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Viszeralchirurgie 2001; 36(6): 396-401
DOI: 10.1055/s-2001-18013
ORIGINALARBEIT
© Georg Thieme Verlag Stuttgart · New York

Inzidenz, Komplikationen und Prophylaxe postoperativer,
peritonealer Adhäsionen[*]

Incidence, complications and prophylaxis of postoperative, peritoneal adhesionsK.-H. Treutner, S. A. Müller, M. Jansen, V. Schumpelick
  • Chirurgische Klinik und Poliklinik, Universitätsklinikum Rheinisch-Westfälische Technische Hochschule Aachen
    (Direktor: Prof. Dr. med. Dr. h. c. V. Schumpelick)
Further Information

Publication History

Publication Date:
26 October 2001 (online)

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Zusammenfassung.

Die Entwicklung postoperativer, peritonealer Adhäsionen lässt sich durch laparoskopische Methoden, gewebeschonende Techniken und puderfreie Handschuhe allein nicht signifikant reduzieren. Epidemiologische Daten zeigen mit Zunehmen der medizinischen Versorgung sowie der Lebenserwartung einen Anstieg adhäsions-bedingter Komplikationen und der damit einhergehenden sozio-ökonomischen Belastung. Derzeit steht für die klinische Routine in der Viszeralchirurgie kein Konzept oder Medikament zur zuverlässigen Adhäsionsprophylaxe zur Verfügung. Ergebnisse der experimentellen Forschung geben jedoch Anlass zu der Hoffnung, dass sich mittelfristig eine relevante Reduktion postoperativer Verwachsungen erreichen lassen wird.

Incidence, complications and prophylaxis of postoperative, peritoneal adhesions.

Laparoscopic approach, meticulous technique, and powder-free gloves alone are not capable to reduce formation of postoperative peritoneal adhesions to a significant degree. Epidemiologic data show rising figures of adhesion related complications and subsequent socio-economic expenditures based on an increase of available medical services and life expectancy. As of today, there is neither a regimen nor a drug available for reliable prevention of adhesions in the clinical routine of visceral surgery. Results of experimental research, however, raise hopes that a relevant reduction of adhesions will be achieved in the medium-term future.

Schlüsselwörter:

Peritoneale Adhäsionen - Ätiologie - Pathogenese - Epidemiologie - Komplikationen - Kosten - Prophylaxe

Key words:

Peritoneal adhesions - Etiology - Pathogenesis - Epidemiology - Complications - Costs - Prophylaxis

1 Herrn Prof. H.-D. Röher zum 65. Geburtstag gewidmet.

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1 Herrn Prof. H.-D. Röher zum 65. Geburtstag gewidmet.

PD Dr. K.-H. Treutner

Chirurgische Klinik und Poliklinik
Universitätsklinikum der RWTH

Pauwelsstraße 30

52074 Aachen

Phone: 02 41/80-0

Fax: 02 41/80-82 417

Email: khtreutner@post.klinikum.rwth-aachen.de

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