File:WIRA-Wiki-GH-010-Seroma-sonography-healing-with-wIRA.png

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Deutsch: Beispiel für eine erfolgreiche Behandlung rezidivierender Wundserome mit wassergefiltertem Infrarot A (wIRA).
Eine 64-jährige Patientin hatte rezidivierende Wundserome und Wundhämatome (ohne Infektion) nach einer Hüftoperation (Ersatz des Pfannenteils einer 15 Jahre alten Hüftendoprothese) selbst nach einer weiteren Operation, die nur mit dem Ziel, die Wundserome zu stoppen, durchgeführt wurde, und nach ungefähr 8 Punktionen von Seromflüssigkeit (bis zu ungefähr 90 ml innerhalb einer Punktion) innerhalb von 2 Monaten, und eine dritte Operation wurde ernsthaft erwogen: Abbildung A zeigt das zugehörige sonographische Bild. Zu diesem Zeitpunkt wurde mit der Bestrahlung mit wassergefiltertem Infrarot A (wIRA) und sichtbarem Licht (VIS) begonnen, zunächst mit 30 Minuten zweimal täglich und steigernd bis auf dreimal eine Stunde täglich. Innerhalb weniger Tage nahm das Wundserom nicht mehr wie zuvor üblich zu, nach ungefähr einer Woche war klinisch eine leichte Abnahme der Seromgröße zu beobachten (Abbildung B), Abbildung C zeigt die reduzierte Seromgröße nach 18 Tagen, Abbildung D nach 29 Tagen, und nach ungefähr 2 Monaten hatte sich das Serom ohne eine Punktion von Seromflüssigkeit oder eine Operation seit dem Beginn der Bestrahlung mit wIRA(+VIS) sowohl klinisch wie auch sonographisch völlig aufgelöst. Mehrjähriges Follow-up ohne Rezidiv.

English: Example of a successful treatment of recurrent wound seromas with water-filtered infrared-A (wIRA).
A 64 year-old female patient had relapsing wound seromas and wound hematomas (without infection) after a hip operation (replacement of the acetabulum part of a 15 year-old endoprosthesis) even after an additional operation with the sole intention of stopping the wound seromas and after approximately 8 aspirations of seroma fluid (up to approximately 90 mL within one aspiration) within 2 months, and a third operation was seriously considered: Figure A shows the sonographic state. At that time, irradiation with water-filtered infrared-A (wIRA) and visible light (VIS) was commenced, beginning with 30 minutes twice per day and increasing up to 3 times one hour per day. Within a few days the seroma no longer increased as usual; after approximately one week a slight decrease of seroma size was noticed clinically (Figure B). Figure C shows reduced seroma size after 18 days and Figure D after 29 days. After approximately 2 months the seroma had resolved completely (both clinically and sonographically) without any aspiration of seroma fluid or operation since commencement of wIRA(+VIS) irradiation. Follow-up of several years without relapse.

Date First published 2007-12-28
Source Mark Hartel, Peter Illing, James B Mercer, Jürgen Lademann, Georg Daeschlein, Gerd Hoffmann: Therapy of acute wounds with water-filtered infrared-A (wIRA) (review). GMS Krankenhaushyg Interdiszip. 2007;2(2):Doc53. PDF full text and shtml full text. (English with detailed German summary).
Author Sonographic pictures taken by Dr. Michael Paulus, Herzogenaurach, Germany
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current16:35, 22 April 2011Thumbnail for version as of 16:35, 22 April 20111,146 × 883 (630 KB)Prof. Dr. med. Gerd Hoffmann (talk | contribs)== Summary == {{Information |Description= {{de|1=Beispiel für eine erfolgreiche Behandlung rezidivierender Wundserome mit wassergefiltertem Infrarot A (wIRA).<br> Eine 64-jährige Patientin hatte rezidivierende Wundserome und Wundhämatome (ohne Infekti

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