[The present state of vacuum sealing]. / Der Stand der Vakuumversiegelung.
Chirurg
; 75(5): 492-7, 2004 May.
Article
en De
| MEDLINE
| ID: mdl-15071733
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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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
/
Legrado por Aspiración
/
Técnicas de Sutura
/
Recuperación del Miembro
/
Extremidades
/
Apósitos Oclusivos
Tipo de estudio:
Clinical_trials
/
Guideline
Aspecto:
Ethics
Límite:
Humans
Idioma:
De
Revista:
Chirurg
Año:
2004
Tipo del documento:
Article
Pais de publicación:
ALEMANHA
/
ALEMANIA
/
DE
/
DEUSTCHLAND
/
GERMANY