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Enzymatisches Débridement der Verbrennungswunde

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Verbrennungschirurgie

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Zusammenfassung

Die frühzeitige Entfernung des Verbrennungsschorfs ist eine Anforderung an die moderne Verbrennungsbehandlung. Enzymatische Débridementmethoden tiefer Verbrennungswunden wurden bereits vor über 60 Jahren beschrieben. Hierbei kamen insbesondere Enzyme pflanzlichen und bakteriellen Ursprungs zum Einsatz. Diese wurden aber seit den 70er Jahren des vergangenen Jahrhunderts durch die Frühnekrektomie weitestgehend verdrängt, weshalb sich die chirurgische Behandlung angesichts ihrer hohen Effektivität bisweilen als Standardbehandlungstechnik etabliert hat. In diesem Beitrag wird einerseits die Geschichte des enzymatischen Débridements und andererseits aktuell die Anwendung und der Vorteil der selektiven Wirkung eines neuen bromelainbasierten Enzymmixes in der Behandlung tief zweit- und drittgradiger Verbrennungen dargestellt.

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Authors and Affiliations

  1. Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie, Unfallkrankenhaus Berlin, Warener Straße 7, D-12683, Berlin

    Dr. med. Frank Sander

  2. Department of Plastic and Reconstructive Surgery, Soroka University Medical Center, POB 151, Beer Sheva

    Prof. Lior Rosenberg MD

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  1. Dr. med. Frank Sander
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  2. Prof. Lior Rosenberg MD
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Editors and Affiliations

  1. BG-Universitätsklinikum Bergmannsheil Bochum, Bochum, Deutschland

    Marcus Lehnhardt

  2. Unfallkrankenhaus Berlin, Berlin, Deutschland

    Bernd Hartmann

  3. Klinikum Nürnberg, Nürnberg, Deutschland

    Bert Reichert

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Sander, F., Rosenberg, L. (2016). Enzymatisches Débridement der Verbrennungswunde. In: Lehnhardt, M., Hartmann, B., Reichert, B. (eds) Verbrennungschirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54444-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-54444-6_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54443-9

  • Online ISBN: 978-3-642-54444-6

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