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DOI: 10.1055/s-2004-822736
© Georg Thieme Verlag Stuttgart · New York
Wundmanagement postoperativer Weichteilinfektionen in der Viszeralchirurgie
Wound Management of Postoperative Soft Tissue Infections After Visceral SurgeryPublication History
Publication Date:
08 July 2004 (online)
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Zusammenfassung
Postoperative Weichteilinfektionen sind gegenwärtig ein noch immer zu beachtendes Problem und können nach jedem chirurgischen Eingriff auftreten. Individuelle und allgemeine Risikofaktoren wie Begleiterkrankungen, Operationsdauer, chirurgische Technik, Rasur, Parallelinfektion und Drainagen beeinflussen die Inzidenz von postoperativen Infektionsraten. Das Management postoperativer Weichteilinfektionen umfasst ein reichhaltiges Repertoire an möglichen Einzelmaßnahmen, in deren Mittelpunkt die zeitgerechte und umfassende chirurgische Intervention steht. Dazu gehören die tägliche Wundkontrolle und die frühzeitige stadiengerechte Behandlung einschließlich Wunderöffnung, Debridement und Verbandsmanagement entsprechend der individuellen Weichteilinfektion. Hauptaugenmerk der Behandlung muss es sein, durch entsprechende Maßnahmen, Sekundärschäden insbesondere die Sepsis zu vermeiden. Neben der lokalen Therapie ist auf eine zeitnahe Dokumentation zu achten.
Abstract
Postoperative wound infections are common problem of surgical therapy and can occur after surgical approaches. Inzidence of postoperative wound infections is influenced by individual and general risk factors like other simultaneous diseases and infections, operation time, surgical technique, preoperative shaving and drainage. Management of postoperative soft tissue infections comprises daily wound control, early stage adapted therapy including wound opening, debridement and wounddressing according wound infection individually. Aim of the therapy is prevention from severe sepsis and organ failure because of postoperative wound infection. Behind local therapy contemporary wound documentation is required.
Schlüsselwörter
Wundinfektion - postoperatives Management - Wundheilung
Key words
Wound infection - postoperative management - wound healing
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Dr. med. Roger Kuhn
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie · Otto-von-Guericke Universität Magdeburg
Leipziger Str. 44
39120 Magdeburg
Phone: 03 91/6 71 55 22
Fax: 03 91/6 71 43 22
Email: Roger.Kuhn@medizin.uni-magdeburg.de