ABSTRACT
It was analyzed the results of wounds treatment complicated by surgical infection. An apparatus for creating negative pressure VivanoTec/S042 was used for this in 74 patients. Types of surgical interventions depended on phase of inflammatory process and severity of clinical manifestations. It was done 153 operations. Surgical management of infected wounds, necrectomy were performed. As the relief of inflammatory process repeated surgical management with plasty by using of local tissue was done. Short-term good anatomical results were achieved in 97% of patients. Good functional result was marked in all patients. Wound healing occurred at the optimum time.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Debridement/methods , Negative-Pressure Wound Therapy/methods , Plastic Surgery Procedures , Surgical Wound Infection , Adult , Aged , Aged, 80 and over , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Plastic Surgery Procedures/instrumentation , Plastic Surgery Procedures/methods , Recovery of Function , Reoperation/methods , Severity of Illness Index , Surgical Flaps , Surgical Wound Infection/etiology , Surgical Wound Infection/physiopathology , Surgical Wound Infection/therapy , Treatment Outcome , Wound HealingABSTRACT
Results of the use of the biocomposite nanostructured material "KollapAn" in the treatment of 374 patients with osteomyelitis were followed up. 412 operations were performed, depending on the stage of the inflammatory process and clinical picture. Majorly, operation was performed on the 5-7th day after primary necrosequestrectomy. Good early anatomic results were achieved in 86% patients. All patients demonstrated the good functional results of the treatment; the wound healing was on-time. The lethality rate was 1.2%; all these patients had severe sepsis. The long-term follow up (1.5 years) revealed the complete substitution of the bone defect by the autobone; no cases of the osteomyelitis recurrence were observed.
