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Grundkurs Mikrochirurgie pp 283–294Cite as

Supermikrochirurgie der Gefäße und Nerven

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Zusammenfassung

Supermikrochirurgie bezeichnet die Technik der Anastomosen kleiner Gefäße oder Koaptation einzelner Nervfaszikel und deren Präparation. Der Gefäßdurchmesser für die Supermikrochirurgie ist definiert <0,8 mm. Zu den Prinzipien gehören gewebeschonendes Operieren, das Zug- und Scherkräfte am Gefäß vermeidet, kurze Gefäßstiele, individualisierte Lappenplastiken und Anschlüsse an Perforansgefäße. Aufgrund der Anatomie solcher kurzen Perforansgefäße, die häufig sehr dünnwandige Arterien und Venen haben, benötigt man eine spezielle Anastomosentechnik, spezielles Instrumentarium und ein lichtstarkes Mikroskop. Zur Anastomose sollte ein adäquater Flow im Gefäß herrschen. Grundsätzlich können fast alle bekannten Lappenplastiken als supermikrochirurgische Lappenplastiken gehoben und transplantiert werden. Andere Lappenplastiken werden aber für supermikrochirurgische Indikationen neu beschrieben werden, wenn einfach die Perforansgefäße »free style« gehoben werden oder bisher als zu klein erachtete Gefäßstiele für Muskeln als transplantierbar eingestuft werden.

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Authors and Affiliations

  1. Ästhetische Plastische Chirurgie, Camparihaus München Heitmann & Fansa, Maximilianstraße 38/40, 80539, München, Germany

    Prof. Dr. H. Fansa

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  1. Prof. Dr. H. Fansa
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Editors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Ludwigshafen Rupprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Ulrich Kneser

  2. Universitätsklinikum Erlangen Friedrich Alexander Universität Erlangen-Nürnberg, Erlangen, Germany

    Raymund E. Horch

  3. Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany

    Marcus Lehnhardt

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Fansa, H. (2016). Supermikrochirurgie der Gefäße und Nerven. In: Kneser, U., Horch, R., Lehnhardt, M. (eds) Grundkurs Mikrochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48037-3_25

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  • DOI: https://doi.org/10.1007/978-3-662-48037-3_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48036-6

  • Online ISBN: 978-3-662-48037-3

  • eBook Packages: Medicine (German Language)

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