Rekonstruktive Mikrogefäßchirurgie
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Der Wert einer neuen Operationstechnik zeigt sich nicht allein darin, da sie im einzelnen Fall gelingt. Erst nach einer gewissen Anzahl von Eingriffen und nach einer gen auen Beobachtung des Resultats stellt sich heraus, ob sie allgemein praktiziert werden kann, ob Auf- wand und Effekt in einem vernünftigen Verhältnis zueinander stehen. N ur wenn auch das der Fall ist, kann man ein neues operatives Vorge- hen in das Repertoire einer operativen Disziplin übernehmen. Für die plastische Chirurgie ist der Zeitpunkt gekommen, sich regelmä- ig mikrogefä chirurgischer Ma nahmen zu bedienen. Die Erfahrung reicht aus und die Ergebnisse sind gut. Die mikrogefä chirurgische Praxis beweist, da Replantationen von abgetrennten Gliedma en lohnend und notwendig sind, wenn die Indi- kation den geforderten Kriterien standhält und die klinische Organisa- tion in der Lage ist, die Patienten ohne Zeitverlust einer mikrogefä - chirurgischen Behandlung zuzuführen. Nach den ersten Erfolgen bei der Replantation von Fingern, Händen oder Zehen haben wir durch Befra- gungen und Nachuntersuchungen von Patienten erfahren, da diese Eingriffe nicht nur für die Arbeitsfähigkeit, sondern auch für das subjektive Wohlbefinden von gro er Bedeutung sind. Auch beim freien Transplantieren gro er Gewebeteile hat sich die mikro- gefä chirurgische Technik bewährt. Die wesentlichen Vorteile sind die variable Spenderregion und der kürzere Krankenhausaufenthalt.
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