METHOD OF SURGICAL TREATMENT OF DEEP DECUBITAL WOUNDS IN PATIENTS WITH CONSEQUENCES OF SPINALCORD INJURY Russian patent published in 2011 - IPC A61M27/00 A61K49/00 A61K33/40 A61P41/00 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to neurosurgery, traumatology and surgery and is intended for surgical treatment of decubital wounds in case of separation of adjacent tissues in patients with consequences of spinal cord trauma. Cavity of decubital wound is densely tamponed with turunda preliminarily soaked in solution of methylene blue and 3% hydrogen peroxide with ratio of ingredients in solution 9:1. Entrance gate of decubital wound is tightly sewn with interrupted sutures. On skin, transversely to gluteal fold projection, marked is cut of ellipsoid shape sufficient for excision of bedsore capsule, with which sewn entrance gate of decubital wound are located inside excised skin section. Skin cut is performed. Pathologic focus is ablated in one block, guided by size of tamponed cavity and stained tissues. "Blind" draining of operation wound with further plasty of skin-muscular flap is performed. Antibacterial therapy is carried out for 5 days. Drainage is removed after 3 days.

EFFECT: method makes it possible to achieve complete and quality excision of decubital wound, reduce probability of recurrent surgery due to application of methylene blue and 3% hydrogen peroxide, extending narrow ways and slit recesses for complete staining and converting surgery from type of "purulent" into type of "clean" ones.

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