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Haut- und Weichteilentzündungen und Wundmanagement

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Allgemeinchirurgische Patienten in der Hausarztpraxis

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Zusammenfassung

Eine Wunde ist die Unterbrechung des Gewebszusammenhangs an äußeren oder inneren Körperoberflächen mit oder ohne Gewebeverlust. Zumeist ist sie durch äußere Gewalt verursacht, kann aber auch alleinige Folge einer Krankheit sein, wie etwa beim Geschwür (Ulkus). Die häufigste Ursache für eine Entzündung ist eine banale Verletzung, durch die Krankheitserreger in die Weichteile eindringen. Die Behandlungsmöglichkeiten von Wunden und Entzündungen der Weichteile, auch von speziellen Formen wie dem diabetischen Fuß, dem Ulcus cruris venosum, bei Vorliegen eines Dekubitus sowie die Narbenbehandlung, werden in diesem Kapitel beschrieben.

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Literatur

  • Altmann S, Fansa H, Schneider W (2004) Axillary hidradenitis suppurativa: A further option for surgical treatment. J Cutan Med Surg 8:6–10

    Article  CAS  PubMed  Google Scholar 

  • Armstrong DG, Lavery LA (2005) Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial. Lancet 366(9498):1704–1710

    Article  PubMed  Google Scholar 

  • Aust MC et al. (2008a) Percutaneous collagen induction therapy (PCI) – An alternative treatment for scars, wrinkles and skin laxity. Plast Reconstr Surg 121:1421–1429

    Article  CAS  PubMed  Google Scholar 

  • Aust MC, Reimers K, Stahl F et al. (2008b) Percutaneous Collagen Induction (PCI) – Minimally invasive skin rejuvenation without risk of hyperpigmentation – fact or fiction? Plast Reconstr Surg 122:1553–1563

    Article  CAS  PubMed  Google Scholar 

  • Balci DD, Inandi T, Dogramaci CA, Celik E (2009) DLQI scores in patients with keloids and hypertrophic scars: a prospective case control study. J Dtsch Dermatol Ges 7: 688–92

    PubMed  Google Scholar 

  • Bascom J (1980) Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery 87:567–72

    Google Scholar 

  • Bernhard P, Bedane C, Mounier M et al. (1989) Streptococcal cause of erysipelas and cellulitis in adults. Arch Dermatol 125:779–782

    Article  Google Scholar 

  • Blair SD, Jarvis P, Salmon M, McCollum C (1990) Clinical Trial of calcium alginate haemostatic swabs. Br J Surg 77(5): 568–70 Epub 1990/05/01

    Article  CAS  PubMed  Google Scholar 

  • Bowling FL, Crews RT, Salgami E, Armstrong DG, Boulton AJ (2011) The use of superoxidized aqueous solution versus saline as a replacement solution in the versajet lavage system in chronic diabetic foot ulcers: a pilot study. J Am Podiatr Med Assoc 101(2):124–6

    Article  PubMed  Google Scholar 

  • Chartier C, Grosshans E (1990) Erysipelas. Int J Dermatol 29:456–467

    Article  Google Scholar 

  • Combemale P, Bousquet M, Kanitakis J, Bernard P (2007) Angiodermatology Group, French Society of Dermatology. Malignant transformation of leg ulcers: a retrospective study of 85 cases. J Eur Acad Dermatol Venereol. 21(7):935–41

    Article  CAS  PubMed  Google Scholar 

  • De la Brassinne M, Thirion L, Horvat LI (2006) A novel method of comparing the healing properties of two hydrogels in chronic leg ulcers. J Eur Acad Dermatol Venereol 20(2):131–5

    Article  PubMed  Google Scholar 

  • De Smet, Kris et al. (2009) Pre-clinical evaluation of a new antimicrobial enzyme for the control of wound bioburden wounds-a compendium of clinical research and practice:65–73

    Google Scholar 

  • Doll D, Friederichs J et al. (2008) Time and rate of sinus formation in pilonidal sinus disease. Int J Colorectal Dis 23:359–364

    Article  PubMed  Google Scholar 

  • Fazeli MS, Lebaschi AH et al. (2008) Evaluation of the outcome of complete sinus excision with reconstruction of the umbilicus in patients with umbilical pilonidal sinus. World J Surg 32:2305–8

    Article  PubMed  Google Scholar 

  • Fernandez R, Griffiths R (2012) Water for wound cleansing. Cochrane Database Syst Rev

    Google Scholar 

  • Gobara N, Trautinger F (2007) Bakterielle Haut- und Weichteilinfektionen. Hautnah 4

    Google Scholar 

  • Griffiths RD, Fernandez RS, Sia CA (2001) Is tap water a safe alternative to normal saline for wound irrigation in the community setting? Journal of Wound Care 10(10): 407–11

    Article  CAS  PubMed  Google Scholar 

  • Harding KG, Jones VP, Price P (2000) Topical treatment:which dressing to choose. Diabet Metab Res Rev 16 (Suppl. 11):547–550

    Google Scholar 

  • Hübner NO, Assadian O, Müller G, Kramer A (2007) Anforderungen an die Wundreinigung mit Wasser: GMS Krankenhaushyg Interdiszip

    Google Scholar 

  • Iesalnieks I, Deimel S et al. (2011) Pit-picking surgery for pilonidal disease. Chirurg 82:927–31

    Article  CAS  PubMed  Google Scholar 

  • Jamal A, Shamim M et al. (2009) Open excision with secondary healing versus rhomboid excision with Limberg transposition flap in the management of sacrococcygeal pilonidal disease. J Pak Med Assoc 59:157–60

    PubMed  Google Scholar 

  • Jansen T, Altmeyer P, Plewig G (2001) Acne inversa (alias hidradenitis suppurativa). J Eur Acad Dermatol Venereol 15: 532–40

    Article  CAS  PubMed  Google Scholar 

  • Kurzen H, Schönfelder-Funcke S, Hartschuh W (2000) Surgical treatment of Acne inversa at the University of Heidelberg. Int J Coloproct 22:76–80

    Article  Google Scholar 

  • Nelson EA, Bradley MD (2007) Dressings and topical agents for arterial leg ulcers. The Cochrane library

    Google Scholar 

  • O’Meara S, Martyn-St James M (2013) Alginate dressings for nenous leg ulcers. The Cochrane library

    Google Scholar 

  • Ommer A, Pitt C et al. (2004) Sinus pilonidalis – primarer Verschluss auch beim Abszess? Zentralbl Chir 129: 216–9

    Google Scholar 

  • Plewig G, Steger M (1989) Acne inversa (alias acne triad, acne tetrad or hidradenitis suppurativa). In: Marks R, Plewig G (Hrsg.) Acne and related disorders. London: Martin Dunitz;345–57

    Google Scholar 

  • Protz K, Hinnerk J (2009) Moderne Wundversorgung. 5. Aufl. Elsevier, München

    Google Scholar 

  • Rambhatla PV, Lim HW, Hamzavi I (2012) A systematic review of treatments for hidradenitis suppurativa. Arch Dermatol 148(4):439–46. doi: 10.1001/archdermatol.2011.1950. Epub 2011 Dec 19. Review

    Google Scholar 

  • Revuz JE, Canoui-Poitrine F, Wolkenstein P, Viallette C, Gabison G, Pouget F, Poli F, Faye O, Roujeau JC, Bonnelye G, Grob JJ, Bastuji-Garin S (2008) Prevalence and factors associated with hidradenitis suppurativa: results from two casecontrol studies. J Am Acad Dermatol 5:596–601

    Article  Google Scholar 

  • Ritz JP, Runkel N, Haier J, Buhr HJ (1998) Extent of surgery and recurrence rate of hidradenitis suppurativa. Int J Colorect Dis 13:164–8,

    Article  CAS  Google Scholar 

  • Romanelli M, Dini V, Barbanera S, Bertone MS (2010) Evaluation of the efficacy and tolerability of a solution containing propyl betaine and polihexanide for wound irrigation. Skin Pharmacol Physiol 23:41–4

    Article  CAS  PubMed  Google Scholar 

  • S1-Leitlinie zur Therapie der Hidradenitis suppurativa/Acne inversa, gültig bis 31.12.2017

    Google Scholar 

  • S3-Leitlinie 091-001 (2012) Lokaltherapie chronischer Wunden bei den Risiken CVI, pAVK und Diabetes mellitus

    Google Scholar 

  • S3-Leitlinie: Sinus pilonidalis, Stand: 04/2014

    Google Scholar 

  • Shih B, Bayat A (2010) Genetics of keloid scarring. Arch Dermatol Res 302: 319–39

    Google Scholar 

  • Siebenschuh I, Rösken F, Koschnick M, Räkers H, Arfors KE, Mutschler W, Menger MD (1998) Local administration of hyaluronic acid for improving wound healing in diabetes]. Langenbecks Arch Chir Suppl Kongressbd 115 (Suppl I): 467–8

    Google Scholar 

  • SIGN – Scottish Intercollegiate Guidelines Network. The Care of Patients with Chronic leg ulcer – a national clinical guideline. Edinburgh, 1998

    Google Scholar 

  • Sondenaa K, Andersen E et al. (1995) Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis 10:39–42

    Google Scholar 

  • Stulberg DL, Penrod MA, Blatny RA (2002) Common bacterial skin infections. Family Physician 66;1:119–124

    Google Scholar 

  • Vandenbulcke K, Horvat LI, De Mil M, Slegers G, Beele H (2006) Evaluation of the antibacterial activity and toxicity of 2 new hydrogels: a pilot study. Int J Low Extrem Wounds 5(2):109–14

    Article  PubMed  Google Scholar 

  • Velpeau A (1839) Aissele. In: <edrgx>Bechet Jeune Z</edrgx> (Hrsg.) Dictionnaire de médecine, un repertoire générale des Sciences Médicals sous le rapport théorique et pratique. 2. Aufl. Paris 2:91

    Google Scholar 

  • Vogt PM (2011) Praxis der Plastischen Chirurgie. Springer, Heidelberg

    Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik für Plastische, Handund Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover

    Dr. med. G.F. Broelsch & A. Meybohm

  2. Direktor der Klinik für Plastische, Handund Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Sraße 1, 30625, Hannover

    Prof. Dr. med. P.M. Vogt

Authors
  1. Dr. med. G.F. Broelsch
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  2. A. Meybohm
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  3. Prof. Dr. med. P.M. Vogt
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Corresponding authors

Correspondence to G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch , P. Vogt , G. F. Broelsch or P. Vogt .

Editor information

Editors and Affiliations

  1. Klinikum Werra Meißner GmbH, Eschwege

    Michael Korenkov

  2. Hausärztlich-internistische Gemeinschaftspraxis im Ringgau, Ringgau

    Jann Hünermund

  3. Gesundheitszentrum Gelstertal, Großalmerode

    Jan Purr

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Broelsch, G., Meybohm, A., Vogt, P. (2016). Haut- und Weichteilentzündungen und Wundmanagement. In: Korenkov, M., Hünermund, J., Purr, J. (eds) Allgemeinchirurgische Patienten in der Hausarztpraxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47907-0_4

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  • DOI: https://doi.org/10.1007/978-3-662-47907-0_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47906-3

  • Online ISBN: 978-3-662-47907-0

  • eBook Packages: Medicine (German Language)

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