{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-ZXX260X7/9faa7ee8-2d7f-4ded-8ed9-97dff244ce4c/HTML","dcterms:extent":"32 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-ZXX260X7/15906419-d60f-4750-b994-7d46834f7eb1/PDF","dcterms:extent":"316 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-ZXX260X7/03020825-d77e-445d-a18c-e20f399ee12b/TEXT","dcterms:extent":"30 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-ZXX260X7","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2009","dc:creator":["Ahčan, Uroš","Arnež, Tine"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:78"},{"@xml:lang":"sl","#text":"str. 45-52"}],"dc:identifier":["ISSN:1318-0347","COBISSID:25410265","URN:URN:NBN:SI:doc-ZXX260X7"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"History"},{"@xml:lang":"sl","#text":"kirurgija"},{"@xml:lang":"sl","#text":"Kirurgija plastična"},{"@xml:lang":"sl","#text":"Kirurški režnji"},{"@xml:lang":"en","#text":"Methods"},{"@xml:lang":"sl","#text":"plastična kirurgija"},{"@xml:lang":"en","#text":"Surgery, Plastic"},{"@xml:lang":"en","#text":"Surgical Flaps"},{"@xml:lang":"en","#text":"Trends"},{"@xml:lang":"sl","#text":"zgodovina medicine"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Plastična kirurgija| past, present, future| Plastic surgery| preteklost, sedanjost, prihodnost|"},"dc:description":[{"@xml:lang":"sl","#text":"Background Plastic surgery has been an independent branch of surgery for a relatively short period of time. And yet its beginnings stretch back as far as600 BC. The history of plastic surgery can be best reviewed through the development of flaps, which have always been a very useful tool in the hands of plastic surgeons. They started as local flaps with random blood supply. Thefirst breakthrough came after the First World War, with the development of the tubed pedicle flap by Sir Gilles. Later on, the accumulation of knowledge about blood circulation, resulted in the development of axial (deltopectoral, inguinal) flaps, which enabled the transposition of large amounts of tissue. Conclusions The next important (perhaps most important) turning point was the development of free flaps. The Ljubljana school was an active contributor inthis segment. Nowadays much care is taken to minimise the morbidity of the donor site for free flaps. Perforator and chimeric flaps are being used. Therehave also been advances in preoperative diagnostics and postoperative monitoring of flaps. The future of plastic surgery is probably a tissue engineering, that is transplantation by microsurgical technique of patientćs own tissues developed in vitro. This will probably mean the use of different multipotent cells. There is also an intense research of the effect of a host of tissue factors and mediators on the circulation and survival of flaps. Mostsurgical procedures will become minimally invasive"},{"@xml:lang":"sl","#text":"Izhodišča Plastična kirurgija je kot samostojna veda sorazmerno mlada. Pa vendar lahko o začetkih govorimo že okoli leta 600 pr.n.š. Razvoj plastične kirurgije je najlaže spremljati skozi razvoj režnjev, ki so od nekdaj pomembnoorodje plastičnih kirurgov. Sprva so bili samo lokalni, z naključno prekrvitvijo. Po prvi svetovni vojni je prvo večjo prelomnico pomenil razvoj vezanega cevastega režnja (Sir Gilles). Kasneje so nova spoznanja o prekrvitvitkiv povzročila razvoj osnih režnjev (deltopektoralni, ingvinalni reženj), ki so omogočali prestavljanje večjih količin tkiva. Naslednjo veliko (morda najpomembnejšo) prelomnico je pomenilo odkritje prostih režnjev. Na tempodročju je svoj pečat pustila tudi t. i. Ljubljanska šola. Zaključki Danesse posveča veliko pozornosti predvsem zmanjšanju obolevnosti na odvzemnemmestu za proste režnje. Uporabljajo se prebodnični, himerni režnji itd. Izboljšale so se možnosti predoperativne diagnostike ter pooperativnega nadzora režnjev. Prihodnost plastične kirurgije je verjetno tkivno inženirstvo, torej presajanje in vitro vzgojenih bolniku lastnih tkiv z mikrokirurško tehniko. Pri tem se bodo verjetno uporabljale različne multipotentne celice. Intenzivno se proučujejo tudi vplivi raznih mediatorjev in dejavnikov na prekrvitev in posledično preživetje režnjev. Poudarek bo na minimalni invazivnosti posegov"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-ZXX260X7","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-ZXX260X7"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-ZXX260X7/15906419-d60f-4750-b994-7d46834f7eb1/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-ZXX260X7/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-ZXX260X7"}}}}