Source:http://linkedlifedata.com/resource/pubmed/id/12968224
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2003-9-11
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pubmed:abstractText |
Free tissue transplantation is nowadays regarded as an established method in reconstructive surgery - even in infants. Adequate diameters of vessels for microsurgical anastomosis have been shown in numerous studies. Especially the latissimus dorsi muscle seems to be ideal as a standard flap in this age group. The main disadvantage of this muscle flap lies in its donor-site morbidity with the risk of scar contracture and limitation of shoulder movement. A possible solution to this problem is the endoscopically-assisted harvest of this muscle. A three-year old boy sustained a subtotal amputation of his right heel with consecutive necrosis of soft-tissue. After debridement, a latissimus dorsi-muscle flap was transplanted to cover the defect. The flap was harvested endoscopically-assisted through a single, 2 cm long incision in the left axilla. Healing of the flap was uneventful. At 30 months follow-up the patient showed stable conditions at the right heel without limitations of movement and a hardly visible scar in the left axilla without any noticable growing impairment. Free microvascular muscle-flaps are the treatment of choice in infants with extensive traumatic defects. With the use of minimally invasive operation techniques it is possible to significantly reduce donor-site morbidity and increase therapeutic success even in the youngest patients.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0722-1819
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
259-62
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12968224-Age Factors,
pubmed-meshheading:12968224-Amputation, Traumatic,
pubmed-meshheading:12968224-Child, Preschool,
pubmed-meshheading:12968224-Endoscopy,
pubmed-meshheading:12968224-Follow-Up Studies,
pubmed-meshheading:12968224-Foot Injuries,
pubmed-meshheading:12968224-Heel,
pubmed-meshheading:12968224-Humans,
pubmed-meshheading:12968224-Male,
pubmed-meshheading:12968224-Muscle, Skeletal,
pubmed-meshheading:12968224-Surgical Flaps,
pubmed-meshheading:12968224-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:12968224-Time Factors,
pubmed-meshheading:12968224-Tissue and Organ Harvesting
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pubmed:year |
2003
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pubmed:articleTitle |
[Endoscopically-assisted latissimus dorsi muscle harvest in a young child].
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pubmed:affiliation |
Universitätsklinik für Plastische und Wiederherstellungschirurgie, Innsbruck, Osterreich. thomas.schoeller@uibk.ac.at
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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