INTEGRATING THE POSTOPERATIVE PURULENT COMPLICATIONS PREVENTIVE METHODS IN ABDOMINAL SURGERY

Objective. The prevention of postoperative purulent-inflammatory complications is one of the most important problems of operative surgery. The choice of the most appropriate preventive measures is of great importance, for such complications increase the length of hospitalization and outpatient treatment that means an increase in material costs. To reduce the frequency of postoperative wound complications, it is necessary to look for new and most effective preventive measures. Our study was aimed to evaluate the improvement in the results of managing urgent abdominal surgical pathology due to the use of such antiseptics as Decasan and Octenisept during operation. Material and methods. We present the results of the wound complications prevention in emergency surgery using two antiseptics: Decasan and Octenisept. The results of the 1st main group (Decasan, n=100) and the 2nd main group (Octenisept, n=101) were compared with the control group (n=52) where the traditional preventive measures were used. Evaluation of the results was carried out on the basis of clinical indices and wound echomorphometry. Results. The clinical data analysis showed significant differences in the results of two main groups and control group. In the 1st main group where Decasan was used in the destructive forms of acute cholecystitis and appendicitis the disappearance of the pain syndrome and the normalization of body temperature occured in 2-3 days after surgery (reliable difference with control group). The reduction of inpatient treatment duration also was registered. When comparing the parameters of the control group to the 2nd main group in which Octenisept was used significant differences were revealed in the period of the pain syndrome disappearance (4.1±0.17 vs. 2.1±0.15 days, relatively). In the 2nd main group the normalization of temperature was faster and the period of inpatient treatment was significantly shorter. Comparative analysis of the two main groups revealed significant differences in the disappearance of the pain syndrome and the normalization of body temperature when using Octenicept. The duration of inpatient treatment was the same in both groups. Conclusion. The inclusion in the complex of preventive measures for destructive forms of appendicitis and cholecystitis such antiseptics as Decasan and Octenicept provided a favorable course of the wound process. This method is advisable to implement in surgical hospitals as an effective and low-cost measure of prevention of postoperative purulent-inflammatory complications.

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