Wundheilungsstörung bei Adipositas

Zusammenfassung

Eine stetig ansteigende Zahl adipöser Patienten stellt Chirurgen vor spezifische Herausforderungen. Wundheilungsstörungen sind bei Adipositaspatienten ein häufiges Problem und führen zu einer erhöhten Morbidität. In der Folge entstehen Mehrkosten im Gesundheitswesen, bedingt durch Revisionsoperationen, häufigere Verbandwechsel und verlängerte Liegezeiten in den Kliniken einerseits sowie Arbeitsausfall und Pflegekosten andererseits. Diese Übersichtsarbeit hat zum Ziel, die Zusammenhänge zwischen Adipositas und akuten bzw. postoperativen Wundheilungsstörungen zu beleuchten sowie mögliche präventive Strategien aufzuzeigen und zu bewerten.

Summary

An increasing number of obese patients represent a specific challenge for surgeons. Wound healing disorders are frequent among obese patients resulting in major morbidity. Subsequently, increasing costs for the health system arise caused by revision procedures, frequent change of dressings and prolonged hospital stays. On the other hand, a delayed return to work und costs for nursery burden the social system. This review intends to highlight the relationships between obesity and acute, respectively postsurgical, wound healing disorders. Additionally, potential preventive strategies are depicted and evaluated.

Schlüsselwörter

Wundheilungsstörungen - chirurgische Wundkomplikationen - Adipositas - minimal-invasive Chirurgie

Keywords

Wound healing disorders - surgical wound complications - obesity - minimal-invasive surgery

• Literatur

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