Dermatochirurgie im Alter
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  • 作者:PD Dr. Dr. M. Meissner ; R. Kaufmann
  • 关键词:Multimorbidität ; Polypharmazie ; Spalthauttransplantat ; Sekundärheilung ; Hauttumor ; Multimorbidity ; Polypharmacy ; Split ; thickness skin grafting ; Secondary healing ; Skin cancer
  • 刊名:Der Hautarzt
  • 出版年:2016
  • 出版时间:February 2016
  • 年:2016
  • 卷:67
  • 期:2
  • 页码:153-159
  • 全文大小:832 KB
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Thieme, Stuttgart<br>17.Kulichová D, Geimer T, Mühlstädt M, Ruzicka T, Kunte C (2013) Surgical site infections in skin surgery: a single center experience. J Dermatol 40:779–785PubMed <br>18.Linos E, Parvataneni R, Stuart SE, Boscardin WJ, Landefeld CS, Chren MM (2013) Treatment of nonfatal conditions at the end of life: nonmelanoma skin cancer. JAMA Intern Med 173(11):1006–1012PubMedCentral CrossRef PubMed <br>19.Meissner M, Kaufmann R (2011) Operative Skalpdefekte – Wege zum Verschluss. Hautarzt 62:354–361CrossRef PubMed <br>20.Paradela S, Pita-Fernández S, Peña C, Fernández-Jorge B, García-Silva J, Mazaira M, Fonseca E (2010) Complications of ambulatory major dermatological surgery in patients older than 85 years. J Eur Acad Dermatol Venereol 24(10):1207–1213CrossRef PubMed <br>21.Pascual JC, Belinchón I, Ramos JM (2015) Cutaneous surgery complications in individuals aged 80 and older versus younger than 80 after excision of nonmelanoma skin cancer. 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  • 作者单位:PD Dr. Dr. M. Meissner (1) <br> R. Kaufmann (1) <br><br>1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland <br>
  • 刊物主题:Dermatology; Immunology; Allergology; Proctology;
  • 出版者:Springer Berlin Heidelberg
  • ISSN:1432-1173
文摘
In recent decades, the portion of elderly has increased substantially due to demographic changes in developed countries. Dermatological surgery is particularly affected by this development, because a large proportion of the elderly suffer from skin tumors, which are primarily treated surgically. Physiological changes of age and multimorbidity, often associated with polypharmacy, present the treating physician with enormous challenges. What aspects of care are important? What must be considered? What are possible complications and how can they be prevented? These important questions are answered. Finally, selected surgical approaches for the care of very old patients are also described. Keywords Multimorbidity Polypharmacy Split-thickness skin grafting Secondary healing Skin cancer

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