[The effect of plasmosorption on the healing dynamics of postoperative wounds in patients with suppurative-inflammatory processes of the maxillofacial area and diabetes mellitus]. / Vliianie plazmosorbtsii na dinamiku zazhivleniia posleoperatsionnykh ran u bol'nykh s gnoino-vospolitel'nymi protsessami cheliustno-litsevoi oblasti i sakharnym diabetom.

Pyoinflammatory processes run an uncommonly malignant course in diabetics. Healing of postoperative wounds in diabetics is caused by impairement of all types of metabolism and by development of endogenous intoxication which depresses the protein-generating function of the liver. The plasma sorption technique used at the clinic of Department of Maxillofacial Surgery and Dentistry, Russian State Medical University, helps more effectively control endogenous intoxication, this, in its turn, promoting activation of cleansing and healing of postoperative wounds. Basing on the clinical and laboratory findings, the authors demonstrated that plasma sorption used in multiple-modality treatment of diabetics with pyoinflammatory processes accelerates healing of purulent wounds by 5-6 days.

[The role of plasmosorption in correcting the microcirculatory disorders in patients with suppurative-inflammatory processes of the maxillofacial area and diabetes mellitus]. / Rol' plazmosorbtsii v korrektsii mikrotsirkuliatornykh narushenii u bol'nykh s gnoino-vospalitel'nymi protsessami cheliustno-litsevoi oblasti i sakharnym diabetom.

A positive clinical effect of plasma sorption added to multiple-modality treatment of patients with pyoinflammatory maxillofacial diseases and diabetes mellitus was revealed. Plasma sorption is conducive to normalization of lipid metabolism, improves blood rheology, activates microcirculation, this promoting sooner healing of postoperative wounds and reducing hospitalization periods.

[Plasmosorption in the combined treatment of patients with phlegmons of the maxillofacial area in diabetes mellitus]. / Plazmosorbtsiia v kompleksnom lechenii bol'nykh s flegmonami cheliustno-litsevoi oblasti na fone sakharnogo diabeta.

Diabetes mellitus and surgical infection coursing intermittently aggravate each other, and therefore search for methods of treatment permitting a simultaneous impact on the pyoinflammatory process and on diabetes mellitus is a priority. Plasmasorption method used at present at Chair for maxillofacial surgery and dentistry of the Russian State Medical University meets these requirements to a great measure. Clinical and laboratory studies showed that plasmasorption used in multiple-modality treatment helps effectively control a purulent process, reduces intoxication of the body, corrects the development of insulin resistance in patients with maxillofacial phlegmons coursing in the presence of diabetes mellitus. In patients with grave and medium-severe diabetes the same insulin doses injected after plasmasorption reduce blood sugar levels by 1.5-1.7 times on an average, and in slight forms of the condition even normalize them. Secondary healing of postoperative wounds is accelerated in diabetics with maxillofacial phlegmons, and hospital stay of such patients is reduced by 9.5-10 days, on an average.

[The clinical effect and dynamics of hormonal homeostasis with the inclusion of plasmosorption in the combined therapy of patients with maxillofacial phlegmons against a background of diabetes mellitus]. / Klinicheskii éffekt i dinamika gormonal'nogo gomeostaza pri vkliuchenii plazmosorbtsii v kompleksnuiu terapiiu bol'nykh s flegmonami cheliustno-litsevoi oblasti na fone sakharnogo diabeta.

A positive clinical effect of plasma sorption included in multiple-modality treatment of patients with maxillofacial phlegmons and diabetes mellitus was observed. This treatment modality was conducive to normalization of hormonal homeostasis, it had a correcting impact on development of resistance to sugar-reducing drugs, favorably influenced the course of pyoinflammatory process, thus helping cut down hospitalization period.