{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T14:29:59Z","timestamp":1684765799693},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Einleitung<\/jats:title>\n                <jats:p>Anhand einer Fallserie berichten wir \u00fcber unsere ersten Erfahrungen mit einer intrathorakalen Unterdrucktherapie (ITNPT) in der stadienadaptierten Therapie des Pleuraempyems (PE).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Die ITNPT ist eine Weiterentwicklung der Unterdrucktherapie f\u00fcr die intrathorakale Anwendung. Nach thoraxchirurgischem offenen D\u00e9bridement wurde ein intrathorakaler Unterdruckverband installiert. Als Drainageelemente verwendeten wir eine d\u00fcnne offenporige doppellagige Drainagefolie (OF) mit offenporigen Polyurethansch\u00e4umen (PUS). Ausschlie\u00dflich die OF wurde in direktem Kontakt zum Lungenparenchym angelegt. Die Unterdruckerzeugung erfolgte mit einer elektronischen Pumpe (kontinuierlicher Sog, \u221275\u202fmm\u202fHg). In der Revisionthorakotomie wurde je nach Lokalbefund die ITNPT beendet oder fortgef\u00fchrt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es wurden 31\u00a0Patienten im PE-Stadium\u00a0II und III behandelt. Die ITNPT erfolgte bereits beim Prim\u00e4reingriff (<jats:italic>n<\/jats:italic>\u202f=\u200917) oder bei Revision (<jats:italic>n<\/jats:italic>\u202f=\u200914). Die ITNPT erfolgte \u00fcber einen Dauer von <jats:italic>m<\/jats:italic>\u202f=\u200910 Tagen (2\u201318\u00a0Tage), Wechselintervall <jats:italic>m<\/jats:italic>\u202f=\u20094\u00a0d (2\u20136\u00a0d). Die intrathorakaler Unterdruckverband-Anlage wurde in <jats:italic>m<\/jats:italic>\u202f=\u20093,5 (1\u20136) mal vorgenommen.<\/jats:p>\n                <jats:p>Die Empyemh\u00f6hle verkleinerte und reinigte sich unter dem Sog kontinuierlich. Die OF hat ein minimales Eigenvolumen bei maximaler Resorptionsoberfl\u00e4che. Nach Anlage des Unterdrucks besteht kein intrathorakales Totvolumen, das Parenchym kann sich entfalten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die schonenden Materialeigenschaften der OF erm\u00f6glichen die ITNPT zur Behandlung des Pleuraempyems. Es ist eine gezielte lokale intrathorakale Sanierung des septischen Focus in Erg\u00e4nzung zur operativen Therapie m\u00f6glich. Das Behandlungsregime erfordert wiederholte operative Verbandswechsel. Die Methode ist geeignet zur Behandlung komplizierter PIeuraempyeme im Stadium II und III.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Konklusion<\/jats:title>\n                <jats:p>Die OF kann als intrathorakales Drainageelement zur ITNPT bei Pleuraempyemen verwendet werden. Das Indikationsspektrum der Unterdrucktherapie erweitert sich um diese neue Anwendungsoption.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-022-01800-x","type":"journal-article","created":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T01:03:10Z","timestamp":1675904590000},"page":"349-360","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Intrathorakale Unterdrucktherapie des Pleuraempyems unter Einsatz einer offenporigen Drainagefolie","Intrathoracic negative pressure therapy of pleural empyema using an open-pored drainage film"],"prefix":"10.1007","volume":"94","author":[{"given":"Viktoria","family":"Betz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"van Ackeren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernst","family":"Scharsack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Stark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian Theodor","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Loske","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"1800_CR1","unstructured":"Adams O, Ankermann T, Baumann U, Brinkmann F, Bruns R, Dahlheim , Ewig S, Forster J, Hofmann G, Kemen C, L\u00fcck C, Nadal D, N\u00fc\u00dflein T, Regamey N, Riedler J, Schmidt S, Schwerk N, Seidenberg J, Tenenbaum T, Trapp S, van der Linden M. 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V.\u00a0Betz, V.\u00a0van Ackeren, E.\u00a0Scharsack, B.\u00a0Stark und C.T.\u00a0M\u00fcller geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden  im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Von allen beteiligten Patient\/-innen liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}