Vacuum aspiration in the complex treatment of patients with destructive forms of erysipelas

  • L. A. Vasylevska State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine"
Keywords: autodermoplasty, vacuum therapy, purulentnecrotic wounds

Abstract

The purpose of the study. is to give a clinical evaluation of the effectiveness of vacuum therapy in combination with autodermoplasty in the complex treatment of patients with necrotic erysipelas.

Materials and methods of research. 114 case histories of patients who were hospitalized in the center of purulentseptic surgery in the Non profit municipal enterprise «City Hospital № 3» in Zaporizhzhia for the period 2019–2020 were analyzed retrospectively and prospectively.

Results. Patients on admission to the clinic underwent surgical treatment, which consisted in opening a purulent lesion, necrectomy. After installation of the vacuum aspirator the general condition and the general state of health of patients considerably improved, already by the 5th day cleaning of a wound and emergence of granulation had been noted. The use of a vacuum device contributed to the dosed pressing of the skin flap to the wound surface, reliable fixation of the skin flap and to some extent – the improvement of local microcirculation.

Conclusions. The use of vacuum therapy helps to clean the purulent wound, reduces the first phase of the wound process and potentiates the filling of the wound surface with mature granulation tissue. The use of vacuum therapy provides reliable fixation of skin grafts on the wound surface, eliminates the risk of their displacement in the near future after autodermoplasty

References

Hasanov AG, Shaybakov DG, Shamsiev RE, Badretdinov AF, Shirobokov AM, Zakirov IA,[et al.] Ispolzovanie vakuuma pri kozhnoy plastike u bolnyih s nekroticheskoy formoy rozhi.Sovremennyie problemyi nauki i obrazovaniya.2018; 5.

HSV (VPG 1 2) IgM. Laboratoriya i meditsinskie tsentryi "Nauka", 2017. [Elektronniy resurs]. Dostupno:https:// www.labnauka.ru/knowledge-base/hsv-vpg-12-igm.

Krizhevskiy VV, BIlyaEva OO, Shendrik VG, Rib'yanets YuV. InnovatsIynI tehnologIYi v kompleksnomu lIkuvannI beshihi. MaterIali IV z'Yizdu spetsIalIstIv meditsini nevIdkladnih stanIv ta meditsini katastrof (31 bereznya – 1 kvItnya 2016).. VInnitsya; 2016: 49–50.

Ratnikova LI, Ship SA, Dubovikova TA, Barsukova DN. Rozha: osobennosti sovremennogo techeniya i novyie vozmozhnosti patogeneticheskoy terapii. Yuzhno-uralskiy meditsinskiy zhurnal.2016; 2: 12–17.

Shandiba IO. Retsidivna beshiha: klInIchnI ta epIdemIologIchnI osoblivostI perebIgu na su- chasnomu etapI. Problemi profIlaktiki. [robota na zdobuttya kvalIfIkatsIynogo stupenya magIstra: spets. 14.01.38 – sImeyna meditsina].Sumi; 2016. 31 p.

Brazhnik EA, Ostroushko AP. Rozhistoe vospalenie v hirurgicheskoy praktike. Nauchnoe obozrenie. Meditsinskie nauki. 2016; 4: 14–17.

Krasagakis K, Valachis A, Maniatakis P, et al. Analysis of epidemiology, clinical features and management of erysipelas. Int J Dermatol. 2010; 49 (9): 1012–1017.

Yang SS, Chandran NS, Huang JX. A fatal case of "bullous erysipelas-like" pseudomonas vasculitis.Indian Journal Dermatology. 2016;61 (1):120.

Johnston C, Corey L. Current concepts for genital herpes simplex virus infection: diagnostics and pathogenesis of genital tract shedding.Clin Microbiol Rev. 2016; 29( 3: 149–161.

Ramchandani M, Kong M, Tronstein E, [et al.]Herpes Simplex Virus Type 1 Shedding in Tears and Nasal and Oral Mucosa of Healthy Adults. Sexually Transmitted Diseases. – 2016; 43( 12) : 756–760.

Moskovaya T, Pshenichnaya N, Kucherenko I. Pathogenetic significance of macrophage inflammatory protein-IA in patients with rysipelasofthelowerextremities. International Journal of Infectious Diseases.2016; 45(1):146.

Massone C, Fink-Puches R, Cerroni L. Atypical clinical presentation of primary and secondary cutaneous follicle center lymphoma (FCL) on the head characterized by macular lesions. J Am Acad Dermatol. 2016;75 (5): 1000–1006.

Grishina EE. Vospalitelnyie zabolevaniya vek s pozitsii oftalmoonkologa. RMZh

«Klinicheskaya oftalmologiya». 2017; 3: 190–193.

Blazhnyaya LP, Avdeeva MG, Kovalevskaya OI, Kozyireva EV. Osobennosti techeniya rozhi v raznyih vozrastnyih gruppah. Materialyi IX Ezhegodnogo Vserossiyskogo Kongressa po infektsionnyim boleznyam s mezhdunarodnyim uchastiem.Moskva; 2017: 43p.

Erovichenkov AA, Pshenichnaya NYu, Pavelkina VF. Rozha – mezhdistsiplinarnaya problema zdravoohraneniya. Materialyi IX Ezhegodnogo Vserossiyskogo Kongressa po infektsionnyim boleznyam s mezhdunarodnyim uchastiem. Moskva;2017: 96p.

Lisko OB, Satarova SA, Perminova TA, Gavrilova IB. Rozha, kak sotsialno-meditsinskaya problema na sovremennom etape. Mat. IX Ezheg. Vseros. Kongressa po infektsionnyim boleznyam s mezhdunarodnyim uchastiem. Moskva; 2017:155p.

Plavunov NF, Kadyishev VA, Chernobrovkina TYa, Proskurina LN, Kardonova EV. Diagnosticheskoe znachenie ekzantem pri infektsionnyih zabolevaniyah na dogospitalnom etape. Arhivyi vnutrenney meditsinyi. 2016; 6 (3): 36–41.

Plavunov NF, Kadyishev VA, Proskurina LN, Chernobrovkina TYa. Osobennosti kliniki i diagnostiki rozhi. Metodicheskie rekomendatsii # 18. Pravitelstvo Moskvyi. Departament zdravoohraneniya. M. 2017; 34 p.

Yuschuk ND, Vengerov YuYa. Lektsii po infektsionnyim boleznyam: v 2 t.M.: GEOTAR – Media; 2016. 456–474p.

Markova TS. 220 let pediatricheskoy nauki i praktiki.Vestnik soveta molodyih uchYonyih i spetsialistov Chelyabinskoy oblasti. 2016;1:4 (15):55–57

Erovichenkov AA, Domonova EA,Potekaeva, SA. i dr. Sovremennyie molekulyarno-biologicheskie metodyi v izuchenii etiologii bullezno-gemorragicheskoy formyi rozhi nizhnih konechnostey.Infekts. bol. 2016; 14( 2): 6–12.

Ratnikova LI, Ship SA, Ivankova GI [et al.]. Differentsialnaya diagnostika rozhi s zabolevaniyami hirurgicheskogo profilya. Zhurn. infektologii. 2016; 8: 2: 80–81

Published
2021-07-20
How to Cite
Vasylevska, L. A. (2021). Vacuum aspiration in the complex treatment of patients with destructive forms of erysipelas. Modern Medical Technology, (2(49), 26-30. https://doi.org/10.34287/MMT.2(49).2021.4
Section
Original research