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Herdsanierung in der operativen Intensivmedizin

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Diagnostik und Intensivtherapie bei Sepsis und Multiorganversagen

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Randomisierte Studien zur Art der Operation bei diffuser Peritonitis fehlen. Kontroverse Diskussionen, insbesondere zur Abgrenzung von programmierter Relaparotomie gegenüber einer Revision on-demand entbehren daher einer solide Grundlage an Literaturdaten. Vorteilhaft erscheint dem gegenüber die Flexibilisierung der chirurgischen Therapie befundadaptiert bei demselben Patienten während des oft langwierigen Krankheitsverlaufs. Wesentlich ist die primäre Herdkontrolle, da diese in den allermeisten Fällen die definitive Therapie darstellt. Ist die Herdkontrolle bei der Erstoperation unmöglich, muss eine programmierte Relaparotomie durchgeführt werden.

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Authors and Affiliations

  1. Abteilung für Allgemeine, Thorax-, Gefäß und Transplantationschirurgie Klinik und Poliklinik für Chirurgie, Universität Rostock, Schillingallee 35, 18055, Rostock, Germany

    Prof. Dr. med. Ernst Klar, H. P. Buthut & M. Gock

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  1. Prof. Dr. med. Ernst Klar
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  2. H. P. Buthut
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  3. M. Gock
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Editors and Affiliations

  1. Einheit für Multidisziplinäre Intensivmedizin (EMI), Universitätsklinikum Leipzig AÖR, Liebigstr. 20, 04104, Leipzig

    Lothar Engelmann

  2. Klinikum Hildesheim, Weinberg 1, 31134, Hildesheim

    Hans-Peter Schuster

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© 2006 Steinkopff Verlag

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Klar, E., Buthut, H.P., Gock, M. (2006). Herdsanierung in der operativen Intensivmedizin. In: Engelmann, L., Schuster, HP. (eds) Diagnostik und Intensivtherapie bei Sepsis und Multiorganversagen. Steinkopff. https://doi.org/10.1007/978-3-7985-1729-5_4

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  • DOI: https://doi.org/10.1007/978-3-7985-1729-5_4

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1728-8

  • Online ISBN: 978-3-7985-1729-5

  • eBook Packages: Medicine (German Language)

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