METHOD OF COMPLEX SURGICAL TREATMENT OF DIABETIC FOOT SYNDROME, COMPLICATED BY PURULENT-NECROTIC PROCESS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine and can be applied for surgical treatment of diabetic foot syndrome, complicated by purulent-necrotic process. Carried out are: opening of abscess or phlegmon of soft tissues of foot, revision of recesses and purulent leakages, excision of non-viable tissues. On the 2-nd day after surgery, 1-st cycle of additional treatment is realised: wound is successively influenced in stream manner by 0.06% solution of sodium hypochlorite (NaCLO) in concentration 800 mg/l, in combination with low-frequency ultrasound for 10-15 min, after which wound is isolated from environment by means of closed elastic container and in the same way in stream manner is influenced by proteolytic enzymes - tripsin and chimotripsin, with 50 mg of each enzyme dissolved in 200 ml of 0.9% physiological solution for 1.5 hours, after which above wound, for 3 hours, created is negative pressure 70-80 mm Hg with active vacuum-aspiration. After a 1-hour interval 1-st cycle is repeated, processing of wound with 0.06% solution of sodium hypochlorite in combination with low-frequency ultrasound being performed by active aspiration in the same conditions.;EFFECT: method allows to improve quality of wound purification, increase blood flow in wound walls, stimulate regenerative processes.;2 ex