SURGICAL TREATMENT OF PATIENTS WITH PURULENT-NECROTIC COMPLICATIONS AFTER UPPER LIMB REPLANTATION
https://doi.org/10.21886/2219-8075-2014-4-45-48
Abstract
Purpose: to improve the results of treatment of patients with replanted upper limb segments.
Materials and methods: the results of treatment of 62 patients with traumatic amputation of the forearm and fingers and necrotic complications are analysed. 30 patients (I research group) received in postoperative period lymphotropic antibiotic therapy using 1% Мethylene blue in combination with Сeftriaxone. Evaluation of the results was carried out using standard clinical and laboratory tests. Colonic forming units (CFU) assay and quantification of microorganisms per 1 g of tissue obtained from the wound were studied.
Results: Clinical study of the main group of patients showed a reduction of bacterial contamination of surgical wounds from 3,22×105±1,09×105 to 8,5×103±1,65×103 in 1 ml of the test material (p <0,001) and decrease of average hospital stay from 38,4 ± 2,98 to 32,7 ± 3,45 days (F = 1,1, p = 0.03).
Summary: use of lymphotropic antibiotic therapy in the treatment of patients after upper limb replantation allows reduce necrotic complications in 26,25% cases and treatment duration significantly.
Materials and methods: the results of treatment of 62 patients with traumatic amputation of the forearm and fingers and necrotic complications are analysed. 30 patients (I research group) received in postoperative period lymphotropic antibiotic therapy using 1% Мethylene blue in combination with Сeftriaxone. Evaluation of the results was carried out using standard clinical and laboratory tests. Colonic forming units (CFU) assay and quantification of microorganisms per 1 g of tissue obtained from the wound were studied.
Results: Clinical study of the main group of patients showed a reduction of bacterial contamination of surgical wounds from 3,22×105±1,09×105 to 8,5×103±1,65×103 in 1 ml of the test material (p <0,001) and decrease of average hospital stay from 38,4 ± 2,98 to 32,7 ± 3,45 days (F = 1,1, p = 0.03).
Summary: use of lymphotropic antibiotic therapy in the treatment of patients after upper limb replantation allows reduce necrotic complications in 26,25% cases and treatment duration significantly.
About the Authors
R. K. Ibragimov
Bashkir State Medical University
Russian Federation
Department of faculty surgery with the course of coloproctology
Russian Federation
Department of faculty surgery with the course of coloproctology
A. A. Ibatullin
Bashkir State Medical University
Russian Federation
Department of faculty surgery with the course of coloproctology
Russian Federation
Department of faculty surgery with the course of coloproctology
M. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Department of faculty surgery with the course of coloproctology
Russian Federation
Department of faculty surgery with the course of coloproctology
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Review
For citations:
Ibragimov R.K., Ibatullin A.A., Timerbulatov M.V. SURGICAL TREATMENT OF PATIENTS WITH PURULENT-NECROTIC COMPLICATIONS AFTER UPPER LIMB REPLANTATION. Medical Herald of the South of Russia. 2014;(4):45-48. (In Russ.) https://doi.org/10.21886/2219-8075-2014-4-45-48
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