RU2344854C1 - Treatment and prevention method for pyoinflammatory complications of postoperative wounds - Google Patents

Abstract

FIELD: medicine; surgery.

SUBSTANCE: from the instant of complication detection, postoperative suture area, as well as subjacent tissues and organs, are exposed to two-channel magnetic-laser radiation of constant red and pulse infrared light with wavelength 640±10 nm and 850±70 nm, laser impulses frequency 28-30 kHz; constant axial magnetic field with intensity 160-190 mTl being applied. Seance dose of laser radiation amounts to 0.50-0.55 J/cm².

EFFECT: tissue regeneration process acceleration, increase of therapy efficinency.

4 ex

Description

The invention relates to medicine, in particular to surgery and gynecology, and can be used in the treatment of purulent-inflammatory complications of postoperative wounds.

A known method for the prevention of purulent-inflammatory complications after gynecological surgery and cesarean section. Patients are exposed through a ring ferrite magnet with a magnetic field strength of 30-35 mT, infrared semiconductor continuous laser radiation with a wavelength of 0.81 μm, a radiation power density of 20-25 MW / cm ² daily for 3-5 days with an exposure of 8-12 minutes per projection ulnar vein (Russian patent No. 2000826, IPC A61N 5/067; 2/06, publication date 10/15/93).

The use of infrared semiconductor laser radiation through a magnet is very inefficient due to the small depth of penetration into the tissue.

A known method for the prevention and treatment of purulent-inflammatory complications after gynecological operations and cesarean section, including the impact of low-intensity laser radiation on the area of the postoperative suture on the anterior abdominal wall in the projection of the uterus, on the uterine tissue from its cavity daily (Kovalev MI, etc. . "Comprehensive prevention of infectious-septic complications after cesarean section using laser radiation." Abstracts, 1st Povolozhskaya scientific and practical con erentsiya "Lasers in Medicine and Ecology", Samara, 1998, p 49-50).

The most well-known is the method for the prevention and treatment of purulent-inflammatory complications after cesarean section surgery, including exposure to low-intensity laser radiation on the area of the postoperative suture located on the anterior abdominal wall and on the anterior surface of the uterus from the side of its cavity, daily.

Patients are affected simultaneously by laser radiation with a wavelength of 0.63 μm, a dose of 0.2 J / cm ² per session and 1.3 μm dose of 0.1 J / cm ² for 1 session with continuous alternation of radiation pulses of various wavelengths lasting 1 ms and through one fiber. The length of stay in the hospital is 8-10 days.

The disadvantage of using these methods of treatment with low-intensity laser radiation is the lack of effectiveness in treating patients due to the slow process of tissue regeneration and the small depth of penetration into the tissue.

The basis of the invention is the solution of the problem - increasing the efficiency of treatment of patients and a significant reduction in the length of stay in the hospital by accelerating the processes of tissue regeneration and a greater depth of penetration into the tissue.

The solution to this problem is provided by the fact that the method of treatment of purulent-inflammatory complications after operations performed on the pelvic organs includes the impact on the area of the postoperative suture and underlying tissues of the pelvic organs from the moment of detection of the complication, the simultaneous exposure to two-channel magnetic laser radiation, the effect of two-channel magnetically laser radiation of a continuous red and pulsed infrared spectrum with a wavelength of 640 ± 10 nm and 850 ± 70 nm with a laser pulse repetition rate 28-30 kHz, using a constant axial magnetic field with a strength of 160-190 mT, while the dose of laser radiation per session is 0.50-0.55 J / cm ² .

The proposed method of treatment is as follows.

The emitters are located - one in the area of the postoperative suture, and the second is inserted into the cavity (vaginally, intrauterine, rectally), the selected radiation mode is set, and the infrared radiation generator is turned on. The radiation is produced with a laser pulse repetition rate of 28-30 kHz, a pulse power of 4-6 W, an axial magnetic field strength of 160-190 mT, using the Ulei-ZKS device with laser radiation with a wavelength of 640 ± 10 and 850 ± 70 nm and penetration depth up to 10 cm.

The proposed method of treatment was used in the treatment of more than 100 patients operated on for various gynecological diseases.

Example 1. Patient K, 47 years old.

Diagnosis: symptomatic uterine fibroids.

In the anamnesis: biliary dyskinesia, pneumonia, tonsillectomy.

Gynecological diseases: cervical erosion, endometriosis.

Operation: supravaginal amputation of the uterus with fallopian tubes. On the 3rd day, suppuration of the wound was detected. Surgical treatment of the wound, magnetic laser therapy with a laser pulse repetition rate of 28-30 kHz, a flow rate of 4 W, an axial magnetic field strength of 160 mT, a radiation length of 640 and 850 nm, and a radiation dose of 0.52 J / cm ^{2 were performed.} the wound has healed; no pathogenic flora was found in bacteriological culture from the wound; it was discharged on the 7th day after the operation.

Example 2. Patient R., 51 years old.

The diagnosis of uterine fibroids, endometriosis.

In the anamnesis: peptic ulcer of the duodenum, gastritis, chronic bronchitis, varicose veins, tonsillectomy.

Gynecological diseases: Chronic salpingoophoritis, cervical erosion.

Operation: supravaginal amputation of the uterus with fallopian tubes. On the 4th day after the operation - suppuration of the wound, an abscess of the pelvis. Surgical treatment and magnetic-laser therapy of the wound and intracavitary (vaginal) irradiation were performed with a pulse repetition rate of 28-30 kHz, a pulse power of 5 W, an axial magnetic field of 170 mT, an emission length of 650 and 870 nm using a dose unit 0.52 J / cm ² .

Conducted 6 sessions, the wound healed, bacteriological culture from the cavity - pathogenic flora was not found. Discharged on the 7th day after surgery.

Example 3. Patient G., 42 years old.

Diagnosis: exacerbation of chronic salpingoophoritis, tubo-ovarian formation.

In the anamnesis: gastritis, appendectomy.

Gynecological diseases: uterine fibroids, cervical dysplasia of the II degree, endometriosis.

Operation: hysterectomy with the right appendage and the left fallopian tube. Suppuration of the wound and abdominal pelvic organs were revealed. Surgical treatment of the wound with drainage of the cavity through the vagina was performed. Laser therapy was carried out with a pulse repetition rate of 28-30 kHz laser pulses, a pulse power of 6 W, a magnetic field strength of 180 mT, a wavelength of 650 and 890 nm with an irradiation dose of 0.52 J / cm ² . Conducted 6 sessions, the wound healed, bacteriological culture from the cavity - pathogenic flora was not found. Discharged on the 9th day after surgery.

Example 4. Patient S., 37 years old.

Diagnosis: turbo-ovarian formation on both sides.

History: appendectomy, osteochondrosis, hypertension, staphylococci in the cultures from the vagina.

Gynecological disease: infertility.

Operation: tubectomy on both sides, with the preventive purpose of preventing purulent complications, magnetic laser radiation was produced from 1 day, the laser pulse repetition rate was 28-30 kHz, the pulse flux power was 6 W, the magnetic field strength was 190 T, and the wavelength was 640- 910 nm, a radiation dose of 0.54 J / cm ² . Conducted 5 sessions, the wound healed; bacteriological culture from the cavity - pathogenic flora was not detected. Discharged on the 6th day after surgery.

Claims (1)

A method for the treatment of purulent-inflammatory complications of wounds after operations performed on the pelvic organs, including the impact on the area of the postoperative suture and underlying tissues and organs, characterized in that from the moment the complications are detected, they are simultaneously exposed to a continuous red and pulsed infrared spectrum with a wavelength of two-channel magnetic laser radiation 640 ± 10 nm and 850 ± 70 nm and a laser pulse repetition rate of 28-30 kHz, using a constant axial magnetic field of 16 0-190 mT, while the dose of laser radiation per session is 0.50-0.55 J / cm ² .