{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T23:47:10Z","timestamp":1764028030104,"version":"3.45.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Gro\u00dffl\u00e4chige Defekte im perinealen oder vorderen\/lateralen Beckenbereich k\u00f6nnen\n\t\t\t\tinfolge tumorbedingter Resektionen, Infektionen oder aufgrund postoperativer\n\t\t\t\tKomplikationen entstehen. In F\u00e4llen, in denen lokale oder gestielte Lappenplastiken\n\t\t\t\tnicht ausreichen, ist eine mikrochirurgische Rekonstruktion mittels freier Lappen\n\t\t\t\tnotwendig. Die A. epigastrica inferior (DIEA) kommt aufgrund ihrer Lage und ihres\n\t\t\t\tKalibers als Anschlussgef\u00e4\u00df f\u00fcr einen mikrovaskul\u00e4ren Gewebetransfer infrage.<\/jats:p>\n                  <jats:p>In einer retrospektiven Fallstudie wurden zwischen Juni 2024 und M\u00e4rz 2025\n\t\t\t\tPatienten mit perinealen oder pelvinen Defekten mikrochirurgisch versorgt. Die\n\t\t\t\tDefektdeckung erfolgte mit freien Lappenplastiken (muskulokutane Vastus-lateralis-\n\t\t\t\t(MVL), Latissimus-dorsi- (LD) und Paraskapularlappen) und End-zu-End-Gef\u00e4\u00dfanschluss\n\t\t\t\tan die DIEA. Die pr\u00e4operative Planung beinhaltete eine CT-Angiografie zur\n\t\t\t\tBeurteilung der Gef\u00e4\u00dfsituation. Die mikrochirurgischen Anastomosen wurden\n\t\t\t\tstandardisiert durchgef\u00fchrt, wobei die arteriellen Anastomosen von Hand gekn\u00fcpft\n\t\t\t\twurden, die ven\u00f6sen Anastomosen mittels Venenkoppler erfolgten. Die Perfusion der\n\t\t\t\tAnastomosen und der Lappenplastik wurde mittels ICG-Fluoreszenz kontrolliert.\n\t\t\t\tPostoperativ erfolgten eine strukturierte Entlastung und Mobilisation.<\/jats:p>\n                  <jats:p>Im untersuchten Zeitraum wurden 5 Patienten (Durchschnittsalter 64,6 Jahre,\n\t\t\t\tASA-Score 2,8) mit perinealen oder pelvinen Defekten von durchschnittlich 413,4\u00a0cm\u00b2\n\t\t\t\tbehandelt. Zugrunde liegende Ursachen waren Tumoren (3) und ausgedehnte Infektionen\n\t\t\t\t(2). Die DIEA konnte in allen F\u00e4llen als zuverl\u00e4ssiges Anschlussgef\u00e4\u00df verwendet\n\t\t\t\twerden. Die ven\u00f6sen Anastomosen erfolgten im Durchschnitt mit 2,5-mm-Kopplern\n\t\t\t\t(Range: 2\u20133\u00a0mm). Es traten keine Lappenverluste oder -nekrosen auf.<\/jats:p>\n                  <jats:p>Die Ergebnisse best\u00e4tigen die Eignung der DIEA als konstantes, oberfl\u00e4chliches und\n\t\t\t\tgut pr\u00e4parierbares Anschlussgef\u00e4\u00df mit stabilem Kaliber und ausreichendem Fluss auch\n\t\t\t\tf\u00fcr gro\u00dfe Lappen. Sie erm\u00f6glicht sichere mikrochirurgische Rekonstruktionen im\n\t\t\t\tvorderen und lateralen Beckenbereich und stellt damit eine valide Alternative zur A.\n\t\t\t\tfemoralis dar, ohne die Durchblutung der Extremit\u00e4t zu kompromittieren. Die Studie\n\t\t\t\tunterstreicht den hohen Stellenwert der DIEA in der plastisch-rekonstruktiven\n\t\t\t\tChirurgie komplexer Becken- und Perinealdefekte.<\/jats:p>","DOI":"10.1055\/a-2684-3365","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T22:58:53Z","timestamp":1759445933000},"page":"518-526","source":"Crossref","is-referenced-by-count":0,"title":["Deckung perinealer und pelviner Defekte: die A. epigastrica inferior (DIEA) als Anschlussgef\u00e4\u00df f\u00fcr die freie mikrochirurgische Rekonstruktion"],"prefix":"10.1055","volume":"150","author":[{"given":"Wolfram","family":"Demmer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"M\u00f6llhoff","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6522-1312","authenticated-orcid":false,"given":"Felix Hubertus","family":"Vollbach","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"Wachtel","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"N\u00fcrnberger","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinan","family":"Mert","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constanze","family":"Kuhlmann","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, Klinikum der Universit\u00e4t 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repair a gluteal\n\t\t\t\t\tdefect","volume":"36","author":"FN Abu Jamra","year":"1983","journal-title":"Br J Plast Surg"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1097\/00006534-199806000-00010","article-title":"Superior gluteal vessel as recipient for free flap reconstruction of\n\t\t\t\t\tlumbosacral defect","volume":"101","author":"S Park","year":"1998","journal-title":"Plast Reconstr Surg"},{"issue":"S 3","key":"ref24","doi-asserted-by":"publisher","first-page":"S213","DOI":"10.1097\/SAP.0000000000000779","article-title":"Comparing Muscle and Fasciocutaneous Free Flaps in Lower Extremity\n\t\t\t\t\tReconstruction--Does It Matter?","volume":"76","author":"J Paro","year":"2016","journal-title":"Ann Plast Surg"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004307","article-title":"Primary Use of the Deep Inferior Epigastric Pedicle for Free-flap\n\t\t\t\t\tPhalloplasty: Rationale, Technique, and 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Surg"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13175261","article-title":"Impact of Negative Pressure Wound Therapy on Perfusion Dynamics in Free\n\t\t\t\t\tLatissimus Dorsi Muscle Flaps","volume":"13","author":"N Moellhoff","year":"2024","journal-title":"J Clin Med"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation\n\t\t\t\t\tin a cohort of 6336 patients and results of a survey","volume":"240","author":"D Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002572","article-title":"An Algorithmic Approach to Perineal Reconstruction","volume":"7","author":"CM Westbom","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1055\/s-2007-1006601","article-title":"Results of one-stage penile reconstruction using an innervated radial\n\t\t\t\t\tosteocutaneous flap","volume":"10","author":"JS Byun","year":"1994","journal-title":"J Reconstr Microsurg"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1002\/micr.1920140409","article-title":"Wound closure at the trunk by microvascular free flap transfer","volume":"14","author":"H Piza","year":"1993","journal-title":"Microsurgery"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1055\/s-2007-1006614","article-title":"Microsurgical reconstruction of chest- and abdominal-wall defects\n\t\t\t\t\tassociated with intraperitoneal vessels","volume":"12","author":"M Sekido","year":"1996","journal-title":"J Reconstr Microsurg"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1055\/s-0038-1661381","article-title":"Flap Reconstruction of the Abdominal Wall","volume":"32","author":"MS Roubaud","year":"2018","journal-title":"Semin Plast Surg"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1055\/s-0041-1731622","article-title":"Mechanical Anastomotic Coupling Device versus Hand-sewn Venous Anastomosis\n\t\t\t\t\tin Head and Neck Reconstruction-An Analysis of 1694 Venous\n\t\t\t\t\tAnastomoses","volume":"54","author":"R Arora","year":"2021","journal-title":"Indian J Plast Surg"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.bioactmat.2024.04.003","article-title":"Sutureless vascular anastomotic approaches and their potential\n\t\t\t\t\timpacts","volume":"38","author":"JG Ribaudo","year":"2024","journal-title":"Bioact Mater"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, 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