{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T03:37:02Z","timestamp":1648525022084},"reference-count":23,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T00:00:00Z","timestamp":1581638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T00:00:00Z","timestamp":1581638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Augsburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurg"],"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Hintergrund<\/jats:title>\n<jats:p>Langzeitdrogenabh\u00e4ngige pr\u00e4sentieren sich nach dem Verbrauch der oberfl\u00e4chlichen Venen regelm\u00e4\u00dfig mit tiefen inguinalen vaskul\u00e4r assoziierten Abszessen infolge fortgesetzter Drogeninjektionen. Die Behandlung dieser Komplikationen stellt anhaltend eine gro\u00dfe medizinische Herausforderung dar. Bisher werden keine einheitlichen Therapieregime in der Literatur beschrieben.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Fragestellung<\/jats:title>\n<jats:p>Welche Behandlungsstrategien und Ergebnisse gibt es bei injektionsassoziierten inguinalen perivaskul\u00e4ren Abszessen bei Drogenabh\u00e4ngigen?<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Material und Methoden<\/jats:title>\n<jats:p>Die Daten aller im Zeitraum zwischen 01.01.2004 und 31.05.2019 am Universit\u00e4tsklinikum Augsburg behandelten Drogenkonsumenten wurden retrospektiv aufgearbeitet und mit der vorliegenden Literatur verglichen.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Es konnten 37\u00a0F\u00e4lle (m\u00e4nnlich\u202f=\u200925, weiblich\u202f=\u200912) nach Anwendung der Einschlusskriterien in die Datenerhebung eingeschlossen werden. Das mediane Alter im untersuchten Patientenkollektiv lag bei 34,3\u00a0Jahren. Die 30-Tage-Mortalit\u00e4t lag bei 2,7\u202f% (1\/37). Die Amputationsrate betrug 2,8\u202f%. Im untersuchten Kollektiv lag bei 13\u00a0Patienten eine arterielle Beteiligung vor. In 5\u00a0F\u00e4llen wurde prim\u00e4r arteriell ligiert. Bei weiteren 5\u00a0F\u00e4llen wurde prim\u00e4r eine Rekonstruktion mittels autologen Interponats durchgef\u00fchrt. In weiteren 3\u00a0F\u00e4llen erfolgte die Anlage eines Obturatorbypasses (1\/3) sowie die Durchf\u00fchrung einer Patchplastik (2\/3). Die Offenheitsrate nach arterieller Rekonstruktion lag bei 87,5\u202f% bei einem mittleren Follow-up von 421 Tagen. Die Gesamtkomplikationsrate lag bei 51,4\u202f%.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Diskussion<\/jats:title>\n<jats:p>Bei vaskul\u00e4rer Beteiligung ist ein situationsgerechtes Vorgehen sinnvoll. Neben der Beseitigung komplizierter, septisch-ven\u00f6ser Thrombosen erscheint die Korrektur arterieller Blutungen mittels autologer Rekonstruktionsma\u00dfnahmen aussichtsreich.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00104-020-01137-3","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T11:03:06Z","timestamp":1581678186000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Behandlungsstrategien und Ergebnisse bei injektionsassoziierten inguinalen perivaskul\u00e4ren Abszessen bei intraven\u00f6s Drogenabh\u00e4ngigen"],"prefix":"10.1007","author":[{"given":"D.","family":"Liebetrau","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Feder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Zerwes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Go\u00dflau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hyhlik-D\u00fcrr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,2,14]]},"reference":[{"key":"1137_CR1","unstructured":"https:\/\/wdr.unodc.org\/wdr2019\/. 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