Subject(s)
Aneurysm/surgery , Biliary Tract Surgical Procedures/methods , Common Bile Duct , Hypertension, Portal/surgery , Postcholecystectomy Syndrome , Vascular Surgical Procedures/methods , Anastomotic Leak/surgery , Aneurysm/diagnosis , Aneurysm/physiopathology , Cholangiography , Common Bile Duct/pathology , Common Bile Duct/physiopathology , Common Bile Duct/surgery , Constriction, Pathologic , Decompression, Surgical/methods , Female , Humans , Hypertension, Portal/etiology , Hypertension, Portal/physiopathology , Middle Aged , Postcholecystectomy Syndrome/diagnosis , Postcholecystectomy Syndrome/physiopathology , Postcholecystectomy Syndrome/surgery , Splenic Artery/diagnostic imaging , Splenic Artery/physiopathology , Splenic Artery/surgery , Tomography, Spiral Computed , Treatment OutcomeABSTRACT
In this article the work of the Omsk State Medical Academy's department of general surgery is presented. The aim of study was to treat patients with purulent and necrotic wounds of soft tissue by using novel hydrodynamical drainaige. In this research 92 patients were taken part, who were inpatient treatment in the department of purulent surgery City Clinical Hospital No 1 named Kabanov A. N. 2010-2013 with purulent and necrotic wounds of soft tissue. Clinical, laboratory, cytological, bacteriological monitoring were conducted over the of wound process during the treatment. Assessment of the reliability of differences between the mean value of clinical indicators was with the calculation of the criterion t--Student, the method chi2 and Criterion Mann-Whitney U. The proposed method of treatment of purulent wound promotes fast the removal of necrotic tissue and pus in the first phase of the wound process that led to more rapid relief of symptoms of intoxication (fever, leukocytosis and common symptoms) at the patients of the basic group. Due to faster removal of necrotic tissue, reduction of common symptoms of intoxication at the patients of the basic group the transition from degenerative and inflammatory type of cystograms to regenerative occurred one or two days before than in the comparison group.
Subject(s)
Drainage , Necrosis , Soft Tissue Infections/therapy , Suppuration , Wound Infection/therapy , Adult , Comparative Effectiveness Research , Drainage/instrumentation , Drainage/methods , Female , Humans , Hydrodynamics , Male , Middle Aged , Reproducibility of Results , Soft Tissue Infections/pathology , Soft Tissue Infections/physiopathology , Treatment Outcome , Wound Healing , Wound Infection/pathology , Wound Infection/physiopathologyABSTRACT
Results of bacteriological investigations of patients with pyo-inflammatory surgical diseases and complications, environmental tests have been analyzed. The local multilevel monitoring of resistance was used as an instrument of permanent control of changes in the resistance of surgical infection pathogens to antibodies and for a decision on the schemes empiric antibacterial chemotherapy.
