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Komplikationen bei der Versorgung akuter Wunden

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Book cover Komplikationsmanagement in der Chirurgie

Zusammenfassung

Obwohl die akute Wundversorgung global nach den gleichen Standards abläuft, die einfach und unkompliziert umzusetzen sind, kommt es hierbei nicht selten zu verzögerten Heilungsprozessen, Infektionen und sekundärer Wundheilung und damit auch zu verlängerter oder wiederholter Behandlungspflichtigkeit. Hierdurch entsteht einerseits ein relevanter ökonomischer Aspekt, andererseits können gerade scheinbar „einfache“ Wundbehandlungen zu Endlosgeschichten bei fehlerhafter Behandlung oder Komplikationen werden. Aus diesem Grund nimmt eine effiziente und insbesondere komplikationsarme Versorgung akuter Wunden einen steigenden Stellenwert ein. Die akute Situation verhindert oft eine profunde Aufklärung über die Behandlungskonsequenzen und vielfach ist für die betroffenen Patienten in dieser Situation die Tragweite der Verletzung und der Behandlung gar nicht zu erfassen, sodass Missverständnisse bezüglich des Behandlungskonzepts und -erfolgs nicht selten sind.

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Literatur

  • Abrahamian FM, Goldstein EJC (2011) Microbiology of animal bite wound infections. Clin Microbiol Rev 24(2):231–246

    Article  PubMed Central  PubMed  Google Scholar 

  • Aköz T, Gideroğlu K, Akan M (2002) Combination of different techniques for the treatment of earlobe keloids. Aesthetic plastic surgery 26(3):184–188. doi:10.1007/s00266-002-1490-3

    Article  PubMed  Google Scholar 

  • Bayat A, Arscott G, Ollier WER, Ferguson MWJ, Mc Grouther DA (2004) Description of site-specific morphology of keloid phenotypes in an Afrocaribbean population. British journal of plastic surgery 57(2):122–133. doi:10.1016/j.bjps.2003.11.009

    Article  CAS  PubMed  Google Scholar 

  • Blackman JR (1998) Man’s best friend? The Journal of the American Board of Family Practice/American Board of Family Practice 11(2):167–9 (http://www.ncbi.nlm.nih.gov/pubmed/9542712)

    Article  CAS  PubMed  Google Scholar 

  • Boenning DA, Fleisher GR, Campos JM (1983) Dog bites in children: epidemiology, microbiology, and penicillin prophylactic therapy. The American journal of emergency medicine, 1(1), 17–21. http://www.ncbi.nlm.nih.gov/pubmed/6680604. Zugegriffen: 4.10.2014

    Google Scholar 

  • Brissett AE, Sherris DA (2001) Scar contractures, hypertrophic scars, and keloids. Facial plastic surgery FPS 17(4):263–272. doi:10.1055/s-2001-18827

    Article  CAS  PubMed  Google Scholar 

  • Britto JA, Elliot D (2001) Aggressive keloid scarring of the Caucasian wrist and palm. British journal of plastic surgery 54(5):461–462. doi:10.1054/bjps.2000.3589

    Article  CAS  PubMed  Google Scholar 

  • Brook I (1989) Human and animal bite infections. The Journal of family practice, 28(6), 713–8. http://www.ncbi.nlm.nih.gov/pubmed/2656906,. Zugegriffen: 4.10.2014

    Google Scholar 

  • Callaham M (1980) Dog bite wounds. JAMA the journal of the American Medical Association 244(20):2327–2328 (http://www.ncbi.nlm.nih.gov/pubmed/7001059)

    Article  CAS  PubMed  Google Scholar 

  • Callaham M (1994) Prophylactic antibiotics in dog bite wounds: nipping at the heels of progress. Annals of emergency medicine 23(3):577–579 (http://www.ncbi.nlm.nih.gov/pubmed/8135437)

    Article  CAS  PubMed  Google Scholar 

  • Colombet I, Saguez C, Sanson-Le Pors M-J, Coudert B, Chatellier G, Espinoza P (2005) Diagnosis of tetanus immunization status: multicenter assessment of a rapid biological test. Clinical and diagnostic laboratory immunology 12(9):1057–1062. doi:10.1128/CDLI.12.9.1057-1062.2005

    CAS  PubMed Central  PubMed  Google Scholar 

  • Cummings P (1994) Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Annals of emergency medicine 23(3):535–40 (http://www.ncbi.nlm.nih.gov/pubmed/8135429)

    Article  CAS  PubMed  Google Scholar 

  • Dendle C, Looke D (2009) Management of mammalian bites. Australian family physician 38(11):868–874 (http://www.ncbi.nlm.nih.gov/pubmed/19893832)

    PubMed  Google Scholar 

  • Endom E (2013) Initial management of animal and human bites. http://www.uptodate.com (Erstellt: December 27, 2013). Zugegriffen: 27.12.2013

    Google Scholar 

  • Fleisher GR (1999) The management of bite wounds. The New England journal of medicine 340(2):138–140. doi:10.1056/NEJM199901143400210

    Article  CAS  PubMed  Google Scholar 

  • Franz MG, Steed DL, Robson MC (2007) Optimizing healing of the acute wound by minimizing complications. Current problems in surgery 44(11):691–763. doi:10.1067/j.cpsurg.2007.07.001

    Article  PubMed  Google Scholar 

  • Franz MG, Robson MC, Steed DL, Barbul A, Brem H, Cooper DM, Wiersema-Bryant L et al (2008) Guidelines to aid healing of acute wounds by decreasing impediments of healing. Wound repair and regeneration official publication of the Wound Healing Society [and] the European Tissue Repair Society 16(6):723–748. doi:10.1111/j.1524-475X.2008.0427x

    Article  Google Scholar 

  • Franz T, Vögelin E (2012) Aseptic tissue necrosis and chronic inflammation after irrigation of penetrating hand wounds using Octenisept®. The Journal of hand surgery European volume 37(1):61–64. doi:10.1177/1753193411414353

    Article  CAS  Google Scholar 

  • Gauglitz GG (2013) Management of keloids and hypertrophic scars: current and emerging options. Clinical cosmetic and investigational dermatology 6:103–114. doi:10.2147/CCID.S35252

    Article  Google Scholar 

  • Gawenda M (1996) Therapeutische Sofortmaßnahmen und Behandlungsstrategien bei Bissverletzungen. Dtsch Arztebl 93:1959–1963

    Google Scholar 

  • Goldstein EJ (1992) Bite wounds and infection. Clin Infect Dis 14(3):633–638

    Article  CAS  PubMed  Google Scholar 

  • Hatamabadi HR, Abdalvand A, Safari S, Kariman H, Dolatabadi AA, Shahrami A, Hosseini M et al (2011) Tetanus Quick Stick as an applicable and cost-effective test in assessment of immunity status. The American journal of emergency medicine 29(7):717–720. doi:10.1016/j.ajem.2010.01.046

    Article  PubMed  Google Scholar 

  • Hawkins J, Paris PM, Stewart RD (1983) Mammalian bites. Rational approach to management. Postgraduate medicine, 73(6), 52–64. http://www.ncbi.nlm.nih.gov/pubmed/6856542. Zugegriffen: 4.10.2014

    Google Scholar 

  • Health Quality Ontario (2006) Negative pressure wound therapy: an evidence-based analysis. Ontario health technology assessment series, 6(14), 1–38. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3379164undtool=pmcentrezundrendertype=abstract

    Google Scholar 

  • Henton J, Jain A (2012) Cochrane corner: antibiotic prophylaxis for mammalian bites (intervention review). The Journal of hand surgery European volume 37(8):804–806. doi:10.1177/1753193412452204

    Article  CAS  Google Scholar 

  • Högele AM, Neu J (2011) Wound closure after irrigation with Octenisept® without possibility for drainage. Der Unfallchirurg 114(1):70–72. doi:10.1007/s00113-010-1942-1

    Article  PubMed  Google Scholar 

  • Hülsemann W, Habenicht R (2009) Severe side effects after Octenisept irrigation of penetrating wounds in children. Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefäße Organ der Vereinigung der Deut 41(5):277–282. doi:10.1055/s-0029-1238282

    Google Scholar 

  • Hunasgi S, Koneru A, Vanishree M, Shamala R (2013) Keloid: A case report and review of pathophysiology and differences between keloid and hypertrophic scars. Journal of oral and maxillofacial pathology JOMFP 17(1):116–120. doi:10.4103/0973-029X.110701

    Article  PubMed Central  PubMed  Google Scholar 

  • Jobmann S (2013) Bite injuries. MMW Fortschritte der Medizin, 155(5), 54–55. http://www.ncbi.nlm.nih.gov/pubmed/23654133. Zugegriffen: 4.10.2014

    Google Scholar 

  • Kalteis T, Lüring C, Schaumburger J, Perlick L, Bäthis H, Grifka J (2003) Tissue toxicity of antiseptics. Zeitschrift für Orthopädie und ihre Grenzgebiete 141(2):233–238. doi:10.1055/s-2003-38654

    Article  CAS  PubMed  Google Scholar 

  • Maimaris C, Quinton DN (1988) Dog-bite lacerations: a controlled trial of primary wound closure. Archives of emergency medicine, 5(3), 156–61. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1285519undtool=pmcentrezundrendertype=abstract

    Google Scholar 

  • Marcus et al. (2013) Deutsch-Österreichische Leitlinien zur Postexpositionellen Prophylaxe der HIV-Infektion, Deutsche AIDS-Gesellschaft, AWMF-Register-Nr. 055/004, Version vom 13..6.2013

    Google Scholar 

  • Osswald SS, Elston DM, Vogel PS (2003) Giant right plantar keloid treated with excision and tissue-engineered allograft. Journal of the American Academy of Dermatology 48(1):131–134. doi:10.1067/mjd.2003.48

    Article  PubMed  Google Scholar 

  • Paulke-Korinek M, Rendi-Wagner P, Kundi M, Tomann B, Wiedermann U, Kollaritsch H (2008) Pretravel consultation: rapid dipstick test as a decision guidance for the application of tetanus booster vaccinations. Journal of travel medicine 15(6):437–441. doi:10.1111/j.1708-8305.2008.00252.x

    Article  PubMed  Google Scholar 

  • Peinemann F, Sauerland S (2011) Negative-pressure wound therapy: systematic review of randomized controlled trials. Deutsches Ärzteblatt international 108(22):381–389. doi:10.3238/arztebl.2011.0381

    PubMed Central  PubMed  Google Scholar 

  • Rieck B (2001) Verletzungen von Menschen durch Hundebisse. Kleintiermed 4:160–166

    Google Scholar 

  • Rieck B (2005) Hundebissverletzungen beim Kind. Monatsschrift Kinderheilkunde 153(8):789–795. doi:10.1007/s00112-005-1177-3

    Article  Google Scholar 

  • Robert Koch-Institut (2011) Tollwut in Deutschland: Gelöstes Problem oder versteckte Gefahr? Epid Bull, 8, 57–61. http://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2011/Ausgaben/08_11.html. Zugegriffen: 4.10.2014

    Google Scholar 

  • Robert Koch-Institut (2014) Empfehlungen der Ständigen Impfkommission (STIKO) am Robert Koch-Institut/Stand: 25. August 2014. Epid Bull 34:326–328

    Google Scholar 

  • Robles DT, Berg D (2007) Abnormal wound healing: keloids. Clinics in dermatology 25(1):26–32. doi:10.1016/j.clindermatol.2006.09.009

    Article  PubMed  Google Scholar 

  • Sandler B (1999) Recurrent plantar keloid. Cutis, 63 (6), 325–326. http://www.ncbi.nlm.nih.gov/pubmed/10388951. Zugegriffen: 4.10.2014

    Google Scholar 

  • Schupp CJ, Holland-Cunz S (2009) Persistent subcutaneous oedema and aseptic fatty tissue necrosis after using octenisept. European journal of pediatric surgery official journal of Austrian Association of Pediatric Surgery … [et al] = Zeitschrift für Kinderchirurgie 19(3):179–183. doi:10.1055/s-0029-1216379

    CAS  Google Scholar 

  • Singer AJ, Hollander JE, Quinn JV (1997) Evaluation and management of traumatic lacerations. The New England journal of medicine 337(16):1142–1148. doi:10.1056/NEJM199710163371607

    Article  CAS  PubMed  Google Scholar 

  • Stubbe M, Mortelmans LJM, Desruelles D, Swinnen R, Vranckx M, Brasseur E, Lheureux PE (2007) Improving tetanus prophylaxis in the emergency department: a prospective, double-blind cost-effectiveness study. Emergency medicine journal EMJ 24(9):648–653. doi:10.1136/emj.2007.048520

    Article  PubMed Central  PubMed  Google Scholar 

  • Tautenhahn J, Jannasch O, Lippert H (2007) Wunde, Wundheilung, Wundbehandlung. Allgemeine und Viszeralchirurgie up2date 3(3):201–215. doi:10.1055/s-2007-965637

    Article  Google Scholar 

  • Thomas N, Brook I (2011) Animal bite-associated infections: microbiology and treatment. Expert review of anti-infective therapy 9(2):215–226. doi:10.1586/eri.10.162

    Article  PubMed  Google Scholar 

  • Thompson CM, Hocking AM, Honari S, Muffley LA, Ga M, Gibran NS (2013) Genetic risk factors for hypertrophic scar development. Journal of burn care und research official publication of the American Burn Association 34(5):477–482. doi:10.1097/BCR.0b013e3182a2aa41

    Article  Google Scholar 

  • World Organisation for Animal Health (OIE) (2010) Terrestrial Animal Health Code, Ninetieth Edition. http://www.oie.int/doc/ged/D7600.PDF. Zugegriffen: 28.12.2013

    Google Scholar 

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Correspondence to Dorothea Herter Dr. med. .

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Herter, D., Lerchenberger, M., Khandoga, A. (2015). Komplikationen bei der Versorgung akuter Wunden. In: Rentsch, M., Khandoga, A., Angele, M., Werner, J. (eds) Komplikationsmanagement in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43475-8_9

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  • DOI: https://doi.org/10.1007/978-3-662-43475-8_9

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