Inzidenz, Komplikationen und Prophylaxe postoperativer,
peritonealer Adhäsionen[*]

Zusammenfassung.

Die Entwicklung postoperativer, peritonealer Adhäsionen lässt sich durch laparoskopische Methoden, gewebeschonende Techniken und puderfreie Handschuhe allein nicht signifikant reduzieren. Epidemiologische Daten zeigen mit Zunehmen der medizinischen Versorgung sowie der Lebenserwartung einen Anstieg adhäsions-bedingter Komplikationen und der damit einhergehenden sozio-ökonomischen Belastung. Derzeit steht für die klinische Routine in der Viszeralchirurgie kein Konzept oder Medikament zur zuverlässigen Adhäsionsprophylaxe zur Verfügung. Ergebnisse der experimentellen Forschung geben jedoch Anlass zu der Hoffnung, dass sich mittelfristig eine relevante Reduktion postoperativer Verwachsungen erreichen lassen wird.

Incidence, complications and prophylaxis of postoperative, peritoneal adhesions.

Laparoscopic approach, meticulous technique, and powder-free gloves alone are not capable to reduce formation of postoperative peritoneal adhesions to a significant degree. Epidemiologic data show rising figures of adhesion related complications and subsequent socio-economic expenditures based on an increase of available medical services and life expectancy. As of today, there is neither a regimen nor a drug available for reliable prevention of adhesions in the clinical routine of visceral surgery. Results of experimental research, however, raise hopes that a relevant reduction of adhesions will be achieved in the medium-term future.

Peritoneale Adhäsionen - Ätiologie - Pathogenese - Epidemiologie - Komplikationen - Kosten - Prophylaxe

Peritoneal adhesions - Etiology - Pathogenesis - Epidemiology - Complications - Costs - Prophylaxis

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1 Herrn Prof. H.-D. Röher zum 65. Geburtstag gewidmet.