title: [Surgical wound consultation].
abstract: Treatment of patients with chronic wounds is characterized by high costs and low efficiency. Epidemiologic data are mainly based on retrospective studies. In 1992, we founded a wound care center and developed a diagnostic and therapeutic algorithm. Prospective data on 293 patients revealed an overall healing rate of 68% (diabetic foot syndrome) and 74% (venous stasis ulcer); mean treatment time was 4.5 months. Relevant prognostic factors were localization of ulcer (0.004), ischemia (0.002), age (0.02) and compliance (0.003), whereas the ulcer grading had no effect on healing.
authors.affiliation: Abteilung für Allgemeine Chirurgie und Poliklinik, Chirurgische Universitätsklinik Tübingen.
authors.forename: G
authors.initials: G
authors.lastname: Koeveker
authors.forename: S
authors.initials: S
authors.lastname: Coerper
mesh_terms: D000465:Algorithms; D003131:Combined Modality Therapy; D017719:Diabetic Foot / Q000601:surgery*; D004282:Documentation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D010348:Patient Care Team; D011446:Prospective Studies; D012086:Reoperation; D014647:Varicose Ulcer / Q000601:surgery*; D014946:Wound Infection / Q000601:surgery*
vernacular_title: Die chirurgische Wundsprechstunde.