FIELD: medicine; surgery.
SUBSTANCE: invention can be used for early preclinical prediction of wound abscess after secondary surgical treatment (SST) of pus infection centers. Paravulnar percutaneous measurement of oxygen partial pressure in capillary blood (TcpO2) is performed before and after radical surgical treatment. Postoperative preservation of TcpO2, measured in the paravulnar zone at 2–3 cm from the edge of the surgical wound, not more than 1 day before the operation of the SST, its reduction, or increase by 3–5 mm after SST by not more than 2 mm Hg is predicted as a sign of high risk of purulent complication.
EFFECT: method enables statistically reliable preclinical prediction of wound abscess, formed after SST due to purulent infection focus and closed by primary or primary delayed suture, by monitoring microcirculatory oxygenation, which can serve to control quality and outcome of purulent infection center, which is made by SST, as well as preclinical marker of developing postoperative suppuration.
1 cl, 4 dwg, 3 tbl, 4 ex
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Authors
Dates
2020-10-06—Published
2019-10-16—Filed