Plastic Reconstructive Surgery

Information für Patienten aus Rostock

Scar correction in all body areas
(for example, after accidents, burns, operations)
Correction of bagging lower lid (Ectropium)
Correction of too wide opened upper lids
Resurfacing of skin defects
Correction of earflap deformity
Skin transplantation
Gynecomasty operation (correction of female breast-forming by men)
Benign skin cancer (Hemangioma, naevus, Atheroma...)
Lipoma reduction
Resurfacing of skin and soft parts defects after accidents or operationsn

Cooperation

Cooperation between the Clinic Stralsund 'Breast centre' and plastic surgery:

Clinics

Women Clinic in HANSE - Clinic Stralsund
Breast centre, Dr. med. F. Ruhland
Private Clinic Dr. Brunkow
Clinic for plastic and esthetical surgery in Rostock/Bad Doberan
Dr. med. A. Brunkow
German Military and Governmental Hospital in Berlin
Plastic surgery
PD Dr. (US) Dr. med. B.D. Krapohl

Realization of cooperation:

patients, who had an "Ablatio mammae" in frames of breast tumour therapy and now wish breast reconstruction will be consulted by treating doctors of breast centre under the women clinic in HANSE - clinic Stralsund depending on the indication and individual patients desires.
by indication and patient desire for a breast reconstruction by means of free tissue transplantation the plastic - surgical expertise, patient consultation and patient information about the operation take place in private clinic dr. Brunkow in Rostock.
The following breast reconstructive techniques of tissue transfer are considered:
- Free tissue transfer from abdomen ( DIEP- Flap*, TRAM- Flap, SIA- Flap )
- Free tissue transfer from the buttocks area ( s-GAP- and i-GAP-Flaps )
- Free tissue transfer from the thigh inner side ( myocutane Gracilis- Flap )
by given indication and readiness of patient the operation is done by operative surgeons PD Dr. Dr. med. B.D. Krapohl and Dr. med. A. Brunkow
any after-care, checkups, adapting operations, additionally reconstructive operations are allocated between the clinics according to their requirements.

* Breast reconstruction by means of free transfer of self-tissue with a DIEP- Flaps example

The free self-tissue transfer will be described here with breast reconstruction by abdomen tissue as an example. This abdomen tissue is transferred on the place of removed breast and here connected with local vessels. Here the so-called DIEP-Flap is concerned. DIEP means "deep inferior epigastric artery pedicled perforator".

The DIEP - Flap consists of skin and deep fat tissue, which is removed from the place, where it is excessive or even often disturbing, namely in the abdomen area. Thereby during the careful preparation the vessels feeding tissue flap are separated muscle-sparing from stomach muscles. Thus enough voluminous tissue with similar to the natural breast consistence is obtained without any noticeable weakening of the abdomen wall stability.

The reducing of the excessive abdomen tissue often represents once more additional esthetical profit. The advantage of this microsurgical self-tissue transfer lies in the reducing of xenogenic materials (e.g. silicon implants) that require the follow-on operations during the lifetime (e.g. implants replacement). Free tissue transfer requires special educated and micro surgical experienced operation team as well as the equipping of operation theatre with operation microscope for vessel recanalization. In similar way the self-tissue from buttocks area or thigh can be used for the tissue transfer, especially when small breast volume is desired.

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