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Plastische Rekonstruktion der Vulva

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Tumorerkrankungen der Vulva und Vagina

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Zusammenfassung

Die Therapie des Vulvakarzinoms erfolgt in der Regel durch eine operative Entfernung des Tumors und der Lymphknoten in der Inguinalregion. Je nach Lage, Größe und Ausdehnung des Tumors wird dieser durch eine lokale Resektion in sano, eine partielle oder komplette Vulvektomie reseziert. Ist der Wundverschluss nicht spannungsfrei möglich, ist eine Lappenplastik zum Wundverschluss erforderlich. Auch zur Verbesserung des funktionellen und/oder ästhetischen Outcomes ist vor allem bei jungen Frauen häufig eine lokale Lappenplastik indiziert. In der Rezidivsituation oder bei extrem ausgedehnten Tumoren sind distante Lappen (z. B. vom Oberschenkel oder der Bauchdecke) notwendig, um diese großen Defekte zu decken.

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Author information

Authors and Affiliations

  1. Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland

    Monika Hampl

  2. Klinik und Poliklinik für Geburtshilfe und Frauengesundheit, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland

    Wolfgang Weikel

Authors
  1. Monika Hampl
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  2. Wolfgang Weikel
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Correspondence to Monika Hampl .

Editor information

Editors and Affiliations

  1. Kaarst, Germany

    Hans-Georg Schnürch

  2. Frauenklinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Monika Hampl

  3. Klinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

    Linn Wölber

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© 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Hampl, M., Weikel, W. (2018). Plastische Rekonstruktion der Vulva. In: Schnürch, HG., Hampl, M., Wölber, L. (eds) Tumorerkrankungen der Vulva und Vagina. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56636-7_7

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  • DOI: https://doi.org/10.1007/978-3-662-56636-7_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56635-0

  • Online ISBN: 978-3-662-56636-7

  • eBook Packages: Medicine (German Language)

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