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Arteriovenöse Anastomosen Am Arteriellen Durchstromlappen: Eine Experimentelle Und Klinische Studie by Bernd-Dietmar Partecke, D. Wolter

Arteriovenöse Anastomosen Am Arteriellen Durchstromlappen: Eine Experimentelle Und Klinische Studie

by Bernd-Dietmar Partecke , D. Wolter
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Book cover type: Paperback
  • ISBN13: 9783540562306
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 172
  • Original Price: EUR 51.39
  • Language: German
  • Edition: N/A
  • Item Weight: 277 grams
  • BISAC Subject(s): Surgery / General

Diese wissenschaftliche Arbeit ist durch zwei Schwerpunkte charakterisiert, - die rekonstruktive Handchirurgie und - die rekonstruktive Mikrochirurgie. Herr Partecke konnte zeigen, daB der Unterarmlappen als Insellappen oder freier neurovaskularer Lappen besonders fUr tiefere Defekte an der Hand geeignet ist und ausgezeichnete Rekonstruktionsmoglichkeiten erlaubt Hinsichtlich der Problematik der Weichteildeckung bei der Osteitis konnte er weiterhin nachweisen, daB selbst bei schwerstgeschadigten Weichteilen aufgrund des chronischen Entzfindungszustandes und bei einem nicht mehr vollstiindigen GefiiBnetz die freie Lappentransplantation eine entscheidende MaBnahme zur Konsolidierung von Knochendefekten und zur Erhaltung der Extremitat darstellt. Dariiber hinaus hat er gefunden, daB Antithrombin III bei langdauemden mikrovaskularen Operationen substituiert werden moB, urn eine Thrombosierung der Strombahn zu vermeiden. Von seiner klinischen Arbeit und seinen klinischen Erfahrungen ausge- hend, hat er sich in der vorliegenden Arbeit der Frage gewidmet, ob ein frei fibertragener Lappen ohne direkten venosen AbfluB bei venoser Thrombo- sierung einheilen kann. Ausfiihrliche tierexperimentelle Untersuchungen mit Hilfe mikrovaskuIarer Techniken und der begleitenden stromungsphy- sikalischen Beurteilung sowie die klinischen Ergebnisse zeigen, daB der arterielle Durchstromlappen (Unterarmlappen und Saphenuslappen) auch ohne direkten venosen AbfluB heilen kann.

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