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[Reconstruction options for infection-related defects : Plastic surgery armamentarium]
Vincent März1, Peter M Vogt2, Frederik Schlottmann2
1Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. maerz.vincent@mh-hannover.de.
Background:
The occurrence of infections has always been feared in all surgical disciplines. Plastic reconstructive surgery faces the challenge of treating infection-related defects on a patient-specific basis, which requires a multidisciplinary treatment concept. Satisfactory treatment success can only be achieved through radical debridement for infection cleansing, optimization of the perfusion situation paired with targeted anti-infective treatment and, if necessary, with soft tissue reconstruction by plastic surgery.
Objective:
This article presents the current possibilities of plastic and reconstructive surgery with respect to the reconstruction of infection-related defects.
Material And Methods:
Proven and reliable strategies are presented and supplemented by promising experimental approaches.
Results:
Due to the often multilayered defect situation caused by infections, from the epidermis to cancellous bone, the entire armamentarium of plastic and reconstructive surgery is used for reconstruction.
Conclusion:
The early involvement of plastic surgery in the treatment of infections and the interdisciplinary and multimodal treatment approach have proven their worth in the treatment of complex infection situations.
