{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T03:46:37Z","timestamp":1774669597867,"version":"3.50.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n                    Hintergrund Anforderungen, welche an Weichteilrekonstruktionen gestellt werden, sind eine d\u00fcnne und widerstandsf\u00e4hige Lappenplastik der Palma manus oder der Planta pedis sowie die Gleitf\u00e4higkeit zwischen der Lappenplastik und den Strecksehnen der Dorsi pedis et manus. Die Elastizit\u00e4t der Hautweichteile sollte einen normalen Bewegungsumfang am Handgelenk und am Vorfu\u00df erm\u00f6glichen. Eine Option in diesen F\u00e4llen ist die freie Serratus-Faszienlappenplastik, welche gelegentlich Einschr\u00e4nkungen hinsichtlich der Widerstandsf\u00e4higkeit sowie der Zuverl\u00e4ssigkeit aufweist. Wir beschreiben eine einfache Modifikation, die Serratus-Carpaccio-Lappenplastik, welche eine d\u00fcnne Muskelschicht in den Serratusfaszienlappen einbezieht, wodurch dessen Hebung und Entnahme sowie die Morbidit\u00e4tsraten verbessert werden.<\/jats:p><jats:p>\n                    Material und Methoden Die Indikationen f\u00fcr die Serratus- Carpaccio-Lappenplastik, deren Entnahmetechnik, Konturierung sowie Insertion werden detailliert beschrieben und anhand klinischer Beispiele verdeutlicht.<\/jats:p><jats:p>\n                    Ergebnisse Der Hauptvorteil der Serratus-Carpaccio-Lappenplastik ist die M\u00f6glichkeit, die Lappendicke an die Anforderungen der Empf\u00e4ngerstelle anzupassen. Dies erm\u00f6glicht hervorragende Ergebnisse der Kontur und Funktion. Die Spalthautentnahme aus dem Instep-Bereich des Fu\u00dfes wird f\u00fcr Weichteilrekonstruktionen der Palma manus und der Planta pedis empfohlen. Es wurden 18 Rekonstruktionen von Weichteildefekten an der Hand (n = 5), am Fu\u00df (n = 10) und am Unterschenkel (n = 3) durchgef\u00fchrt. Zu den Komplikationen geh\u00f6rten ein Lappenverlust, eine ven\u00f6se Reanastomose, 2 partielle Wunddehiszenzen und ein postoperatives H\u00e4matom an der Hebestelle. Siebzehn Lappenplastiken heilten letztendlich vollst\u00e4ndig ein. Sekund\u00e4re Ausd\u00fcnnungsverfahren waren nicht erforderlich.<\/jats:p><jats:p>\n                    Schlussfolgerung Die Serratus-Carpaccio-Lappenplastik ist eine hervorragende Option f\u00fcr die Rekonstruktion mittelgro\u00dfer Haut- und Weichteildefekte des Hand- oder Fu\u00dfr\u00fcckens, der Handfl\u00e4che und des distalen Unterarms.<\/jats:p>","DOI":"10.1055\/a-1439-9873","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T22:44:50Z","timestamp":1621464290000},"page":"543-547","source":"Crossref","is-referenced-by-count":4,"title":["Die freie Serratus-Carpaccio-Lappenplastik: Indikationen und Technik"],"prefix":"10.1055","volume":"53","author":[{"given":"Susanne","family":"Rein","sequence":"additional","affiliation":[{"name":"Klinikum Sankt Georg, Klinik f\u00fcr Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Leipzig"},{"name":"Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Gazyakan","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Klinik f\u00fcr Plastische und Handchirurgie der Ruprecht-Karls-Universit\u00e4t Heidelberg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Kneser","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Klinik f\u00fcr Plastische und Handchirurgie der Ruprecht-Karls-Universit\u00e4t Heidelberg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kremer","sequence":"additional","affiliation":[{"name":"Klinikum Sankt Georg, Klinik f\u00fcr Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1097\/00000637-198204000-00003","article-title":"Free serratus anterior muscle and myocutaneous flaps","volume":"8","author":"S Takayanagi","year":"1982","journal-title":"Ann Plast Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/0007-1226(85)90002-5","article-title":"The serratus anterior\/rib composite flap in mandibular reconstruction","volume":"38","author":"M Richards","year":"1985","journal-title":"Br J Plast Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1055\/s-2007-1007014","article-title":"Free flap of gliding tissue","volume":"2","author":"K Wintsch","year":"1986","journal-title":"J Reconstr Microsurg"},{"key":"ref4","first-page":"1","article-title":"The chimeric versatility of the subscapular system 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flap","volume":"27","author":"S Erdogmus","year":"2005","journal-title":"Surg Radiol Anat"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/01.PRS.0000129072.11466.C3","article-title":"Detailed neurovascular anatomy of the serratus anterior muscle: Implications for a functional muscle flap with multiple independent force vectors","volume":"114","author":"DM Godat","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1097\/01.PRS.0000135327.92121.C5","article-title":"The serratus anterior subslip: Anatomy and implications for facial and hand reanimation","volume":"114","author":"SD Lifchez","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/PRS.0000000000005087","article-title":"Detailed vascular anatomy and flap harvest technique of the serratus anterior\/rib composite flap","volume":"143","author":"H Matsumoto","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1097\/01.prs.0000208297.02556.a5","article-title":"The free serratus anterior flap and its cutaneous component for reconstruction of the face: A series of 27 cases","volume":"117","author":"B Pittet","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.jse.2008.02.009","article-title":"A cadaveric study of the serratus anterior muscle and the long thoracic nerve","volume":"17","author":"J Hamada","year":"2008","journal-title":"J Shoulder Elbow Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00402-009-0845-5","article-title":"Free serratus anterior fascia flap for reconstruction of hand and finger defects","volume":"130","author":"D Ulrich","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1055\/s-0039-1688451","article-title":"Elastic Wrapping of Lower Extremity Free Flaps during Dangling Improves Microcirculation and Reduces Pain as well as Edema","volume":"35","author":"J Kolbenschlag","year":"2019","journal-title":"J Reconstr Microsurg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1002\/lary.26116","article-title":"The versatility of the serratus anterior free flap in head and neck reconstruction","volume":"127","author":"MN Khan","year":"2017","journal-title":"Laryngoscope"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1002\/aja.1000410208","article-title":"The axillary artery in white and negro stocks","volume":"41","author":"CF De Garis","year":"1928","journal-title":"Am J Anat"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/0007-1226(94)90035-3","article-title":"Anomalous blood supply to the serratus anterior muscle flap","volume":"47","author":"S de Fontaine","year":"1994","journal-title":"Br J Plast Surg"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1055\/s-0029-1243300","article-title":"Aberrant Perfusion of the Serratus Anterior Muscle Flap: Report of Two Cases and a Review of the Literature","volume":"26","author":"B Ersoy","year":"2010","journal-title":"J Reconstr Microsurg"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1055\/s-2001-16353","article-title":"Lateral thoracic artery as a vascular variant in the supply to the free serratus anterior flap","volume":"17","author":"JE Lipa","year":"2001","journal-title":"J Reconstr Microsurg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1055\/s-2007-1006419","article-title":"Serratus anterior free-tissue transfer: Harvest-related morbidity in 34 consecutive cases and a review of the literature","volume":"13","author":"LD Derby","year":"1997","journal-title":"J Reconstr Microsurg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/00006534-199307000-00014","article-title":"The serratus anterior free-muscle transplant for reconstruction of the injured hand: an analysis of the donor and recipient sites","volume":"92","author":"L Gordon","year":"1993","journal-title":"Plast Reconstr Surg"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1439-9873.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T23:34:44Z","timestamp":1638920084000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1439-9873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,19]]},"references-count":25,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,7]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1439-9873","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,19]]}}}