caa a22 4500 475790529 CHVBK 20180406123709.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004230050009 doi (NATIONALLICENCE)springer-10.1007/s004230050009 Postoperative necrotizing soft-tissue infections of the abdominal wall [Elektronische Daten] [P. Bertram, K. -H. Treutner, M. Stumpf, V. Schumpelick] Abstract : Objective: The aim of the underlying study was the evaluation of an aggressive surgical regimen for treatment of postoperative necrotizing soft-tissue infection (NSTI). Methods: Eight patients with postoperative NSTI of the abdominal wall after emergency (n=6) and elective (n=2) surgery were reviewed over a 9-year period. Results: Initially, three patients presented with general peritonitis. Cultured swabs from the necrotic tissue revealed three to four different types of bacteria in each patient. The mean interval between the primary operation and clinical symptoms of NSTI was 63.0 h. Control of NSTI and intra-abdominal infection was attained by scheduled re-operations on a daily basis accounting for three to six re-interventions in each patient. Temporary closure of the abdominal wall by absorbable polyglactid-acid mesh was used in six cases. Mean hospital stay was 65.3 days (18-110 days). Two of the eight patients died from cardiac arrest and multiple organ failure, respectively. Conclusions: Rapid diagnosis and onset of treatment is accomplished by the surgeons' knowledge of this disease and a close follow-up of the patients in an intensive care unit. Springer-Verlag Berlin Heidelberg, 2000 Key words Necrotizing soft-tissue infection nationallicence Abdominal wall infection nationallicence Abdominal wall reconstruction nationallicence Bertram P. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut Treutner K. -H Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut Stumpf M. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut Schumpelick V. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut https://doi.org/10.1007/s004230050009 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004230050009 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bertram P. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut NATIONALLICENCE 700 1- Treutner K. -H Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut NATIONALLICENCE 700 1- Stumpf M. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut NATIONALLICENCE 700 1- Schumpelick V. Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Universitätsklinikum der RWTH, Pauwelsstrasse 30, D-52057 Aachen, Germany e-mail: Peter.Bertram@post.rwth- aachen.de Tel: +49-241-8089335 Fax: +49-241-8888417, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer