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Wundkonditionierung und temporäre Wundabdeckung vor Transplantation: Allogene, xenogene und biosynthetische Membranen

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Hauttransplantation

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Zusammenfassung

Bei großflächigen Verbrennungen, die mehr als 70 % der Körperoberfläche betreffen, haben die üblich verwendeten chirurgischen Verfahren wie autologe Spalthauttransplantation mangels vorhandener Spendenareale ihre Limitierung. Oberflächlich dermale Verbrennungen können mit einer konservativen Therapie endgültig versorgt werden. Bei solchen konservativen Maßnahmen handelt es sich um determinierte Verfahren, die sowohl temporär als auch bis zum Wundverschluss zum Einsatz kommen können. Wir unterscheiden biologische Hautersatzmaterialien (allogene Transplantate wie Spenderhau oder Amnion), xenogene Transplantate (Schweine- und Froschhaut) als auch biosynthetische (z. B. Biobrane®) und synthetische (z. B. Suprathel®) Hautersatzmaterialien. Ziel der temporären Wundabdeckungen ist es, die Wundfläche vor Infektionen zu schützen, den transsudativen und vaporisierenden Flüssigkeitsverlust zu vermindern und den Wundgrund für ein später durchgeführtes endgültiges Deckungsverfahren zu konditionieren

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Authors and Affiliations

  1. Klinische Abteilung für Plastische, Ästhetische und Rekonstruktive Chirurgie, Universitätsklinik für Chirurgie, Medizinische Universität Graz, Graz, Österreich

    Paul Wurzer

  2. University of Texas Medical Branch-Galveston & Shriners Hospitals for Children, Galveston Burns Hospital, Galvaston, USA

    David N. Herndon

  3. Divison of plastic Surgery, Department Of Surgery, Shriners, Zentrum für Schwerbrandverletzte, Galvaston, USA

    Ludwik K. Branski

Authors
  1. Paul Wurzer
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  2. David N. Herndon
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  3. Ludwik K. Branski
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Correspondence to Paul Wurzer .

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Editors and Affiliations

  1. Unitransferklinik, Medizinische Universität zu Lübeck, Lübeck, Deutschland

    Christian Ottomann

  2. Zentrum für Schwerbrandverletzte Plastische Chirurgie, Unfallkrankenhaus Berlin, Berlin, Deutschland

    Bernd Hartmann

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Wurzer, P., Herndon, D.N., Branski, L.K. (2022). Wundkonditionierung und temporäre Wundabdeckung vor Transplantation: Allogene, xenogene und biosynthetische Membranen. In: Ottomann, C., Hartmann, B. (eds) Hauttransplantation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62060-1_8

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  • DOI: https://doi.org/10.1007/978-3-662-62060-1_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-62059-5

  • Online ISBN: 978-3-662-62060-1

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