Determination of Dynamic of Inflammatory Processes of Soft Tissue in Acute Anaerobic Non-clostridial Paraproctitis Based on Data of Joulemetry


Treatment of surgical infection is an actual problem of modern surgery. So the issues of diagnosis and treatment of patients
with acute abscess are highly relevant and often discussed in the periodical domestic and foreign literature. Acute paraproctitis is
the most common disease in emergency proctology practice. Actual aspects affecting the treatment outcome in patients with acute
paraproctitis is striving against the progressive pyonecrotic processes in the cellular spaces and postoperative wound.
The purpose of the study
To conduct an experiment for evaluating the electrochemical properties of wound content in vitro in
dynamics based on joulemetry in case of inflammatory processes in patients with acute anaerobic paraproctitis caused by non-
clostridial microflora.
Materials and methods
To study the electrochemical parameters of the wound content depending on the degree of inflammatory
activity in patients with acute anaerobic paraproctitis the sampling of wound has been performed. 54 investigated clinical samples
were taken. Samples of wound content was placed in a sterile tube with thioglycolic medium. The resulting slurry was injected into
the liquid flow sensor connected to joulemetry device and electrochemical parameters of studied liquid was recorded.
Results and their discussion
The electrochemical properties of the wound content in patients with acute paraproctitis of anaerobic
etiology has been obtained during the pilot study, 92.6% of the cases correspond to clinical picture and laboratory data.
In patients with acute anal abscess anaerobic non-clostridial revealed a positive correlation between electrochemical
parameters of wound and the activity of the inflammatory process of soft tissues. The changes joulemetry indicators in 54.5% of
the observations are completely coincided, and in 36.6% of cases, ahead of clinical and laboratory manifestations of negative or
positive dynamics of inflammation at 24 hours.
Key words
acute paraproctitis, anaerobic non-clostridial microflora, current job, joulemetry, electrochemistry properties.

Penza State University, 40, Krasnaya str., Penza, 440026, RF

Author for correspondence.
к.м.н., старший преподаватель кафедры "Хирургия" Медицинского 

института ФГБОУ ВПО "ПГУ".

Penza State University, 40, Krasnaya str., Penza, 440026, RF

д.м.н., профессор кафедры "Хирургия" Медицинского института 


Penza State University, 40, Krasnaya str., Penza, 440026, RF

д.м.н., профессор кафедры "Хирургия" Медицинского института ФГБОУ ВПО "ПГУ".

Penza State University, 40, Krasnaya str., Penza, 440026, RF

к.м.н., ассистент кафедры "Хирургия" Медицинского института ФГБОУ ВПО "ПГУ".

Penza State University, 40, Krasnaya str., Penza, 440026, RF

студентка 6 курса Медицинского института ФГБОУ ВПО "ПГУ".

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