Wounds and wound infections. The prof. B.M. Kostyuchenok journal最新文献

{"title":"Quantum electronic devices in the perioperative period in patients with lower limb amputation","authors":"V. S. Shiryaev, V. Karandashov, R. D. Mustafaev, O. I. Bugrovskaya, A. Khosrovyan, O. Perov, V. Babushkin, A. Gadzhiev, I. A. Radjabov","doi":"10.25199/2408-9613-2022-9-1-28-33","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-28-33","url":null,"abstract":"The authors present their experience in applying quantum electronic devices in patients undergoing lower limb amputations.Object. To develop a technique for potentiating the traditional multimodal anesthesia by optoelectronic devices with wavelength 650 nm (red range) and 470 nm (blue range) (manufactured in Russia) in amputation of lower extremities.Material and methods. Multimodal anesthesia with quantum electronic devices was performed in 48 patients (11 women and 37 men) aged 68–89 and having comorbidities. In the main group, for contact LED irradiation portable semiconductor LED device AFS к-630/670 emitting in red range with wavelength 650 ± 20 nm and portable AFS device emitting in blue range with wavelength 470 ± 10 nm and power 30 mW at the end of surgery were used. The above mentioned devices were made in the form of bracelets for non-invasive and non-contact application in the multimodal anesthesia during amputations of lower extremities. In the comparison group, multimodal anesthesia was not potentiated by contact LED irradiation.Results. The discussed Russian bracelets emitting in red and blue bands of the spectrum during amputation of lower extremities promoted the decrease of narcotic dosage (Fentanyl) during general multimodal anesthesia. In the main group, cardiac index increased at the end of surgery, and the total peripheral vascular resistance decreased if to compare to baseline values. In the comparison group, cardiac index increased somewhat less if to compare to baseline values, and the total peripheral vascular resistance decreased somewhat less if to compare to baseline values.Conclusion. The discussed bracelets emitting in red range (650 nm) which were applied during surgical interventions for the amputation of lower extremities and bracelets emitting in blue range (470 nm) which were applied at the end of surgery reduce the dose of narcotic preparations (Fentanyl) as well as stabilize hemodynamic parameters during surgery. Besides, in the immediate postoperative period, patients who survived amputation of lower extremities and in who the abovementioned bracelets were used do not require additional narcotic painkillers after amputation.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133061205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phage therapy in the treatment of combat trauma","authors":"V. Beschastnov","doi":"10.25199/2408-9613-2022-9-1-6-11","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-6-11","url":null,"abstract":"The high resistance of the bacterial flora to existing antibacterial drugs makes it necessary to look for new approaches in the tactics of treating infectious wound complications. Phage therapy is one of the alternative ways to solve this problem. Foreign military medical organizations, together with private pharmaceutical companies, with the financial support of states, are actively developing all kinds of ways to use bacteriophages in various areas of combating bacterial infectious agents. The article outlines main research programs aimed at studying the possibilities of phage therapy in combat and burn injuries, which are being developed in Western Europe (France, Poland, Belgium, Austria, Switzerland), the USA, China, and Israel.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122459249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of the multifunctional protein C system research in the treatment of patients with indirect anticoagulants (literature review)","authors":"V. Egorova, A. A. Zvyagin, V. Demidova","doi":"10.25199/2408-9613-2022-9-1-12-18","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-12-18","url":null,"abstract":"The multifunctional protein C system regulates both hemostasis and the immune system in response to vascular and inflammatory damage, inhibits thrombinogenesis at an early stage of clotting. A decrease in protein C levels in clinical practice may be associated with vitamin K deficiency, as well as with coumarin therapy. Prolonged use of indirect anticoagulants may be accompanied by a decrease in protein C levels and contribute to the development of rebound thrombosis and thromboembolism. The depth of violations of the protein C system indicates the activation of the microthrombosis process and may affect the outcome of treatment of surgical patients.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114679495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic non-lactational granulomatous mastitis treated with local negative pressure","authors":"G. A. Vishnevskaya, N. Y. Germanovich, T. A. Shchegolkova, A. Tabuika, A. A. Pechetov","doi":"10.25199/2408-9613-2022-9-1-36-39","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-36-39","url":null,"abstract":"In the given clinical observation, the authors discuss management of a patient with chronic non-lactational mastitis.A 42-year-old patient with chronic non-lactational granulomatous mastitis had conservative antibiotic therapy for more than a month. During this period, chronic mastitis was diagnosed twice with core biopsy. Ultrasound and mammography examination demonstrated the enlargement of inflammation area. Delayed surgical treatment and specific anatomic structure of the gland, in particular, its ductal structure, high content of adipose tissue, caused the enlargement of the affected area after which half of the tissue volume had to be incised.After surgery, the patient was prescribed a complex therapy for 1.5 months including physical processing of the wound (ozone-oxygen mixture, NO-flows, negative pressure therapy (NPWT)).For more than three years of follow-up, the patient had no disease recurrences. The applied complex treatment allowed to get a stable aesthetically acceptable result.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122665078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A successful closure of an extensive wound defect on the plantar surface in a patient with diabetes mellitus type 1 with combined application of bioplastic materials","authors":"V. Petrova, G. A. Smirnov, M. N. Arzhelas, I. Afanasov","doi":"10.25199/2408-9613-2022-9-1-40-45","DOIUrl":"https://doi.org/10.25199/2408-9613-2022-9-1-40-45","url":null,"abstract":"A clinical case of successful surgical treatment of extensive purulent-necrotic lesion of the foot and lower leg in a comorbid patient is described in the article. The lesion had a neuroischemic form of the diabetic foot syndrome. The authors demonstrate the effectiveness of modern techniques for closing extensive soft tissue defects by the combined use of acellular dermal matrices based on collagen and chitosan in the treatment of complex postoperative wounds.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115124765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful treatment of a patient with severe sepsis and multiple organ failure syndrome complicating the course of purulent wounds of various locations","authors":"A. Kulikov, B. M. Rakhimov, Yu. A. Yushin, A. S. Ofitserov","doi":"10.25199/2408-9613-2021-8-4-30-33","DOIUrl":"https://doi.org/10.25199/2408-9613-2021-8-4-30-33","url":null,"abstract":"The article describes the complex surgical treatment of a patient with a bilateral hip phlegmon complicated by severe sepsis, multiple organ failure syndrome (cardiac, respiratory), as well as deep pressure ulcers of various depths and localization under the primarily diagnosed diabetes mellitus.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129397626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A tactics for treating large skin wounds on the head","authors":"M. Y. Podgornyak, M. A. Protchenkov, M. Mitichkin, O. A. Pavlov","doi":"10.25199/2408-9613-2021-8-4-24-29","DOIUrl":"https://doi.org/10.25199/2408-9613-2021-8-4-24-29","url":null,"abstract":"An open wound on the head is an injury (skin tear) of all scalp external layers including dermis, subcutaneous fatty tissue, aponeurosis, muscles, vessels and nerves with intact skull bones and intact neurological reactions [1].Extensive wounds of the external head layers, in addition to a standard threat to the human health, bear an additional risk due to their close localization to the brain. Because of the abundant blood supply to scalp soft tissues, high rate of volumetric blood flow (50–60 milliliters per 100 g of brain tissue), numerous extra-, intracranial arterial and venous anastomoses, there is a real danger of spreading the infection inside the skull and developing meningitis or encephalitis.Problems of care of patients with extensive head wounds, risk of complications that can cause severe consequences determine the relevance of the issue presented in this work.Objective. To analyze treatment results of patients admitted to the emergency department of Mariinskaya State City Hospital in St. Petersburg within three months in 2021 and to develop an optimal tactics for treating patients with extensive wounds of the scalp.Material and research methods. 2245 patients with various types of head injury were admitted to the hospital; 610 (27.2 %) of them had damage of the external scalp layers. Each patient had standard clinical and laboratory examination and multislice computed tomography (MSCT) examination of the head at 64-slice Definition AS (Siemens, Germany) CT scanner. In the emergency department, all patients who were injured by high-energy traumatic objects had the primary surgical debridement; all patients who were injured by low-energy traumatic objects had wound toilet and wound suturing. Three most representative cases with extensive wounds of the external scalp (over 10 cm) with illustrations are presented in the article as clinical examples.Results. All patients had good outcomes. There were no any signs of wound infection either.Conclusion. A thorough primary surgical debridement of scalp wounds with their drainage followed by observation and treatment in the hospital is a necessary condition for successful healing of large scalp wounds.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126973767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Semen S. Girgolav is a Servant of Russian Surgery.To his 140th anniversary","authors":"B. Kotiv, I. Dzidzava, A. A. Kurygin, S. Ivanusa, O. V. Barinov, V. I. Iontsev, N. I. Bashilov, I. V. Dmitrochenko","doi":"10.25199/2408-9613-2021-8-4-6-23","DOIUrl":"https://doi.org/10.25199/2408-9613-2021-8-4-6-23","url":null,"abstract":"Semen Semenovich Girgolav was born on February 2, 1881 in Tiflis, Georgia, Russia. In 1904 he graduated from the Imperial Military Medical Academy with honors. Under the guidance of Prof. M.S. Subbotin, Dr. S. Girgolav prepared and in 1907 successfully defended his doctoral dissertation “Experimental findings on the use of isolated omentum in the abdominal surgery”. Later, he headed the chairs of general surgery, hospital surgery of the Military Medical Academy; he also was a scientific director of the Leningrad Research Institute of Traumatology and Orthopedics, head of the surgical department of the medical faculty of the 2nd Leningrad Medical Institute.In the 30s. Prof. Girgolav started a comprehensive work on thermal injuries and continued it until the last days of his life, while basic efforts of the staff of departments and laboratories which he headed were focused on studying local and general effects of low temperatures. From the first to the last days of the Great Patriotic War, he was the Deputy Chief Surgeon of the Red Army, and when Academician Burdenko (Chief Surgeon) fell ill (from October 1941 to May 1942 and in 1945) he acted as Chief Surgeon. During the Great Patriotic War, Prof. Girgolav regularly underlined the priority of the issues of military field surgery management as well as the issues of collecting and sharing the battle experience in surgery.Academician Girgolav’s list of works includes more than 140 scientific papers, which can be schematically divided into the following topics: “Military field surgery”, “Wounds”, “Frostbites”, “Issues of Special Surgery”, “Traumatology”, “Asepsis and antiseptics”, “Pain relief”, “Neurosurgery”, “Endocrinology and oncology”, “Manuals and Guidelines”. Professor V. G. Weinstein (an outstanding Soviet traumatologistorthopedist who worked under Acad. Girgolav’s guidance) suggests the following sections: 38 works are devoted to comprehensive researches on wounds, 17 – to infections, 16 – to military field surgery, 14 – abdominal and thoracic surgery, 13 – traumatology, 12 – problems of low-temperature injuries. Fewer works in urology, plastic surgery, asepsis and antiseptics, vascular and operative surgery, history of medicine.As a result of Acad. Girgolav’s research and educational activities, one of the largest surgical schools in the USSR has been created. More than 20 doctoral and 45 candidate dissertations were prepared and defended under his supervision. Academician, Lieutenant-General of the Medical Service .S. Girgolav, was awarded the Stalin Prize, two Orders of Lenin, three Orders of the Red Banner, Order of the Red Banner of Labor, Order of the Red Star as well as many medals and honorary prizes for his outstanding contribution to the medical sphere of the Motherland in peacetime and wartime.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126465536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The possibility of using autologous adipose tissue for the stage shin wound closing","authors":"S. Markov, A. A. Spiridonov, A. V. Slepov","doi":"10.25199/2408-9613-2021-8-3-46-51","DOIUrl":"https://doi.org/10.25199/2408-9613-2021-8-3-46-51","url":null,"abstract":"Extensive soft tissue defects can be complicated by systemic diseases (trophic ulcers in diabetes mellitus, chronic arterial insufficiency) or the result of trauma (domestic, military, operating, etc.). The current increase in the incidence of this pathology is due to the spread of cardiovascular diseases and diabetes mellitus. Closing an infected long-term non-healing wound, such as a tendon or bone, is one of the most difficult tasks of reconstructive surgery. For example, the use of classical methods of closing wound conditions is difficult to a degree due to the patient's polymorbid background. The clinical case presented in the article shows the possibility of closing deep shin wound with a complex relief by the transplantation of autologous adipose tissue, a patient with severe concomitant pathology.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117118831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of complex wounds treatment with a hydrofiber dressing in a public hospital in Bogota (Colombia)","authors":"M. A. Salazar Trujillo","doi":"10.25199/2408-9613-2021-8-3-24-32","DOIUrl":"https://doi.org/10.25199/2408-9613-2021-8-3-24-32","url":null,"abstract":"Objective. To evaluate the efficacy of the use of a last generation hydrofiber dressing with silver, for the treatment of complex wounds that are difficult to heal.Materials and research methods. A prospective observational case-follow-up study was carried out, which included patients with acute or chronic wounds that were difficult to heal, treated in the plastic surgery service of a public hospital in Bogota-Colombia, who underwent healing with hydrofiber dressings reinforced, with silver ions, benzethonium chloride and EDTA (Aquacel Agplus®, ConvaTec). The wound was monitored, evaluating infection control, exudate and biofilm, as well as the number of required dressings and the time required for the complete closure of the wound.Research results. A total of 55 patients were included, with a median age of 44 years. In all cases, a follow-up was carried out until the definitive closure of the wound. At the end of the study, it was observed that, in 35 (63.6 %) patients, the wounds evolved to complete closure by second intention in an average of 59.3 days, requiring 12.5 dressings. 20 (36.4 %) patients had adequate wound bed preparation for definitive surgical coverage with grafts, flaps or dermal substitutes, in an average of 31.4 days, requiring 6.5 dressings on average.33 (60.0 %) wounds were infected and adequate infection control was achieved on average with 5 dressings. A decrease in the direct and indirect signs of biofilm was achieved after 6 dressings.Conclusion. The results show that the dressing studied is effective to control exudate, infection and biofilm, as well as to prepare the bed for a definitive surgical coverage.","PeriodicalId":366300,"journal":{"name":"Wounds and wound infections. The prof. B.M. Kostyuchenok journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128669179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}