SU908372A1 - Method of treating operative wound - Google Patents

Description

(Ji) METHOD OF HEALING OPERATIONAL

one

The invention relates to medicine, namely to skin plastic surgery.

There is a known method of healing an operative wound in a skin plastic surgery by applying a drug to a wound and subsequent vacuum therapy. 1

However, with the healing of the wound by this method, complications are possible.

The purpose of the invention is to reduce complications.

To achieve this goal, according to the proposed method, which involves applying a drug to a wound and subsequent vacuum therapy, before each procedure, the TeMnepatypy skin in the zone and outside the operation zone is measured and the vacuum therapy is carried out while gradually reducing the degree of pressure from 20 to 50 mm Hg . with a simultaneous decrease in the duration of the procedure from I to 5 minutes and return

The action is stopped when the skin temperature is equalized in the zone and outside the zone of operation.

When performing vacuum therapy, the most optimal initial pressure is 20-30 mm Hg. Art. so, as with a smaller value, the effect of increasing blood supply in the temperature test was insufficient. The use of initial pressure values of not more than 50 mm Hg. impractical due to pronounced stagnation in the affected area.

Between the value of pressure and the duration of the procedure, there is an established dependence, i.e. with a small value (20 mi Hg), the optimal duration was 8 min, and at a pressure of 50 mm Hg. - 5 minutes.

Example 1. Ill L., C6

20 years old, operated on for ptosis and neck. Cuts were made from two sides in the temporal region, in front of the auricle with a circumference of the lobe, behind the auricle with the transition to the neck. The skin is peeled on cm throughout, the excess of her excised. The postoperative period was severe and prolonged edema, and by the 11th day pastoznost and cyanosis of the operation area remained and induction took place in front of the auricle on both sides, which was accompanied by impaired blood supply of this area, tested to reduce skin temperature by 7 ° compared to zone outside the operation. After applying the heparoid ointment, a baromassage procedure was carried out, consisting in a local effect on this zone by a reduced external pressure (up to 20 mm Hg) and its subsequent return to the initial level. The alternation of such cycles was repeated for 8 minutes. The next day, the temperature difference in the zone and outside the zone of operation was 1.1 C. After the measurement, the second procedure was carried out: the pressure was reduced to 30 mm Hg, and the pressure massage session lasted 7 minutes. Before the third procedure, the temperature difference was 0.7 ° C. After performing 5 procedures with a decrease in pressure to 0, 50 and 50 mm Hg. and a duration of 6, 5 and 5 minutes, respectively, noted the equalization of skin temperature in the area of operation and outside it. Clinically, this was accompanied by the disappearance of cyanosis, pastoznost and induration.

Example 2. Ill M., 51, operated on for ptosis of the face and neck. The postoperative period was mental (edematous edema with severe congestion in the neck, behind the auricle, more to the left, where there was hyperemia of the suture from the third day after the operation. On the H day after the operation, blueness remains in this area and the seal is noted rumen, which is accompanied by impaired blood supply to this zone, tested to reduce skin temperature by 1 ,, compared to the area outside the operation. After applying the ointment to the heparoid, a baromassage procedure was carried out, consisting in local zone reduced pressure to 30 mmHg and then return it to the original level. Alternating cycles and lowering the pressure reduction

repeated for 7 minutes. The next day, the difference in temperature in the zone and outside the operation zone was 0.9 C. During the second procedure, the pressure was reduced to kG mm Hg, and the procedure was continued for 6 minutes. The next day after the second procedure, the test temperature difference was 0.7 C.

Four treatments with a reduction in pressure of up to 50 mm Hg. and a duration of 5 minutes, after which noted the equalization of skin temperatures in the area of operation and outside of it. This was accompanied by the softening of the scar and the disappearance of cyanosis in the area adjacent to it. At repeated examination after 3 months, signs of scar hypertrophy were not observed.

The use of the proposed method of healing an operative wound in a plastic-plastic surgery by applying a drug with subsequent vacuum therapy allows

restore impaired blood supply to the skin in the early postoperative period, which improves the healing process, eliminates cyanosis, pastoznost and induration, and is the prevention of complications in the form of fibrous growths and hypertrophic scars. The proposed method was also effective in the treatment of compacted scars. It is physiologically adequate, can significantly reduce the duration of use and the consumption of drugs in the treatment of postoperative complications and thereby reduces the likelihood of side effects of drugs.

Claims (1)

Invention Formula A method of healing an operating wound in a plastic surgery by applying a drug to a wound and subsequent vacuum therapy, characterized in that, in order to reduce complications, the temperature of the skin in and outside the operation zone is measured before each procedure and the vacuum therapy is carried out with gradual a decrease in the degree of pressure from 20 to 50 mm Hg. with a simultaneous decrease in the duration of the procedure from 8 to 5 minutes and the exposure is stopped when the skin temperature in the zone and outside the zone of operation is equalized. 59083726 Sources of information, gallant apparatus. - Physiological taken into account in the examination and clinical effects of LOD. Materials 1. Vysochin Yu.V. Local barotechno-scientific conference. Under A.V. Korapi of injuries and diseases of the opornodibrokova et al., M., 1976, p. 121.