Abdominoplastik: Prinzip und Technik (German Edition) by Johannes-Franz Hönig

By Johannes-Franz Hönig

Der renommierte Facharzt für plastische und ästhetische Chirurgie stellt das Gebiet der Abdominoplastik umfassend dar: Angefangen von der historischen Entwicklung bis hin zu den neuesten Verfahren. Eigens angefertigte farbige Zeichnungen vermitteln Konzeption und Planung der verschiedenen Verfahren zur Abdominoplastik und stellen das operative Vorgehen Schritt für Schritt dar.

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Extra info for Abdominoplastik: Prinzip und Technik (German Edition)

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Transversus abdominis; 8 = Peritoneum parietale und Fascia transversalis; 9 = M. rectus abdominis dexter; 10 = Linea alba; 11 = Vagina des M. rectus abdominis (Lamina posterior) Muskuloaponeurotische Schicht ] Im dorsalen Bereich fusionieren M. obliquus internus und M. transversus abdominis mit anderen aponeurotischen Strukturen der lumbosakralen Faszie, die an den vertikalen und transversalen Wirbelkörperfortsätzen inserieren. Dadurch formen die Fasern des mittleren Drittels des M. transversus abdominis einen kontinuierlichen aponeurotischen Gürtel, der das Abdomen zirkulär umgibt.

Bei afrikanischen Dunkelhäutigen zu einer vermehrten Fettansammlung im Gebiet der Hüften. Histomorphologisch betrachtet lässt sich im Bereich des Stammes und der unteren Extremität eine oberflächliche und eine tiefe Fettschicht unterscheiden, die durch eine dünne Faszie voneinander getrennt sind. Das oberflächliche subkutane Fett, das zwischen Haut und oberflächlicher Muskulatur liegt, ist gekennzeichnet durch enge kompakt strukturierte fibröse Septierungen, während die tiefe Fettschicht ein irreguläres fibröses und lockeres Netzwerk mit darin eingeschlossenen areolaren Fettkörpern aufweist.

Klassifikationen der Abdominalwand ] Abdominoklassifikation Typ VI Patienten dieser Klassifikation kennzeichnen größere Mengen an Hautüberschuss oder unerwünschten Fettansammlungen oberhalb des Bauchnabels im Epigastrium. Häufig besteht gleichzeitig eine Indikation zu einer Mastopexie, Brustaugmentation oder Mammareduktion; oft weisen diese Patienten bereits submammäre Narben nach Mammaplastiken auf (Abb. 52 u. 53). Abb. 52. Typ-VI-Abdomenklassifikation in Frontalansicht. Abb. 53. Typ-VI-Abdominoklassifikation in schräg-lateraler Ansicht.

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