METHOD FOR SURGICAL TREATMENT OF FOOT PHLEGMONS IN CASE OF DIABETES MELLITUS

摘要

FIELD: medicine.;SUBSTANCE: under conductor anesthesia, cuts are made on the plantar and medial surface of the foot, and necrectomy is performed. The wound is washed with a 3.0% solution of hydrogen peroxide. Ultrasound examination of the ankle canal is performed, taking into account the ultrasound data, a metallic conductor of 0.8-0.9 mm of catheter is inserted to the ankle canal by punction, 1.5-2.0 cm posteriorly from the inner ankle edge, the conductor is guided through the heel duct into the surgical wound. A conductor is used to inject a 2.1 mm catheter to a depth of 4 to 6 cm. The catheter patency and catheter distal end location at the "entrance" of the heel channel are checked. An infusion pump with an antiseptic solution is connected to the outer end of the catheter. A vacuum apparatus is applied to the phlegmon incision. A negative pressure is created in the phlegmon cavity in the intermittent mode of change from 120 mm Hg. 15 minutes to 20 mm Hg. 15 minutes. Against the backdrop of the open phlegmon vacuum decompression, the infusion pump is turned on and the antiseptic solution is introduced through the catheter for 2 hours. Sanitation is carried out 2 times a day prior to phlegmon cavity cleaning.;EFFECT: method allows to speed up the opened phlegmon cleansing from purulent-necrotic masses, which contributes to the early healing of the purulent wound, shortens patient treatment time and reduces the amount of lower limb amputation.;1 ex