Novosti
Khirurgii

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Year 2016 Vol. 24 No 1

NEW METHODS

S.D. FEDYANIN, A.A. KOVALENKO, L.E. KRISHTOPOV, V.P. BULAVKIN, D.G. SOSINOVICH

METHOD OF PHASE-ADAPTING PROVISIONAL SUTURE

EE ''Vitebsk State Medical University''
The Republic of Belarus

Objectives. To analyze the clinical efficacy of the developed method of phase-adapting provisional suture in the treatment of patients with purulent wounds.
Methods. The randomized study was conducted in patients (n=30) with purulent wounds of various localizations. Patients were divided into the main and control groups. In the main group along with traditional treatment the designed method of phase-adapting provisional suture was used firstly. The needle is charged with a thick nylon thread (40 cm length) forming 2 identical filaments (20 cm each). Stepping back (1,5cm) from the edge of the wound, the skin and subcutaneous tissue are sewed with the stitches (1.5cm) which should be placed opposite each other, perpendicular to the wound line, the needle is injected at the edge of the wound. The threads (15cm) stretch through the punctures and fix them with four surgical knots. When treating a wound a surgeon pulls the edges of the wound toward one another temporarily and tied by surgical knots. The clinical efficacy was assessed by duration of complete wound healing.
Results. Duration of the cleansing phase was 10 (9; 11) days in the control group and 9 (8; 10) days - in the main group. In the control group healthy granulation tissue appeared only on the the 6th (6;7) day, and in the main group – by the 5th (5; 6) day. In the control group visible epithelialization was observed on the 9th (7; 10) day, and in the main – on the 7th (6, 8) day. The wound was clinically ready for skin graft on the 13th (12; 14) day, and in the main group – on the 12th (10; 12) day.
Conclusion. The developed method of a phase-adapting provisional suture imposing is characterized by technical simplicity, convenience and can be recommended for complex treatment of wounds.

Keywords: purulent wound, phase-adapting provisional suture, epithelialization, granulation, randomized study, technical simplicity, complex treatment
p. 84-87 of the original issue
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Address for correspondence:
210023, Republic Belarus,
Vitebsk, pr. Frunze, d. 27,
UO "Vitebskiy gosudarstvennyiy meditsinskiy universitet'',
kafedra gospitalnoy khirurgii
s kursami urologii i detskoy khirurgii,
tel. office: 375 212 34-08-21,
e-mail: fedyanin-1977@mail.ru,
Fedyanin Sergey Dmitrievich
Information about the authors:
Fedyanin S.D. PhD, an associate professor of the hospital surgery chair with the courses of urology and pediatric surgery of EE ''Vitebsk State Medical University''.
Kovalenko A.A. PhD, an associate professor of the hospital surgery chair with the courses of urology and pediatric surgery of EE ''Vitebsk State Medical University''.
Krishtopov L.E. PhD, an associate professor of the hospital surgery chair with the courses of urology and pediatric surgery of EE ''Vitebsk State Medical University''.
Bulavkin V.P. PhD, an associate professor of the faculty of the advanced training and staff retraining faculty of EE ''Vitebsk State Medical University''.
Sosinovich D.G. An assistant of the operative surgery and topographic anatomy chair of EE ''Vitebsk State Medical University''.
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