{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T04:45:31Z","timestamp":1649911531194},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die plastische Rekonstruktion onkologischer, anorektaler Defekte ist aufgrund der erheblichen bakteriellen Kontamination, einer neoadjuvanten Radio-Chemotherapie sowie den anatomisch sehr schwierigen Bedingungen h\u00e4ufig kompliziert und f\u00fchrt zu einer prolongierten Hospitalisation der Patienten. Einen Goldstandard f\u00fcr die plastische Rekonstruktion gibt es nicht. Wir stellen eine Patientin vor, welche nach der Diagnose eines distalen Rektumkarzinoms mit Infiltration des Anus und der Scheidenhinterwand eine radikale Tumorexzision mit Rektum-, Anus- und Vaginateilresektion erhielt, wobei es postoperativ zu einer schweren nekrotisierenden Infektion kam. Es resultierte ein gro\u00dffl\u00e4chiger, tiefreichender vollschichtiger Weichteildefekt des kleinen Beckens und der Perinealregion. Wir pr\u00e4sentieren eine retrospektive klinische Beurteilung und Fotodokumentation einer Rekonstruktion der Vagina, des kleinen Beckens sowie des Ges\u00e4\u00dfes durch eine bilaterale M.-gracilis- und M.-gluteus-Lappenplastik.<\/jats:p>","DOI":"10.1055\/a-1548-6696","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T02:37:22Z","timestamp":1632451042000},"page":"167-171","source":"Crossref","is-referenced-by-count":0,"title":["Bilaterale gestielte M. gracilis-Lappenplastik und bilaterale M. gluteus-Rotationslappenplastik zur mehrzeitigen Rekonstruktion der Vagina, des kleinen Beckens sowie der Perinealregion"],"prefix":"10.1055","volume":"54","author":[{"given":"Richard","family":"Bender","sequence":"additional","affiliation":[{"name":"St. Vinzenz-Hospital, Plastische und \u00c4sthetische 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