Die plastisch-chirurgische Deckung osteocutaner Defekte der Sternumregion mit dem Vertikalen und Transversalen Rectus Abdominis Muskel (VRAM/TRAM)-Lappen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-09

AUTHORS

D. Erdmann, M. Küntscher, A. Petracic, M. Sauerbier, H. Menke, J. Schirren, H. Dienemann, G. Germann

ABSTRACT

. Longitudinal osteocutaneous defects of the sternal region including the caudal third were reconstructed in 15 patients during a 3-year period by using the “vertical (VRAM)- and transverse rectus abdominis muscle” (TRAM) flap. The majority of the defects resulted from chronic osteomyelitis after previous cardiothoracic surgery or were due to former therapy of breast cancer. Three VRAM/TRAM flaps were primarily transferred as free flaps with microvascular anastomosis in the axilla region. Nine out of 12 pedicled VRAM or TRAM flaps required an additional microvascular anastomosis because of imminent venous or arterial insufficency (“supercharging”). Therefore, operative technique and operating time of the pedicled and free flap for reconstruction of longitudinal sternal defects are comparable. Adequate reconstruction and rehabilitation was achieved in 11 cases. In 2 patients revision and partial secondary defect coverage was required. Two male patients died postoperatively due to their preexisting condition. More... »

PAGES

1156-1160

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001040051194

DOI

http://dx.doi.org/10.1007/s001040051194

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006913463

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11043136


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