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1.
Georgian Med News ; (279): 7-12, 2018 Jun.
Artigo em Russo | MEDLINE | ID: mdl-30035714

RESUMO

THE PURPOSE OF THE STUDY: optimization of the results of treatment of wound infection. The authors analyze the results of treatment of 589 patients with wound infection for the period from 2004 to 2017. During the surgical treatment and further local therapy, air-plasma technology was used. The results were compared with those in 280 people, treated according to the standard method (control group). It was found, that air-plasma treatment of the suppurative inflammation of soft tissue in the cutting-coagulation regime significantly accelerates the necrolysis of the wound surface and the subsequent repair of postnecretomic wounds (in 1.5-1.8 times), regardless of the level and extent of the lesion of the integumentary tissues. Plasmodynamic sanation in the NO-therapy regimen stimulates the growth of granulation tissue and processes of epithelialization, allows to significantly reduce the degree of microbial contamination of the focus, and also to shorten the period of inpatient treatment. Similar trends relate to other important indicators. In patients with wound infection of soft tissue, air-plasma technology must be included in the complex of local therapeutic measures.


Assuntos
Ar , Gases em Plasma/uso terapêutico , Infecção dos Ferimentos/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Óxido Nítrico/uso terapêutico , Cicatrização , Infecção dos Ferimentos/microbiologia , Infecção dos Ferimentos/patologia , Adulto Jovem
2.
Khirurgiia (Mosk) ; (9): 59-63, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28914834

RESUMO

AIM: To improve the results of treatment of late inflammatory complications after injection contour plasty with polyacrylamide gel. MATERIAL AND METHODS: The authors analyze treatment of 21 patients with late septic complications of body contour plasty with polyacrylamide gel (PAGE) for the period 2010-2015. Mean age of women was 47.4 years. Time after primary intervention was 10-22 years. The depth of soft tissue lesion corresponded to II-III grade by D. Ahrenholz classification (1991), length - from 67 to 180 cm2. Mammary glands were the most common area of augmentation (18 cases). Besides antibiotic therapy and surgery complex treatment included exposure with plasma flows in various modes. RESULTS: Plasma technology significantly accelerated regenerative processes and provided stable microbial decontamination in 100% patients. High-energy vaporization was associated with maximum possible removal of PAGE from the tissues that was confirmed by histological examination.


Assuntos
Resinas Acrílicas , Antibacterianos/uso terapêutico , Coagulação com Plasma de Argônio/métodos , Reação a Corpo Estranho , Efeitos Adversos de Longa Duração , Mamoplastia , Mastectomia/métodos , Resinas Acrílicas/administração & dosagem , Resinas Acrílicas/efeitos adversos , Mama/diagnóstico por imagem , Terapia Combinada , Feminino , Reação a Corpo Estranho/diagnóstico , Reação a Corpo Estranho/etiologia , Reação a Corpo Estranho/fisiopatologia , Reação a Corpo Estranho/cirurgia , Géis/administração & dosagem , Géis/efeitos adversos , Humanos , Injeções , Efeitos Adversos de Longa Duração/diagnóstico , Efeitos Adversos de Longa Duração/etiologia , Efeitos Adversos de Longa Duração/fisiopatologia , Efeitos Adversos de Longa Duração/cirurgia , Mamoplastia/efeitos adversos , Mamoplastia/métodos , Pessoa de Meia-Idade , Federação Russa , Infecções dos Tecidos Moles/etiologia , Infecções dos Tecidos Moles/cirurgia , Resultado do Tratamento
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