Skip to main content
SpringerLink
Log in

Behandlungsprinzipien

  • Chapter
Chirurgische Proktologie

  • 2332 Accesses

Zusammenfassung

Für die adäquate Therapie anorektaler Erkrankungen sind unterschiedliche diagnostische Untersuchungen notwendig. Ist eine operative Therapie indiziert, muss eine spezifische Anästhesieform und evtl. eine Antibiotikaprophylaxe oder -therapie gewählt werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 239.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Literatur zu Kap. 2.1

  1. Contant CM, Hop WC, vańt Sant HP et al. (2007) Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet 370:2112–2117

    Article  PubMed  Google Scholar 

  2. Holte K, Nielsen KG, Madsen JL et al. (2004) Physiologic effects of bowel preparation. Dis Colon Rectum 47:1397–1402

    Article  PubMed  Google Scholar 

  3. Hughes ES (1972) Asepsis in large-bowel surgery. Ann R Coll Surg Engl 51:347–356

    PubMed  CAS  Google Scholar 

  4. Jung B, Pahlman L, Nystrom PO et al. (2007) Multicentre randomized clinical trial of mechanical bowel preparation in elective colonic resection. Br J Surg 94:689–695

    Article  PubMed  CAS  Google Scholar 

  5. Junghans T, Neuss H, Strohauer M et al. (2006) Hypovolemia after traditional preoperative care in patients undergoing colonic surgery is underrepresented in conventional hemodynamic monitoring. Int J Colorectal Dis 21:693–697

    Article  Google Scholar 

  6. Matthiessen P, Hallbook O, Rutegard J et al. (2007) Defunctioning stoma reduces symptomatic anastomotic eakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg 246:207–214

    Article  PubMed  Google Scholar 

  7. Nessim A, Wexner SD, Agachan F et al. (1999) Is bowel confinement necessary after anorectal econstructive surgery? A prospective, randomized, surgeon-blinded trial. Dis Colon Rectum 42:16–23

    Article  PubMed  CAS  Google Scholar 

  8. Nichols RL, Condon RE (1971) Preoperative preparation of the colon. Surg Gynecol Obstet 132:323–337

    Google Scholar 

  9. Sanders G, Mercer SJ, Saeb-Parsey K et al. (2001) Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery. Br J Surg 88:1363–1365

    Article  PubMed  CAS  Google Scholar 

  10. Schwenk W, Böhm B, Stock W (1992) Perioperative Behandlung bei elektiven kolorektalen Resektionen in Deutschland. Zentralbl Chir 117:35–43

    Google Scholar 

  11. Schwenk W, Günther N, Haase O et al. (2003) Wandel der perioperativen Therapie bei elektiven kolorektalen Resektionen in Deutschland 1991 und 2001/2002. Zentralbl Chir 128:1086–1092

    Article  PubMed  CAS  Google Scholar 

  12. Slim K, Vicaut E, Panis Y et al. (2004) Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation. British Journal of Surgery 91:1125–1130

    Article  PubMed  CAS  Google Scholar 

  13. Tan JJ, Tjandra JJ (2006) Which is the optimal bowel preparation for colonoscopy – a meta-analysis. Colorectal Dis 8:247–258

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 2.2

  1. Abramowicz M (ed) (1999) Prévention de ĺendocardite bactérienne. Med Lett Drugs Ther (édn fr) 21:95–96

    Google Scholar 

  2. Abramowicz M (ed) (1999) Prophylaxie anti-infectieuse en chirurgie. Med Lett Drugs Ther (édn fr) 21:91–95

    Google Scholar 

  3. Ambrose NS, Johnson M, Burdon DW, Keighley MRB (1985) The influence of single dose intravenous antibiotics on faecal flora and emergence of Clostridium difficile. J Antimicrob Chemother 15: 319–326

    Article  PubMed  CAS  Google Scholar 

  4. ASHP Commission on Therapeutics (1992) ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Clin Pharm 11, 483–513

    Google Scholar 

  5. Chabtree TD, Pelletier SJ, Gleason TG, Pruett TL, Sawyer RG (1999) Clinical Characteristics and Antibiotic Utilisation in Surgical Patients with Clostridium difficile-Associated Diarrhea, Am Surgeon, 65: 507–512

    Google Scholar 

  6. [6] Fry D.E. 1995 Surgical infections. Little, Brown Boston

    Google Scholar 

  7. Fukatsu K, Saito H, Matsuda T, Ikeda S, Furukawa S, Muto T (1997) Influences of Type and Duration of Antimicrobial Prophylaxis on an Outbreak of Methicillin-Resistant Staphylococcus aureus and on the Incidence of Wound Infection. Arch Surg 132: 1320–1325

    Article  PubMed  CAS  Google Scholar 

  8. [8] Garibaldi RA, Cushing D, Lerer T (1991) Risk Factors for Postoperative Infection. Am J Med 91 (Suppl 3B): 158S-163S

    Google Scholar 

  9. [9] Gilbert DN, Moellering RC, Sande MA (1999) The Sanfort Guide to Antimicrobial Therapy. 29th edn

    Google Scholar 

  10. Goldstein EJC (1992) Bite Wounds and Infection. Clin Infect Dis 14:633–638

    Article  PubMed  CAS  Google Scholar 

  11. Goodman, Gilman (1998) Pharmakologische Grundlagen der Arzneimitteltherapie, Übersetzung der 9. Aufl. McGraw-Hill, London

    Google Scholar 

  12. Hoeprich PD, Jordan MC, Ronald AR (1994) Infectious Diseases – A Treatise of Infectious Processes. Lippincott, Philadelphia

    Google Scholar 

  13. Kunin CM (1993) Resistance to antimicrobial drug – a worldwide calamity. Ann intern Med 118: 557–561

    PubMed  CAS  Google Scholar 

  14. [14] Molloy RG, Kingsmore D (2000) Life threatening pelvic sepsis after stapled hemorrhoidectomy. Lancet 355: 810

    Google Scholar 

  15. McCue JD (1990) Preventing Antibiotic-Associated Bleeding in Surgical Patients. Int Med Spec 11: 111–120

    Google Scholar 

  16. McHenry CR, Piotrowski, JJ, Petrinic D, Malangoni MA (1995) Determinants of Mortality for Necrotizing Soft-Tissue Infections. Ann Surg 221: 558–565

    Article  PubMed  CAS  Google Scholar 

  17. Müller-Oerlinghausen B, Lasek R, Düppenbecker H, Munter KH (1999) Handbuch der unerwünschten Arzneimittelwirkungen.Urban & Fischer, München Jena

    Google Scholar 

  18. Nichols RL (1991) Surgical wound infection. Am J Med 91 (Suppl 3B): 54S–64S

    Article  Google Scholar 

  19. Nichols RL (1996) Surgical infections: prevention and treatment – 1965 to 1995. Am J Surg 172:68–74

    Article  PubMed  CAS  Google Scholar 

  20. Parikh SR, Molinelli B, Dailey TH (1994) Liver abscess after hemorrhoidectomy: report of two cases. Dis Colon Rect 37:185–189

    Article  CAS  Google Scholar 

  21. Reese R.E., Betts R (1996) A Practical Approach to Infectious Disease, 4th edn. Little, Brown and Company, Boston

    Google Scholar 

  22. [22] Schwartz MN, Pasternack MS (2005) Cellulitis and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R (eds) Principles and Practice of Infectious Disease, 6th ed. Churchill-Livingstone, New York

    Google Scholar 

  23. Segreti J, Levin S (1989) The role of prophylactic antibiotics in the prevention of prosthetic device infections. Infect Dis Clin North Am 3: 357–370

    PubMed  CAS  Google Scholar 

  24. Song F, Glenny AM (1998) Antimicrobial prophylaxis in colorectal surgery: a systhematic review of randomized controlled trials. Br J Surg 85: 1232–1241

    Article  PubMed  CAS  Google Scholar 

  25. [25] The Society for Hospital Epidemiology of America, the Association for Practitioners in Infection Control, the Centers for Disease Control, the Surgical Infection Society (1992) Consensus paper on the surveillance of surgical wound infections. Infect Control Hosp Epidemiol 13: 599–606

    Google Scholar 

  26. Tomasz A (1994) Multiple antibiotic-resistant pathogenic bacteria. N Engl J Med 330: 1247–1251

    Article  PubMed  CAS  Google Scholar 

  27. Van Wensen RJA, van Leuken MH, Bosscha K (2008) Pelvic sepsis after stapled hemorrhoidopexy. World J Gastroenterol 14(38): 5924–5926

    Article  Google Scholar 

  28. Yee J, Dixon CM, McLean APH, Meakins JL (1991) Clostridium difficile disease in a department of surgery. Arch Surg 126: 241–246

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 2.3

  1. [1] Auberger HG (1969) Praktische Lokalanästhesie: ein Kompendium Thieme, Stuttgart

    Google Scholar 

  2. [2] Barry BA (1985) Die Lokalanästhesie bei ambulanten Eingriffen. In: Kinoch HG, Hager TH, Fran WL (eds): Aktuelle Koloproktologie, Vol 1. Nymphenburg, München

    Google Scholar 

  3. Bonic JJ, Akamatsu TJ, Berges PU et al. (1971) Circulatory effects of peridural block, Vol II: effects of epinephrine. Anesthesiology 34:514–522

    Article  Google Scholar 

  4. Clery AP (1973) Local anesthesia containing hyaluronidase and adrenaline for anorectal surgery: experiences with 576 operations. Proc R Soc Med 66:680–681

    PubMed  CAS  Google Scholar 

  5. [5]Ciccia G, Forster A, Marti M-C (1998) Positioning and anesthesia for anorectal surgery. In: Marti M-C, Givel J-C (eds) Surgical management of anorectal and colonic diseases. Springer, Berlin Heidelberg New York, pp 113–120

    Google Scholar 

  6. De Jong RH (1978) Toxic effects of local anesthetics. JAMA 239: 1166–1168

    Article  PubMed  Google Scholar 

  7. Guinard JP, Carpenter RL, Owens BD, et al. (1991) Comparison between ropivacaine and bupivacaine after subcutaneous injection in pigs cutaneous blood flow and surgical bleeding. Reg Anesth 16:268–271

    PubMed  CAS  Google Scholar 

  8. Kratzer GL (1965) Local anesthesia in anorectal surgery. Dis Colon Rectum 8:441–446

    Article  PubMed  CAS  Google Scholar 

  9. McKay W, Morris R, Mushlin P (1987) Sodium bicarbonate attenuates pain on skin infiltration with lidocaine, with or without epinephrine. Anesth Analg 66:572–574

    PubMed  CAS  Google Scholar 

  10. Marti MC, Froidevaux A, Rifat K (1977) Préparation préopératoire et choix de ĺanesthésie en proctologie. Med Hyg 35:2234–2238

    Google Scholar 

  11. [11] Marti MC (1993) Anesthésie loco-régionale en chirurgie proctologique Ann Chir 47:250–255

    Google Scholar 

  12. Moore DC, Bridenbaugh LD, Thompson GE et al. (1978) Bupivacaine: a review of 11080 cases. Anesth Analg 57:42–53

    Article  PubMed  CAS  Google Scholar 

  13. Moore DC (1981) Regional block, 4th ed. Thomas, Springfield

    Google Scholar 

  14. Pertek JB, Haberer JP (1995) Effets de ĺanesthésie sur la miction et rétention aigué d́urine postopératoire. Ann Fr Anesth Réanim 14:340–351

    Article  PubMed  CAS  Google Scholar 

  15. Pittet JF (1987) Pharmacologie et toxicité des anesthésiques locaux. Schweiz Rundsch Med Prax 76:865–871

    PubMed  CAS  Google Scholar 

  16. Scott DB (1989) Maximum recommended doses of local anaesthetic drugs. Br J Anaesth 62:373–374

    Article  PubMed  CAS  Google Scholar 

  17. Watson D (1993) Hyaluronidase. Br J Anaesth 71:422–425

    Article  PubMed  CAS  Google Scholar 

  18. Ye F, Feng YX, Lin JJ (2007) A ropivacaine-lidocaine combination for caudal blockade in haemorrhoidectomy. J Int Med Res 35:307–313

    PubMed  CAS  Google Scholar 

  19. Zaheer S et al. (1998) Urinary retention after operations for benign anorectal disease. Dis Colon Rectum 41:696–704

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 2.4

  1. Jost WH (2002) Ten years experience with botulin toxin in anal fissure. Int J Colorectal Dis 17: 298–302

    Article  PubMed  Google Scholar 

  2. Lindsey I, Cunningham C, Jones OM, Francis C, Mortensen NJ(2004) Fissurectomy-botulinum toxin: a novel sphincter-sparing procedure for medically resistant chronic anal fissure. Dis Colon Rectum 47: 1947–1952

    Article  PubMed  Google Scholar 

  3. Patti R, Almasio PL, Arcara M, Sammartano S, Romano P, Fede C,De Vita G (2006) Botulinum toxin vs. topical glyceryl trinitrate ointment for pain control in patients undergoing hemorrhoidectomy: a randomized trial. Dis Colon Rectum 49:1741–1748

    Article  PubMed  Google Scholar 

  4. Singer M, Cintron J (2006) New techniques in the treatment of common perianal diseases: stapled hemorrhoidopexy, botulinum toxin, and fibrin sealant. Surg Clin North Am 86: 937–967

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Stiftung für Chirurgie, Rorschacherstrasse 311, CH-9016, St. Gallen

    Prof. Dr. med. Jochen Lange

  2. Klinik St. Anna, St. Anna-Strasse 32, CH-6006, Luzern

    Prof. Dr. med. Bernward Mölle

  3. Koloproktologische Klinik, Prosper Hospital, Mühlenstraße 27, D-45659, Recklinghausen

    Prof. Dr. med. Josef Girona

Authors
  1. Prof. Dr. med. Jochen Lange
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. med. Bernward Mölle
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Prof. Dr. med. Josef Girona
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Lange, J., Mölle, B., Girona, J. (2012). Behandlungsprinzipien. In: Chirurgische Proktologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17265-6_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-17265-6_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17264-9

  • Online ISBN: 978-3-642-17265-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation