000000000004072

    SGAP und IGAP

    • Feller AM, Richter-Heine I, Rudolf KD. The superior gluteal artery perforator flap (S-GAP-Flap). Handchir Mikrochir Plast Chir. 2002;34: 257-61

      Google Scholar 

    • LoTempio MM, Allen RJ. Breast reconstruction with SGAP and IGAP flaps. Plast Reconstr Surg. 2010;126:393-401

      Google Scholar 

    Lumbar Flap

    • Hamdi M, Craggs B, Brussaard C, Seidenstueker K, Hendrickx B, Zeltzer A. Lumbar Artery Perforator Flap: An Anatomical Study Using Multidetector Computed Tomographic Scan and Surgical Pearls for Breast Reconstruction. Plast Reconstr Surg. 2016;138:343-52

      Google Scholar 

    Download references

    Author information

    Authors and Affiliations

    1. Gemeinschaftspraxis für Ästhetische Plastische Chirurgie und Brustzentrum am Englischen Garten, Heitmann & Fansa, München, Deutschland

      H. Fansa & C. Heitmann

    Authors
    1. H. Fansa
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. C. Heitmann
      View author publications

      You can also search for this author in PubMed Google Scholar

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

    About this chapter

    Cite this chapter

    Fansa, H., Heitmann, C. (2018). Freie Lappenplastiken. In: Brustchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57390-7_12

    Download citation

    • DOI: https://doi.org/10.1007/978-3-662-57390-7_12

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-662-57389-1

    • Online ISBN: 978-3-662-57390-7

    • eBook Packages: Medicine (German Language)

    Publish with us

    Policies and ethics

    Search

    Navigation