RESUMO
The authors describe results of treatment of purulent wounds after amputation of lower extremities in 10 patients with diabetes mellitus. Using daily necrectomies, ultrasonic cavitation of the wound surface, proteolytic enzymes resulted in rapid cleansing of the wounds of necrotic tissues. The early secondary sutures were put in 5 patients with active through drainage and laser irradiation of the sutured wound cavity with a conductor introduced through the drainage tube lumen. In all the cases the wounds were completely healed.
Assuntos
Amputação Cirúrgica , Pé Diabético/cirurgia , Perna (Membro)/cirurgia , Pé Diabético/enzimologia , Endopeptidases/metabolismo , HumanosAssuntos
Duodenopatias/cirurgia , Fístula Intestinal/cirurgia , Dermatopatias/cirurgia , Deiscência da Ferida Operatória/cirurgia , Duodenopatias/etiologia , Duodeno/cirurgia , Gastrectomia , Humanos , Fístula Intestinal/etiologia , Métodos , Dermatopatias/etiologia , Deiscência da Ferida Operatória/etiologia , Técnicas de SuturaAssuntos
Dedos/cirurgia , Dermatoses da Mão/cirurgia , Paroniquia/cirurgia , Terapia Combinada , Desbridamento/métodos , Feminino , Humanos , Oxigenoterapia Hiperbárica , Injeções Intralinfáticas , Terapia a Laser , Masculino , Penicilinas/administração & dosagem , Cuidados Pós-Operatórios , Cuidados Pré-OperatóriosAssuntos
Cárdia/cirurgia , Doenças do Esôfago/cirurgia , Esôfago/cirurgia , Úlcera Péptica/cirurgia , Úlcera Gástrica/cirurgia , Anastomose Cirúrgica/métodos , Doenças do Esôfago/complicações , Fundo Gástrico/cirurgia , Humanos , Úlcera Péptica/complicações , Úlcera Gástrica/complicações , Técnicas de SuturaRESUMO
An analysis of treatment of ulcer disease of the stomach and duodenum with the help of helium-neon lasers has been made. The pathological focus (ulcer) was influenced in two ways: through the endoscope and by means of biologically active points. Positive effects were obtained in 96.9% of the patients. Operations were performed on 3.1% of the patients where laser therapy failed to give good effects. Contraindications to laser therapy were considered to be bleeding, callous and malignant ulcers.