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Multimodality treatment and reconstructive plastic procedures in soft tissue sarcomas of the trunc and extremities

Multimodale Behandlungsstrategie und plastisch-rekonstruktive Verfahren bei Weichgewebssarkomen im Rumpf-und Extremitätenbereich

  • Main Topics: Soft Tissue Sarcomas
  • Published:
Acta Chirurgica Austriaca Aims and scope Submit manuscript

Abstract

Background

Limb sparing resection in combination with mulimodality treatment options will lead to superior functional results without increasing oncological risk factors.

Methods

Reconstructive procedures for soft tissue replacement and primary functional rehabilitation techniques including salvage replantation are discussed.

Results

Early integration of reconstructive plastic procedures diminishes wound healing disturbances, reduces the indication for amputation and allows for secondary corrections.

Conclusions

Reconstructive plastic techniques should therefore be integrated into treatment protocols of tumorboards involved in soft tissue sarcomas.

Zusammenfassung

Grundlagen

Die gliedmaßenerhaltende Resektion in Kombination mit multimodalen Therapieformen resultiert in besseren funktionellen Ergebnissen bei identischem onkologischem Risiko.

Methodik

Es werden die weichteilplastischen Möglichkeiten und primäre funktionelle Rehabilitationstechniken inklusive der Segmentamputationen und Amputatverwertungen diskutiert.

Ergebnisse

Der frühzeitige Einsatz von plastisch-rekonstruktiven Verfahren vermindert die Rate schwerer Wundheilungsstörungen, senkt die Amputationsquoten und vereinfacht sekundäre Eingriffe zur funktionellen Rehabilitation.

Schlußfolgerungen

Im Rahmen eines Tumorboards sollten daher plastisch rekonstruktive Techniken primär in das Behandlungsprotokoll integriert werden.

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Authors and Affiliations

  1. Department of Plastic Surgery, Burn Center, BG-Universitätsklinik Bergmannsheil, Gilsingstraße 14, D-44789, Bochum, Germany

    H. U. Steinau M.D., J. Hussmann, R. Büttemeyer & D. Hebebrand

Authors
  1. H. U. Steinau M.D.
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  2. J. Hussmann
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  3. R. Büttemeyer
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  4. D. Hebebrand
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Steinau, H.U., Hussmann, J., Büttemeyer, R. et al. Multimodality treatment and reconstructive plastic procedures in soft tissue sarcomas of the trunc and extremities. Acta Chir Austriaca 25, 249–252 (1993). https://doi.org/10.1007/BF02602116

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  • DOI: https://doi.org/10.1007/BF02602116

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