METHOD OF DRAINING FOREARM PHLEGMON Russian patent published in 2018 - IPC A61M27/00 A61K31/498 A61K31/545 A61K38/48 A61K33/14 A61P41/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to surgery, and can be used in the treatment of patients with superficial and deep phlegmons of the forearm. Method of draining phlegmon of forearm includes opening the purulent focus, necrectomy, sanitation and draining the wound. Active drainage is carried out through two silicone tubes. 5 mm diameter lead tube is used which is perforated along the length of the wound by 4 rows of circumferentially spaced holes, each 3 mm in diameter, applied along the tube 5 mm in staggered order. Outflow tube with a diameter of 8 mm along the length of the wound is perforated with 5 rows of oval shaped circular holes, each 6 mm long and 2 mm wide, staggered along the tube 7 mm. Leading and outgoing silicone tubes are laid on the bottom of the wound parallel to each other at a distance of at least 10 mm between each other so that the perforations on them are staggered relative to each other. Proximal ends of the leading and outgoing silicone tubes are withdrawn through two spaced from opposite corners of the wound at a distance of at least 3 cm of each puncture cut and fixed to the skin. Then edges of the wound are brought together and fixed by gluing the Suprasorb F film bandage, after which the Cellona lining synthetic cotton wool is applied over the wound as a bandage. Active drainage of the wound is performed with a perfusor for 12 hours at intervals of 6 hours. In this case, a washing liquid is introduced through the leading silicone tube: medicinal preparations of dioxidine – 50 ml, pepsin – 20 mg and cefotaxime – 2 g dissolved in 2,000 ml of a 0.9 % sodium chloride solution. In each interval between the drains, the wound is bandaged, for which purpose the edges are treated with an antiseptic solution and brought together. Wound is fixed by gluing the Suprasorb F film bandage, and the Cellona lining synthetic cotton wool is applied over the wound as a bandage. After reaching the inflammatory type of the cytogram of the wound being separated from the wound, the administration of pepsin and cefotaxime is stopped, and introduction of a solution of dioxidine in the same concentrations and regimes is continued until a clean washing liquid separates from the discharge silicone tube. Drainage tubes are then removed.

EFFECT: method is easy to implement, effective, allows to drain both deep and superficial phlegmons of the forearm and practically excludes the development of postoperative complications in the long term.

1 cl, 2 ex