ABSTRACT
AIM: to evaluate the effectiveness of modern approaches to the treatment of purulent wounds with the use of foam-based wound coatings with the Hydrofiber technology in comparison with the traditional method of wounds. MATERIAL AND METHODS: An analysis of the results of treatment of 34 patients with purulent wounds of various etiologies was performed. Patients were divided into two groups: control and basic. In the main group, local treatment of wounds was carried out using a foam-based wound coating with Hydrofiber technology. In the control group, local treatment of wounds was carried out using traditional methods with the use of gauze bandages. RESULTS: With the use of foam-based wound coatings with Hydrofiber® technology, the inflammation process in the wound and surrounding tissues is more rapidly eliminated, the periods of purification and microbial decontamination in the purulent focus are reduced.
Subject(s)
Bandages, Hydrocolloid , Patient Care Management/methods , Staphylococcus aureus , Wound Healing/drug effects , Wound Infection , Adult , Female , Humans , Male , Middle Aged , Staphylococcus aureus/drug effects , Staphylococcus aureus/isolation & purification , Treatment Outcome , Wound Healing/physiology , Wound Infection/microbiology , Wound Infection/physiopathology , Wound Infection/surgeryABSTRACT
An analysis of treatment was made of 265 patients with strangulated hernia of the anterior abdominal wall. The patients were divided into main group (n = 138) and control group n = 127). Nonstrain and conventional methods of hernioplasty and low-intensive laser radiation (LILR) were used for the patients of the first group. LILR wasn't applied in the control group. The studied groups were statistically comparable on the basis of main disease, sex and age. Computed thermography was used in addition to standard methods of diagnostics in order to dentify the wound complications in postoperative period. The application of low-intensive laser radiation for patients of main group allowed reducing the rate of development of local infectious complications in the area of plasty as compared with control group from 15.7 and 53.4% to 8.9 and 32.8% (p < 0.05); terms of drainage of postoperative wound decreasing from 8.1 ± 1.0 to 4.2 ± 1.0 days and hospital stay shortening from 11.6 ± 1.0 to 6.2 ± 1.0 days (p < 0.05). The intensity of pain syndrome and rate of complications declined from 38.1 to 17% in control group. There wasn't any recurrence in the main group. Prosthetic methods of plasty and application of LILR significantly improve the immediate and long-term results in case of strangulated hernia of anterior abdominal wall. This rate would approach the results of treatment in planned surgery. Computed thermography allowed well-timed revealing of wound complications and forecasting the course of postoperative period.
Subject(s)
Hernia, Ventral , Herniorrhaphy , Laparoscopy , Low-Level Light Therapy/methods , Surgical Wound Infection/prevention & control , Torsion Abnormality , Abdominal Wall/surgery , Female , Hernia, Ventral/diagnosis , Hernia, Ventral/physiopathology , Hernia, Ventral/radiotherapy , Hernia, Ventral/surgery , Herniorrhaphy/adverse effects , Herniorrhaphy/methods , Humans , Laparoscopy/adverse effects , Laparoscopy/methods , Length of Stay , Male , Middle Aged , Postoperative Period , Tomography, X-Ray Computed/methods , Torsion Abnormality/diagnosis , Torsion Abnormality/surgery , Treatment OutcomeSubject(s)
Laparoscopy/methods , Purpura, Thrombocytopenic, Idiopathic/surgery , Splenectomy/methods , Adult , Follow-Up Studies , Humans , MaleABSTRACT
The aim of work was to improve the results of treatment of patients with strangulated ventral hernias by prostheses of the abdominal wall using mesh implants and laser therapy. A detailed analysis and evaluation of the comparative of traditional methods and prosthetic plastics with infringement inguinal, umbilical, femoral and postoperative ventral hernias was performed on huge clinical material. The studies confirm that the integrated approach in treating patients with this pathology helps to improve the results of surgical treatment, reduction of postoperative complications, time of rehabilitation of patients and recurrence of herniation in comparison with traditional ways of hernioplasty.
Subject(s)
Hernia, Ventral , Herniorrhaphy , Intestinal Obstruction , Low-Level Light Therapy/methods , Postoperative Complications/prevention & control , Surgical Mesh , Abdominal Wall/pathology , Abdominal Wall/surgery , Adult , Combined Modality Therapy , Female , Hernia, Ventral/complications , Hernia, Ventral/diagnosis , Hernia, Ventral/surgery , Herniorrhaphy/adverse effects , Herniorrhaphy/instrumentation , Herniorrhaphy/methods , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Intraoperative Care/methods , Male , Middle Aged , Postoperative Care/methods , Retrospective Studies , Secondary Prevention , Treatment OutcomeABSTRACT
Results of cholecystectomy from minilaparotomic access in 556 patients with high operation risk were analyzed. Patients aged 18-89 years, average age was 67.3 +/-4.5 years. Average surgery duration was 43.5 +/-4.4 min. 82 (14.7%) of patient received a two-stage treatment: endoscopic retrograde cholangiopancreaticography and papillosphincterotomy followed by cholecystectomy, the rest patients had only cholecystectomy with common bile duct surgery, if it was necessary. Intraoperative complications were registered in 19 (3,4%) patients. Lethality rate was 0.18%.
