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.
About the authorsMusaev A.I.
Kasenov Azamat S.
Malkov I.S., Shapirov M.I., Garaev V.N. Prognosis, prevention and treatment of purulent-inflammatory complications in abdominal surgery. In: Modern problems of regional health care development. Kazan; 2013: 349-50 (in Russ.).
Struchkov Yu.V., Gorbacheva I.V. Prevention of wounds suppuration after abdominal surgery. In: Proceedings of the 4th all-Russian Conference of General Surgeons. Yaroslavl; 2007: 376-8 (in Russ.).
Mokhov E.M., Chumakov R.Yu., Sergeev A.N. Application of biologically active suture materials in emergency surgery of abdominal cavity organs. Vestnik Khirurgii imeni 1.1. Grekova. 2012; 171 (3): 24-8 (in Russ.).
Musaev A.I., Kerimaliev Т.К. Hospital infection in surgery and measures to prevent it. Izvestiya Vysshih Uchebnyh Zavedeniy Kyrgyzstana. 2003; 1: 40-3 (in Russ.).
Zor'kin А.А. Antibiotic prophylaxis with cefoxitin in surgery from the standpoint of evidence-based medicine: efficiency, safety and durability. Problemy Klinicheskoy Meditsiny (Problems of Clinical Medicine). 2006; 4: 86-91 (in Russ.).
Kozlov R.S., Golub A.V. Antimicrobial stewardship as a renascence of the golden age of antibiotics. Clinical Microbiology and Antimicrobial Chemotherapy. 2011; 13 (4): 322-34 (in Russ.).
Sivets N.F. Basic principles and tactics of antibiotic prophylaxis in surgical practice. Meditsinskiye Novosti (Medical News). 2005; 12: 32-6 (in Russ.).
Marinkin I.O., Garyaeva N.A., Zhukov I.V Lymphotropic antibiotic therapy of inflammatory diseases of the uterus and appendages. In: Problems of lymphology and interstitial mass transfer. Proceedings of the scientific conference. Novosibirsk; 2004: 91-3 (in Russ.).
Darouiche R.O., Wall M.J.Jr., Itani K.M., Otterson M.F., Webb A.L., Carrick M.M. et al. Chlorhexidine-alcohol versus povidone-iodine for surgical site antisepsis. N. Engl. J. Med. 2010; 362 (1): 18-26. DOI: 10.1056/NEJMoa0810988
Hotchkiss R.S., Karl I.E. The pathophysiology and treatment ofsepsis. N. Engl. J. Med. 2003; 348 (2): 138-50. DOI: 10.1056/ NEJMra021333
Rodoman G.V., Laberko L.A., Obolenskiy V.N. et al. Ozone therapy in the treatment of patients with surgical infection. Medical Journal of the Russian Federation. 1999; 4: 32-5 (in Russ.).
Witt A., Döner M., Petricevic L., Berger A., Germann P., Heinze G., Tempfer C. Antibiotic prophylaxis before surgery vs after cord clamping in elective cesarean delivery: a double-blind, prospective randomized, placebo-controlled trial. Arch. Surg. 2011; 146 (12): 1404-9. DOI: 10.1001/archsurg.2011.725
Ikramova F.D., Urmonova N.M., Salakhidinov S.Z., Turgunov A.I., Suyunov D.M. The use of Decasan in the treatment of septic complications after abdominal surgery. Molodoy Uchenyy (Young Scientist). 2017; 14 (148): 230-2 (in Russ.).
Bikmirov V.V., Koval'chuk V.P., Safronov К.М., Zheliba M.D., Gumenyuk M.I. The results of experimental and clinical studies of the effectiveness of antiseptic drug decasan. Reports of Vinnytsia National Medical University. 2002; 6 (2): 292-4 (in Ukranian).
Lissov A.I., Fomin P.D., Kozlov S.N., Mikhal'chishin S.N. The use of Decasan in emergency abdominal surgery. Klinichna Khirurgiya (Clinical Surgery, Ukranian journal). 2009; 11-12: 98-100 (in Russ.).
Barusova S.A., Daurova F.Yu. Evaluation of the effectiveness of the antiseptic drug "Octenisept" in the complex treatment of inflammatory diseases of the paradont. Health and Education in the XXI Century. 2008; 10 (3): 150-1 (in Russ.).
Timofeev A.A., Dakal A.V. Local treatment of odontogenic phlegmons in drug-dependent patients. Sovbremennaya Stomatologiya (Modern Dentistry). 2016; 3: 1/14-12/14 (in Russ.).
Tyuryumin V.S. Use of sorption transmembrane dialysis in the treatment of purulent wounds. Cand. med. sc. thesises. Moscow; 1995: 7-20 (in Russ.).
Omorov R.A., Osmonaliev E.Zh. Echomorphometric method of monitoring the course of the wound process. Khirurgiya Kyrgyzstana (Surgery in Kyrgyzstan). 2007; 1: 45-7 (in Russ.).
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