The implementation negative pressure wound therapy for the treatment Of infectious complications of postoperative wounds

Authors

  • O. Y. Ioffe O. Bohomolets National Medical University, Kyiv
  • S. L. Kindzer O. Bohomolets National Medical University, Kyiv
  • O. P. Stetsenko O. Bohomolets National Medical University, Kyiv
  • T. M. Galyga O. Bohomolets National Medical University, Kyiv
  • A. V. Omelchenko O. Bohomolets National Medical University, Kyiv

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11464

Keywords:

negative pressure wound therapy, infectious complications, postoperative wound

Abstract

The aim of the work: to improve the results of treatment of patients with infectious complications of postoperative wounds.

Materials and Methods. During 2014–2019 in the Surgery Department of Kyiv City Hospital No. 3 (clinical base of the Department of General Surgery No. 2 of O. Bohomolets National Medical University) 47 patients were treated with infectious complications of postoperative wounds. The age of patients was (45.7±12) years, including 27 (57.4 %) men and 20 (42.6 %) women. In the main group, treatment was performed using a mobile pump for vacuum therapy of wounds NPWT KCI ActiVAC 300 ml. The comparison group used traditional gauze dressings with antiseptic solutions. All patients in both groups underwent antibacterial therapy, treatment of comorbidities.

Results and Discussion. According to the results of the bacteriological analysis of wound exudate in patients of the main group on the third day, the microbial count decreased to 105–106, in swabs of the wound necrotic type of cytograms changed to degenerative-inflammatory type in 19 (73.0 %) patients and 7 (27.0) %) of patients with inflammatory-regenerative type, while in the comparison group the indicators of microbial numbers remained at the previous level 108–109 and in 15 (71.4 %) remained a necrotic type of cytograms and only 6 (28.6 %) patients had degenerative-inflammatory type of cytograms. On the 10th day in the main group in 24 (92.3 %) patients, there were the regenerative type of cytograms, in 2 (7.7 %) patients inflammatory-regenerative type. In the comparison group, 15 (71.5 %) had a degenerative-inflammatory type, 4 (19.0 %) had an inflammatory-regenerative type of cytograms, and 2 (9.5 %) had a necrotic type.

The implementation of negative pressure wound therapy for the treatment of infectious complications of postoperative wounds significantly improves the results of treatment and reduces the rehabilitation time for the patients.

References

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Published

2020-10-23

How to Cite

Ioffe, O. Y., Kindzer, S. L., Stetsenko, O. P., Galyga, T. M., & Omelchenko, A. V. (2020). The implementation negative pressure wound therapy for the treatment Of infectious complications of postoperative wounds. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 70–76. https://doi.org/10.11603/2414-4533.2020.3.11464

Issue

No. 3 (2020)

Section

EXPERIENCE OF WORK

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