[The treatment of @entity39 with a combination of surgery, antibiotics, specific immunoglobulins and hyperbaric XXXX therapy. Results of the Ulm Treatment Concept].

@entity1 @entity26 @entity6 @entity39
BACKGROUND: Even today, @entity39 is still a life-threatening condition. The standard treatment concepts based on antibiotic therapy, topical treatment and--if necessary--surgical debridement of necrotic tissue, remain ineffective in many cases. In advanced stages, @entity39 can therefore be expected to result in severe functional impairment or even a fatal outcome. @entity1 AND METHODS: We describe our experience with a multimodal treatment concept that we have been using with great success at the Federal Armed Forces Hospital in Ulm since 1987. This treatment is based on four pillars: 1. Surgical debridement, 2. Use of a combination of antibiotics, and 3. Administration of specific immunoglobulins, accompanied by, 4. Hyperbaric @entity26 therapy RESULTS: Over a period of more than 5 years 16 of the 22 @entity1 treated on the basis of this multimodal concept remained free of recurrences. In addition, significant reductions in analgesic use and in the insulin doses needed by @entity6 @entity1 were possible. CONCLUSIONS: The treatment concept under scrutiny has proved particularly successful. The various modes involved and the results of this combined therapy are discussed.
