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Notfallchirurgie

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Facharztwissen Viszeral- und Allgemeinchirurgie

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Zusammenfassung

Die Indikationen zur operativen Notfallbehandlung in der Viszeralchirurgie werden oft unter der generellen Bezeichnung des „akuten Abdomens“ zusammengefasst. Das akute Abdomen ist ein anspruchsvolles chirurgisches Szenario. Es sollte deswegen alles eingesetzt werden, um zu einer korrekten Diagnose zu kommen, die abhängig von Alter und Geschlecht sehr unterschiedlich ist. Die Appendizitis tritt häufiger bei jungen Patienten, biliäre Erkrankungen, intestinale Ischämie oder Divertikulitis treten häufiger bei älteren Patienten auf. Das abdominelle Kompartmentsyndrom stellt eine selbstständige Entität dar, die sich meist nach vorangegangener Operation oder Intervention entwickelt. Wegen der hauptsächlich chirurgischen Strategie der Behandlung sollte eine zügige diagnostische Aufarbeitung erfolgen. Laborchemische und apparative Untersuchungen sind meist notwendig und sollten sich an der Anamnese und klinischen Untersuchung orientieren.

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Author information

Authors and Affiliations

  1. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    B. Weixler

  2. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    R. A. Droeser

  3. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    D. Oertli

  4. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    R. Mechera

  5. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    C. A. Nebiker

  6. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    D. Senn

  7. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    H. Misteli

  8. Klinik für Allgemeinchirurgie, Universitätsspital Basel, Spitalstrasse 21, CH-4031, Basel, Schweiz

    H. Hoffmann

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  1. B. Weixler
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Corresponding author

Correspondence to B. Weixler .

Editor information

Editors and Affiliations

  1. Klinik für Allgemeine Chirurgie, UKSH, Campus Lübeck, Lübeck, Germany

    Franck Billmann

  2. Klinik für Allgemeine Chirurgie, UKSH, Campus Lübeck, Lübeck, Germany

    Tobias Keck

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Weixler, B. et al. (2017). Notfallchirurgie. In: Billmann, F., Keck, T. (eds) Facharztwissen Viszeral- und Allgemeinchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48308-4_16

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  • DOI: https://doi.org/10.1007/978-3-662-48308-4_16

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48307-7

  • Online ISBN: 978-3-662-48308-4

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