{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T23:47:09Z","timestamp":1764028029871,"version":"3.45.0"},"reference-count":41,"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>Das Lymph\u00f6dem ist eine chronische, fortschreitende Erkrankung, die prim\u00e4r oder\n\t\t\t\tsekund\u00e4r nach lymphatischer Sch\u00e4digung, z.\u00a0B. nach Lymphadenektomie oder Radiatio,\n\t\t\t\tauftreten kann. Konservative Therapien bieten oft nur begrenzte Linderung, weshalb\n\t\t\t\toperative Verfahren wie die vaskularisierte omentale Lymphknotentransplantation\n\t\t\t\t(VOLT) zunehmend an Bedeutung gewinnen.<\/jats:p>\n                  <jats:p>Es werden 2 Patienten mit fortgeschrittenem sekund\u00e4rem Lymph\u00f6dem der unteren\n\t\t\t\tExtremit\u00e4t nach Lymphadenektomie vorgestellt. Beide wiesen in der Lymphszintigrafie\n\t\t\t\tund MRT eine ausgepr\u00e4gte Transportst\u00f6rung auf. In beiden F\u00e4llen erfolgte eine\n\t\t\t\tdoppelte mikrovaskul\u00e4re Lymphknotentransplantation mittels VOLT, wobei das Omentum\n\t\t\t\taufgrund seiner hohen Lymphknotendichte und lymphangiogenen Eigenschaften gew\u00e4hlt\n\t\t\t\tund intraoperativ geteilt wurde, um sowohl die Leiste als auch den Unterschenkel zu\n\t\t\t\tversorgen. Zus\u00e4tzlich wurde eine systematische Literaturrecherche in PubMed\n\t\t\t\tdurchgef\u00fchrt.<\/jats:p>\n                  <jats:p>Postoperativ zeigten sich in beiden F\u00e4llen eine regelrechte Perfusion der\n\t\t\t\tTransplantate sowie eine klinische Besserung der Lymph\u00f6demsymptomatik. Die\n\t\t\t\tLiteraturauswertung ergab konsistente Hinweise auf eine signifikante\n\t\t\t\tVolumenreduktion, verbesserte Lymphdrainage und eine deutliche Senkung der\n\t\t\t\tZellulitisrate nach VOLT.<\/jats:p>\n                  <jats:p>Die VOLT stellt eine effektive Option f\u00fcr therapierefrakt\u00e4re Lymph\u00f6deme dar und\n\t\t\t\tkann die Lebensqualit\u00e4t der Patienten verbessern. Trotz vielversprechender\n\t\t\t\tklinischer Ergebnisse sind weitere standardisierte, prospektive Langzeitstudien\n\t\t\t\tnotwendig, um die Evidenz zur Wirksamkeit und Sicherheit dieser Technik zu\n\t\t\t\tst\u00e4rken.<\/jats:p>","DOI":"10.1055\/a-2690-6258","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T22:58:53Z","timestamp":1759445933000},"page":"537-546","source":"Crossref","is-referenced-by-count":0,"title":["Freie\u00a0mikrovaskulare Lymphknotentransplantation aus dem\u00a0Omentum bei Lymph\u00f6dem"],"prefix":"10.1055","volume":"150","author":[{"given":"Benedikt","family":"Fuchs","sequence":"first","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"N\u00fcrnberger","sequence":"first","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie 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Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7421-1213","authenticated-orcid":false,"given":"Riccardo","family":"Giunta","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6645-5230","authenticated-orcid":false,"given":"Paul S.","family":"Wiggenhauser","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische Chirurgie und \u00c4sthetische Chirurgie, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"ref1","series-title":"StatPearls [Internet]","volume-title":"Anatomy, Lymphatic System","author":"M 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