[Drainage-bathing system in surgical treatment of soft tissue and bones purulent diseases]. / Drenazhno-promyvnaia sistema v lechenii gnoínykh zabolevanií miagkikh tkaneí i kosteí.

For the last 10 years 5531 patients were operated on in clinic for purulent inflammatory diseases of soft tissues and bones, 1609 of them being treated by the routine open method with the drainage of purulent cavity and gauze tampons, rubber tubes and wicks (turundae) and 3922 patients being operated on with the use of drainage bathing system (DBS) and primary sutures of the wound. The use of an active, closed surgical method of treatment, including thoroughly done intraoperative necrectomy, the application of DBS of through, opposite or T-shaped construction as well as postoperative dropping or flowing fractional bathing of residual cavity by antiseptic solutions reduced the terms of treatment 2-3 times, comparing to the standard (open) method with good functional and cosmetic results.

[Treatment of suppurative bursitis]. / Lechenie gnoinykh bursitov.

In the last decade 323 patients were operated on in the clinic for purulent bursitis; the abscess was opened and the dressing was changed daily. With the traditional method of treatment, the duration of management was 22.9 +/- 3.5 days in each patient. A method is suggested for the treatment of acute purulent bursitis by fraction irrigation of the purulent cavity by means of a drainage-irrigation system based on the puncture techniques. It was applied in 42 patients and shortened the duration of their treatment to 9.3 +/- 2.3 days, i. e. almost by 2.5 times. Moreover, a good functional and cosmetic effect was produced.