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Der Stand der Vakuumversiegelung

The present state of vacuum sealing

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Zusammenfassung

Die Vakuumversiegelung hat sich als Behandlungsverfahren akuter und chronischer Wunden im gesamten chirurgischen Fachbereich etabliert. Die Methode vereint die Möglichkeit des Okklusivverbandes mit den Vorteilen der Vakuumapplikation. Der beschleunigte Heilungsprozess verkürzt die Behandlungsdauer und führt zu einer Kosteneffizienz. Für Vakuumsog und Schwamm existieren anerkannte Einsatzgebiete, welche sich an der Wundart sowie der Verwendung orientieren. Die Anwendung kann ambulant oder stationär erfolgen. Die Methode ist eine Form des temporären Wundverschlusses und kein Ersatz für eine chirurgische Therapie. Dem Defizit an pathophysiologischer Grundlagenforschung und randomisierten Studien steht die Bestätigung der klinischen Wirksamkeit aus einer Vielzahl von Anwendungsbeobachtungen und Falldarstellungen gegenüber.

Abstract

In cases of extended post-traumatic soft-tissue and bone loss as well as with mutilating infection or radical tumor resection, multidisciplinary options are required to salvage extremities and functional rehabilitation. A surgical team approach allows for reduction of amputation rates, wound healing complications, and secondary procedures in limb oncology and trauma. The goals and limitations of cooperative surgical concepts are described. In the future, continuing medical education will focus not only on indications and techniques but also on complication management, medicolegal problems, and economic deficits due to maladapted legal structures. Provided clear clinical pathways are introduced to guide indications, surgical procedures, and postoperative treatment, marked financial deficits may be avoided. While, in the past, responsibility for the patient and ethical considerations resulted in the development of voluntary interdisciplinary treatment programs, economic strategies and an increasing number of malpractice suits in the future will inevitably produce new imperatives for interdisciplinary cooperation.

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  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Medizinische Fakultät der Otto-von-Guericke-Universität Magdeburg

    J. Tautenhahn, T. Bürger & H. Lippert

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Medizinische Fakultät der Otto-von-Guericke-Universität, Leipziger Straße 44, 39120 , Magdeburg

    J. Tautenhahn

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  1. J. Tautenhahn
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  2. T. Bürger
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  3. H. Lippert
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Correspondence to J. Tautenhahn.

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Tautenhahn, J., Bürger, T. & Lippert, H. Der Stand der Vakuumversiegelung. Chirurg 75, 492–497 (2004). https://doi.org/10.1007/s00104-004-0844-6

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