Funkcionalna rekonstrukcija gornjih udova nakon operacije mekotkivnih sarkoma

master's thesis

• Title (english): Upper limb functional reconstruction after soft tissue sarcoma surgery
• Author: Ana Vučić
• Mentor: Sanda Smuđ Orehovec (mentor)
• Committee member: Davor Mijatović (predsjednik povjerenstva)
• Committee member: Anko Antabak (član povjerenstva)
• Committee member: Sanda Smuđ Orehovec (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Funkcionalna rekonstrukcija postupak je kojim se pacijentu vraćaju funkcija i izgled određenog anatomskog područja kakvi su bili prije opsežne operacije nakon koje je zaostao veliki defekt. Za popunjavanje tog defekta koriste se režnjevi, čija upotreba je poznata još od 25. godine prije Krista. Sarkomi mekih tkiva rijetka su heterogena skupina tumora koja može nastati od različitih tkiva, a najčešće su lokalizirani na gornjim ekstremitetima. S obzirom na blizinu mišićnih i neurovaskularnih struktura u tom području, nerijetko je nakon kirurške ekscizije potrebno rekonstruirati zaostali defekt. Još od 1906. godine poznata je uloga režnja širokog leđnog mišića (lat. m. latissimus dorsi) za popunjavanje takvih defekata, zbog mogućnosti adaptacije njegove veličine i dobre vaskularne opskrbe. Stoga se danas kao najčešća metoda za rekonstrukciju defekta na gornjem ekstremitetu rabi režanj širokog leđnog mišića na vaskularnoj peteljci. Iako ova metoda ima postoperativne komplikacije poput nastanka seroma, infekcije rane ili pojave kronične boli na donorskom mjestu, predoperacijskim i postoperacijskim ispitivanjima TESS i MSTS upitnicima potvrđeno je da je ova metoda zadovoljavajuća i omogućuje pacijentima dobar povratak funkcije rekonstruiranog ekstremiteta.

Abstract (english)

Functional reconstruction is a procedure that restores the function and appearance of a certain anatomical area to the patient as before the extensive surgery that left behind a large defect. To fill this defect, flaps are used, the use of which has been known since 25 BC. Soft tissue sarcomas are a rare heterogeneous group of tumors that can arise from different tissues, and are most often localized on the upper extremities. Considering the proximity of muscular and neurovascular structures in that area, it is often necessary to reconstruct the remaining defect after surgical excision. Since 1906, the role of the latissimus dorsi muscle flap (lat. m. latissimus dorsi) for filling such defects has been known due to the possibility of adapting its size and its good vascular supply. Therefore, today, as the most common method for the reconstruction of defects on the upper extremity, a latissimus dorsi muscle flap on the vascular pedicle is used. Although this method has post-operative complications such as seroma formation, wound infection, or chronic pain at the donor site, pre-operative and post-operative TESS and MSTS questionnaires confirmed that this method is adequate and allows patients to return a good function of the reconstructed limb.

• Keywords: funkcionalna rekonstrukcija; sarkom mekog tkiva; gornji ekstremitet; režanj širokog leđnog mišića
• Keywords (english): functional reconstruction; soft tissue sarcoma; upper extremity; latissimus dorsi flap
• Language: croatian
• URN:NBN: urn:nbn:hr:105:782637
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-05-22 18:42:28