Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University126910.18499/2070-478X-2019-12-2-86-91UnknownComparative characteristics of modern dressing in the complex treatment of patients with purulent infection.YaremaIvan Vasilievich<p>Corresponding Member of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery at the Medical Faculty of the Moscow State University of Medicine and Dentistry</p>
<p> </p>msmsu@msmsu.ruhttps://orcid.org/0000-0003-2955-5731YaremaVladimir Ivanovich<p>Doctor of Medical Sciences, Professor of the Department of Hospital Surgery, Faculty of Medicine, Moscow State University of Medicine and Dentistry</p>
<p> </p>msmsu@msmsu.ruhttps://orcid.org/0000-0002-5247-4641ValentovAlexey Yurievich<p>graduate student of the Department of Hospital Surgery, Faculty of Medicine, Moscow State University of Medicine and Dentistry</p>
<p> </p>valentov88@mail.ruhttps://orcid.org/0000-0001-9861-8594KozindaZinaida Yulianovna<p>Candidate of Technical Sciences, Head of the Department of the Multifunctional Textile Materials Laboratory, OJSC “TsNIIShP”</p>
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<p> </p>cniishp@gmail.comhttps://orcid.org/0000-0003-0736-6761ErofeevOleg Olegovich<p>Candidate of Technical Sciences, Senior Researcher of the laboratory "Multifunctional textile materials", OJSC "TsNIIShP"</p>
<p> </p>cniishp@gmail.comhttps://orcid.org/0000-0003-3761-1449ProsychevaOlga Olegovna<p>Candidate of Medical Sciences, Assistant of the Department of Maxillofacial and Plastic Surgery of the Moscow State University of Medicine and Dentistry</p>
<p> </p>msmsu@msmsu.ruhttps://orcid.org/0000-0002-9045-9864Moscow State University of Medicine and DentistryOJSC “TsNIIShP”OJSC "TsNIIShP"29032019122869118012019Copyright © 2019, Yarema I.V., Yarema V.I., Valentov A.Y., Kozinda Z.Y., Erofeev O.o., Prosycheva O.o.2019<p>Rationale. According to recent studies, purulent complications of postoperative wounds are found quite widely in surgical practice. <br />Objective. To establish the effectiveness of an integrated approach to the treatment of purulent wounds.<br />Methods. The most popular dressings were investigated in the treatment of purulent cavities in patients with suppurative coccygeal cyst. The studied patients in the experimental groups had various comorbidities, such as diabetes mellitus, obliterating atherosclerosis of the lower extremities. Experimental dressings include a dressing agent with antimicrobial properties (with chlorhexidine digluconate), Hydrotl, Activetex HF. <br />Results. In the postoperative period, it is necessary to use broad-spectrum antibacterial drugs. However, in addition to the primary methods it is necessary to apply additional methods of treatment. In particular, we are talking about the use of modern dressings, as well as methods of physical impact on the wound. Among the important additional methods of treatment is physiotherapy, which has a positive effect on the vascularization of soft tissues, thereby enhancing nutrition and epithelialization of the wound. The doctor is faced with the difficult task of determining the most appropriate material for a particular patient among a wide range of dressing materials on the medical market.<br />Conclusion. In patients with an established diagnosis of abscess pilonidal cyst who do not have associated diseases, it is most effective to apply a Hydrotl ointment during dressings; in patients with a concomitant diagnosis of atherosclerosis obliterans, the dressing agent with antimicrobial properties (with chlorhexidine digluconate) has the greatest effect; in patients with diabetes mellitus type II - Activetex HF.</p>coccygeal cystpurulent wounddressingshyperbaric oxygenationphysiotherapydressing with antimicrobial propertiesHydrotülActivetex HF.копчиковая кистагнойная ранаперевязочные материалыгипербарическая оксигенацияфизиотерапиясредство перевязочное с антимикробными свойствамиHydrotülАктивтекс ХФ.[Vinnik YS, Markelova NM, Tyuryumin VS. Modern methods of treatment of purulent wounds. Sibirskoye meditsinskoye obozreniye. 2013; 1: 18. (in Russ.)][Tret'yakov AA, Petrov SV, Neverov AN. Treatment of purulent wounds. Novosti khirurgii. 2015; 6 (23): 680. 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