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Year 2012 Vol. 20 No 3
GENERAL AND SPECIAL SURGERY
M.YU. AVERYANOV 1, V.V. SLONIMSKY 2
MICROBIOLOGICAL ASPECTS OF TREATMENT OF PURULENT SKIN DISEASES AND SUBCUTANEOUS TISSUE WITH CRYOSURGICAL METHOD
SBEE HPE “Kirov State Medical Academy” 1,
Polyclinic ¹1 of the department hospital on the station Kirov of JSC “Russian railways” 2,
The Russian Federation
Objectives. To study impact of the single-stage cryosurgical treatment of the walls of purulent cavities on the microflora in a surgical wound at treatment of purulent skin diseases and subcutaneous tissue using combined cryosurgical methods in a polyclinic.
Methods. The comparative analysis of the results of microflora investigation of the postoperative wounds using plating on standard nutrient media was carried out at cryosurgical and conventional methods of treatment of purulent skin diseases and subcutaneous tissue of various localizations in 19 and 20 patients correspondently. The age varied from 18 up to 55 years; the duration of the disease – from 5 up to 15 days. The operations were carried out using the simplest sets for cryodestruction with the replaceable metal caps, cotton and gauze swabs on the instrument, intended for contact manipulations. Cryodestruction was carried out once, the exposure time was 30-45 seconds, depending on the area of pathological focus in order to ensure complete freezing of purulent cavity walls to a depth of 1-2 mm. Investigation of microflora in the wound with traditional methods and cryosurgical treatment was performed twice: immediately after opening the abscess, and one day after the operation.
Results. When using a single-stage cryosurgical treatment of the abscess cavity, significant reduction in the number of viable infectious agents in the surgical wound was obtained as well as a full recovery and reducing average terms of disability up to 7,3 days (in the traditional methods of treatment – 11 days) a good cosmetic effect.
Conclusions. Single-stage cryodestruction of the purulent cavity walls reduces significantly the content of bacterial cells in the wound; it is pathogenetically justified and effective additional component of the combined surgical treatment that can be recommended for widespread use in the surgical room.
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610001, Rossiiskaia Federatsiia, g. Kirov, Oktiabr'skii pr-t d. 151, GBOU VPO “Kirovskaia gosudarstvennaia meditsinskaia akademiia”, kafedra obshchei khirurgii,
Slonimsky Vladimir Vladimirovich
Averyanov M.Yu., Doctor of Medical Sciences, Professor, Head of the General Surgery Chair of SBEE HPE “Kirov State Medical Academy”. Slonimsky V.V., an Extramural Post-graduate Student of the Chair of General Surgery of SBEE HPE "Kirov State Medical Academy", a Surgeon of the Polyclinic ¹ 1 of the Departmental Hospital at the st. Kirov of the PC “Russian OAO "rrwy".