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DOI: 10.1055/s-2007-989227
© Georg Thieme Verlag KG Stuttgart · New York
Débridement von Verbrennungswunden - Nutzen und Möglichkeiten
Debridement of Burn Wounds - Rationale and OptionsPublication History
eingereicht 6.4.2007
akzeptiert 24.9.2007
Publication Date:
05 November 2007 (online)
![](https://www.thieme-connect.de/media/hamipla/200705/lookinside/thumbnails/10.1055-s-2007-989227-1.jpg)
Zusammenfassung
Das Débridement beziehungsweise die Nekrektomie der Verbrennungswunde beschreibt die Abtragung avitaler Anteile der Haut. Durch das Débridement wird die Freisetzung von Toxinen aus der verbrannten Haut verhindert, und bei infizierten Verbrennungswunden wird die bakterielle Last gesenkt. Das Débridement senkt damit die Morbidität und Mortalität. Die tangentiale Nekrektomie wird klassischerweise mit dem Humby- oder Goulian-Messer ausgeführt. Enzymatische Salben und Wasserstrahlgeräte stellen weitere Therapieverfahren für das Débridement dar.
Abstract
Debridement describes the removal of devitalised tissue and debris (to reduce the toxic and bacterial burden) from a wound. In thermally injured tissue, the adoption of excisional strategies has been shown to improve both morbidity as well as mortality, albeit at the expense of creating new donor wounds. Tangential debridement is performed with surgical steel (i.e., Humby or Goulian knife). Other modalities like enzymatic ointments and hydrosurgical systems have shown promise in refining the debridement process, affording a measure of control with respect to the depth of debridement.
Schlüsselwörter
Débridement - Verbrennung
Key words
debridement - burns
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Prof. Dr. med. Hans-Oliver Rennekampff
Klinik für Plastische, Hand- und Wiederherstellungschirurgie
Medizinische Hochschule Hannover
Carl-Neuberg-Straße 1
30625 Hannover
Email: phw@mh-hannover.de