Drainage of purulent wounds of soft tissues (review article)

Abstract. Wound infection and purulent-inflammatory diseases of soft tissues in surgery are an urgent problem that requires an integrated approach to treatment. One of the key factors to eliminate this pathology is drainage. The purpose of this review is to study the principles and methods of drainage used, in particular those used in the treatment of purulent soft tissue wounds. To study this issue, we analyzed the educational and applied literature, scientific literature from List of HAC, databases SCOPUS, RSCI, ESCI, CAS, PUBMED. We note the results of applying various drainage methods. A surgical operation does not always lead to the complete elimination of the inflammatory process, which can be aggravated by the appearance of exudation, natural necrosis, and the development of pathogenic microflora. To ensure in the postoperative period a complex cleansing of the wound from exudate, necrosis products, microbial flora, different drainage methods are used. After studying the current literature, one can not only be convinced of the need for drainage, but also clearly trace the development of drainage principles that are aimed at combining physical and pharmacological methods of wound cleaning with the maximum possible elimination of the negative iatrogenic factor.