Pub Date : 2023-03-02DOI: 10.25199/2408-9613-2022-9-3-38-45
Yu. S. Paskhalova
The article presents a clinical observation illustrating the multi-stage treatment of purulent-necrotic lesions of the diabetic foot syndrome in the presence of resistant flora and critical ischemia of the affected limb. The importance of teamwork in providing medical care to this category of patients, as well as the need to use adjuvant therapy, in particular, bacteriophages, in the complex treatment, is demonstrated
{"title":"Strategy of complex treatment of the neuroischemic form of diabetic foot syndrome in critical ischemia and in presence of resistant forms of purulent infection pathogens using bacteriophages on the example of clinical observation","authors":"Yu. S. Paskhalova","doi":"10.25199/2408-9613-2022-9-3-38-45","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-3-38-45","url":null,"abstract":"The article presents a clinical observation illustrating the multi-stage treatment of purulent-necrotic lesions of the diabetic foot syndrome in the presence of resistant flora and critical ischemia of the affected limb. The importance of teamwork in providing medical care to this category of patients, as well as the need to use adjuvant therapy, in particular, bacteriophages, in the complex treatment, is demonstrated","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117160489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-02DOI: 10.25199/2408-9613-2022-9-3-18-29
L. Chernova, N. P. Aleksanova, P. V. Kashin
This article analyzes issues of surgical site-associated infections (SSIs). The authors analyze factors influencing SSIs development and discuss measures which could reduce the risk of these infections spread. Compliance with the principles of asepsis, adequate surgical linens and surgical clothing are discussed in more details. Basic requirements for surgical linens – following standards and existing practice – are highlighted as well. In addition, the authors analyze advantages of disposable nonwoven materials used for surgical garments as protection against SSIs both for patients and medical staff.
{"title":"Surgical underwear and clothing – norms and requirements in the prevention of infections in the surgical area","authors":"L. Chernova, N. P. Aleksanova, P. V. Kashin","doi":"10.25199/2408-9613-2022-9-3-18-29","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-3-18-29","url":null,"abstract":"This article analyzes issues of surgical site-associated infections (SSIs). The authors analyze factors influencing SSIs development and discuss measures which could reduce the risk of these infections spread. Compliance with the principles of asepsis, adequate surgical linens and surgical clothing are discussed in more details. Basic requirements for surgical linens – following standards and existing practice – are highlighted as well. In addition, the authors analyze advantages of disposable nonwoven materials used for surgical garments as protection against SSIs both for patients and medical staff.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122901789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-02DOI: 10.25199/2408-9613-2022-9-3-6-17
V. Knyazev
The present review outlines features of a staged surgical tactics in treating battle and non-battle injuries in military medicine and disaster medicine. The problem of surgical infections in lightly wounded patients and the effectiveness of ozone therapy are also highlighted in the review. The authors introduce the concept of ozone-surgical treatment of wounds which is a combination of its evidence-based methods and acknowledged techniques of surgical care and blockades. The staged regional ozone therapy which is described in the article is an adjuvant surgical aid to prevent wound infection in damaged tissues.
{"title":"Tactical and clinical positions to prevention wound complications in damaged soft tissues with staged adjuvant ozone-surgical treatment","authors":"V. Knyazev","doi":"10.25199/2408-9613-2022-9-3-6-17","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-3-6-17","url":null,"abstract":"The present review outlines features of a staged surgical tactics in treating battle and non-battle injuries in military medicine and disaster medicine. The problem of surgical infections in lightly wounded patients and the effectiveness of ozone therapy are also highlighted in the review. The authors introduce the concept of ozone-surgical treatment of wounds which is a combination of its evidence-based methods and acknowledged techniques of surgical care and blockades. The staged regional ozone therapy which is described in the article is an adjuvant surgical aid to prevent wound infection in damaged tissues.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133411463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-26-32
A. I. Anikin, A. M. Skvortsov, O. A. Dedenkov, M. Rumyantseva, B. G. Zavyalov
The authors describe their experience in a successful treatment of a patient with necrotizing infection of lower limb soft tissues complicated by sepsis. Their comprehensive approach included two-stage surgical intervention and medicamentous therapy. As a result, the patient has completely recovered.
{"title":"Management of a patient with necrotizing soft tissue infection complicated by sepsis. An authors’ experience","authors":"A. I. Anikin, A. M. Skvortsov, O. A. Dedenkov, M. Rumyantseva, B. G. Zavyalov","doi":"10.25199/2408-9613-2022-9-2-26-32","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-26-32","url":null,"abstract":"The authors describe their experience in a successful treatment of a patient with necrotizing infection of lower limb soft tissues complicated by sepsis. Their comprehensive approach included two-stage surgical intervention and medicamentous therapy. As a result, the patient has completely recovered.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123814584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-18-24
A. Tabuika, E. N. Shchitova, M. Trufanova
Modern management of wounds of various etiologies is a comprehensive approach which includes correction of patient's general somatic state and adequate local treatment strictly corresponding to the stage of wound healing process. In the outpatient unit, it is a local gentle management of wound defects with proper wound coatings that meet various tasks at various stages of wound healing process. One of the problems of modern wound management is stimulation of epithelialization, namely the restoration of subdermal, dermal and epithelial layers. One of the most promising directions in solving this problem is application of collagen, due to its optimal manipulation characteristics, biocompatibility, controlled biodegradation, ability to form complexes with pharmaceuticals as well as to stimulate regeneration. Collagen coatings may be used both independently and in the complex of local treatment when collagen dressings alternate with other interactive dressings. Such an approach ensures high-quality regeneration of wound defects and prevents complications.
{"title":"The first experience of using Russian collagen dressings","authors":"A. Tabuika, E. N. Shchitova, M. Trufanova","doi":"10.25199/2408-9613-2022-9-2-18-24","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-18-24","url":null,"abstract":"Modern management of wounds of various etiologies is a comprehensive approach which includes correction of patient's general somatic state and adequate local treatment strictly corresponding to the stage of wound healing process. In the outpatient unit, it is a local gentle management of wound defects with proper wound coatings that meet various tasks at various stages of wound healing process. One of the problems of modern wound management is stimulation of epithelialization, namely the restoration of subdermal, dermal and epithelial layers. One of the most promising directions in solving this problem is application of collagen, due to its optimal manipulation characteristics, biocompatibility, controlled biodegradation, ability to form complexes with pharmaceuticals as well as to stimulate regeneration. Collagen coatings may be used both independently and in the complex of local treatment when collagen dressings alternate with other interactive dressings. Such an approach ensures high-quality regeneration of wound defects and prevents complications.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131941090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-34-43
R. A. Baranov, L. A. Latysheva
Myelodysplastic syndromes are clonal stem cell diseases characterized by hematopoietic dysplasia taking place in one or more myeloid cell lines, as well as by a high risk of progression to acute myeloid leukemia. This systemic disease is often accompanied by the violated microcirculation in the skin due to thrombosis of the terminal arteries leading to the formation of necrotic zones. The multicomponent nature of the disease requires a multidisciplinary approach to the treatment and staged surgical intervention. In this article, we present an example of a successful complex treatment of a 16-year-old girl with soft tissue necrosis of the perineum which developed because of the myelodysplastic syndrome.
{"title":"Surgical treatment of necrotizing fasciitis in the myelodysplastic syndrome in a child","authors":"R. A. Baranov, L. A. Latysheva","doi":"10.25199/2408-9613-2022-9-2-34-43","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-34-43","url":null,"abstract":"Myelodysplastic syndromes are clonal stem cell diseases characterized by hematopoietic dysplasia taking place in one or more myeloid cell lines, as well as by a high risk of progression to acute myeloid leukemia. This systemic disease is often accompanied by the violated microcirculation in the skin due to thrombosis of the terminal arteries leading to the formation of necrotic zones. The multicomponent nature of the disease requires a multidisciplinary approach to the treatment and staged surgical intervention. In this article, we present an example of a successful complex treatment of a 16-year-old girl with soft tissue necrosis of the perineum which developed because of the myelodysplastic syndrome.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114095828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-44-49
A. V. Borodin, E. Komarova, A. Shevchuk
The authors describe a successful complex surgical treatment of a patient with chronic postoperative osteomyelitis of the sternum and ribs. It included surgical treatment of a purulent focus, local treatment with negative pressure, and plastic reconstruction of the anterior chest wall with autografts when the wound process transformed into the reparative stage.
{"title":"Experience in treating a patient with chronic postoperative osteomyelitis of the sternum and ribs","authors":"A. V. Borodin, E. Komarova, A. Shevchuk","doi":"10.25199/2408-9613-2022-9-2-44-49","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-44-49","url":null,"abstract":"The authors describe a successful complex surgical treatment of a patient with chronic postoperative osteomyelitis of the sternum and ribs. It included surgical treatment of a purulent focus, local treatment with negative pressure, and plastic reconstruction of the anterior chest wall with autografts when the wound process transformed into the reparative stage.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121458199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-6-11
V. Porkhanov, A. G. Baryshev, V. V. Polovinkin
The article presents a brief biography of an outstanding surgeon and a scientist of the Kuban region in 20th and 21st centuries Dr. Vladimir Bensman (11/18/1927). It is dedicated to his 95th anniversary. 72 years of his professional life were dedicated to medical science and national health care!
{"title":"Anniversary of Vladimir Mikhailovich Bensman (November 18, 1927)","authors":"V. Porkhanov, A. G. Baryshev, V. V. Polovinkin","doi":"10.25199/2408-9613-2022-9-2-6-11","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-6-11","url":null,"abstract":"The article presents a brief biography of an outstanding surgeon and a scientist of the Kuban region in 20th and 21st centuries Dr. Vladimir Bensman (11/18/1927). It is dedicated to his 95th anniversary. 72 years of his professional life were dedicated to medical science and national health care!","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128664759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-12DOI: 10.25199/2408-9613-2022-9-2-12-17
V. Tsvetkov, O. V. Kolovanova, A. M. Soloveva, E. A. Asriev
To cover a post-surgical bone defect is an essential part of successful treatment of osteomyelitis of long bones in addition to radical surgical treatment and osteonecrectomy. Autologic vascularized tissues is the best option to fill the infected bone defect. However, if a pathological focus is localized in the distal part of tibia, the deficit of surrounding soft tissues makes the replacement of infected tibial defect a difficult task. One of the ways to solve the discussed problem is application of de-epithelized part of fasciocutaneous sural flap with a distal feeding pedicle. The article describes specific features of this surgical technique and outcomes of treatment in three patients with post-traumatic osteomyelitis (type III by Czerny – Mader classification). Our experience allows us to recommend this technique for treating an infected cavity in the medullary canal of the distal part of tibia.
{"title":"A partially de-epithelized sural flap with a distal vascular pedicle in the treatment of distal tibial osteomyelitis","authors":"V. Tsvetkov, O. V. Kolovanova, A. M. Soloveva, E. A. Asriev","doi":"10.25199/2408-9613-2022-9-2-12-17","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-2-12-17","url":null,"abstract":"To cover a post-surgical bone defect is an essential part of successful treatment of osteomyelitis of long bones in addition to radical surgical treatment and osteonecrectomy. Autologic vascularized tissues is the best option to fill the infected bone defect. However, if a pathological focus is localized in the distal part of tibia, the deficit of surrounding soft tissues makes the replacement of infected tibial defect a difficult task. One of the ways to solve the discussed problem is application of de-epithelized part of fasciocutaneous sural flap with a distal feeding pedicle. The article describes specific features of this surgical technique and outcomes of treatment in three patients with post-traumatic osteomyelitis (type III by Czerny – Mader classification). Our experience allows us to recommend this technique for treating an infected cavity in the medullary canal of the distal part of tibia.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126659477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-23DOI: 10.25199/2408-9613-2022-9-1-20-27
E. S. Zhavoronok, A. Korolchuk, T. Vinokurova, O. A. Legonkova, K. A. Lenkova, S. Kedik, A. Ushakov
Knitted wound dressings based on synthetic polymers (primarily lavsan) have some advantages over dressings based on natural materials (cotton, etc.) – first of all, they cause less irritation of wound surfaces due to the absence of microvilli. However, during storage one can see changes in the properties of lavsan dressings, i. e. the material becomes more rigid. Under the present work, it has been shown that these changes are caused by the significantly increased crystallinity of lavsan fibers during exposure to natural environment. To reduce lavsan crystallinity, it is recommended to process the material with mixtures of polyethylene glycols which are popular ointment bases. Heat enhances the effect and returns the original degree of softness to knitted lavsan dressing materials.
{"title":"Factor causing changes in the mechanical properties of polymer bases of knitted bandages","authors":"E. S. Zhavoronok, A. Korolchuk, T. Vinokurova, O. A. Legonkova, K. A. Lenkova, S. Kedik, A. Ushakov","doi":"10.25199/2408-9613-2022-9-1-20-27","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-20-27","url":null,"abstract":"Knitted wound dressings based on synthetic polymers (primarily lavsan) have some advantages over dressings based on natural materials (cotton, etc.) – first of all, they cause less irritation of wound surfaces due to the absence of microvilli. However, during storage one can see changes in the properties of lavsan dressings, i. e. the material becomes more rigid. Under the present work, it has been shown that these changes are caused by the significantly increased crystallinity of lavsan fibers during exposure to natural environment. To reduce lavsan crystallinity, it is recommended to process the material with mixtures of polyethylene glycols which are popular ointment bases. Heat enhances the effect and returns the original degree of softness to knitted lavsan dressing materials.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134055998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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