Application of Collagen Hydrolyzate and Hydropulse Action in the Treatment of Experimental Purulent Wounds


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Abstract

Relevance Wound treatment is one of the most frequent nosology in structure of primary surgical care, whose importance increases at development infection. That leads to an increase in duration and cost of treatment, that enchance dysfunction of organs and systems, sepsis deaths. The purpose of the study To develop experimental method in complex treatment of purulent wounds,based on combined use of Hydroimpulsive sanitatation and applicator-injecting collagen hydrolyzate. Materials and methods Experimental studies on 192 white rats with purulent wounds of soft tissues in 8 study groups ,according of methods used regional impact, and combinations. A study of treatment effectiveness was assessed by clinical, planimetric, histological and histochemical studies. Results and their discussion It was found that combined use these methods is optimal and accelerates necrolysis processes , reduce bacterial contamination in wound surface to 7 days to the level of 10-102 microbes per gram on tissue, reducing the inflammatory infiltration, accelerates during proliferation, which is expressed in the stimulation of angiogenesis, formation and maturation of granulation tissue, followed by epithelialization, all of which helped to reduce the healing time of wound defect by an average of 27.9%. Conclusion 1. This method of complex treatment purulent wounds of soft tissues, based on the combined use of Hydroimpulsive rehabilitation and aspiration-injecting collagen hydrolyzate. 2. Application of this method allowed to reduce bacterial contamination in the wound surface to the 7th day before the 101-102 level of microbial cells in 1 g of tissue. 3. Use of method based on a combination of Hydroimpulsive rehabilitation and aspiration-injecting collagen hydrolyzate, contributes to a more pronounced positive dynamics of morphological and histochemical changes that manifests a decrease in swelling of tissues, accelerating the timing of the formation of fibrin and collagen epithelialization compared with the 1st control group

About the authors

N.N.Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Author for correspondence.
Email: sugery@mail.ru
- MD, Deputy Director of the Research Institute of Surgical Infection on Scientific Work of the N.N. Burdenko Voronezh State Medical Academy. Russian Federation

N.N.Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: author@vestnik-surgery.com
- Post-Graduated Student the Department of General Surgery of the N.N. Burdenko Voronezh State Medical Academy; Russian Federation

N.N.Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: author@vestnik-surgery.com
Post-Graduated Student the Department of General Surgery of the N.N. Burdenko Voronezh State Medical Academy Russian Federation

Воронежская государственная медицинская академия им. Н.Н.Бурденко, ул. Студенческая, д. 10, Воронеж, 394036, Российская Федерация

Email: author@vestnik-surgery.com
д.м.н., проф., зав. кафедрой общей
хирургии, директор НИИ хирургической инфекции
Воронежской государственной медицинской акаде-
мии им. Н.Н.Бурденкод.м.н., проф., зав. кафедрой общей
хирургии, директор НИИ хирургической инфекции
Воронежской государственной медицинской акаде-
мии им. Н.Н.Бурденко Russian Federation

References

  1. Mitish V.A. i dr. Vozmozhnosti kompleksnogo hirurgicheskogo lecheniya gnojno-nekroticheskih porazhenij nejroishemicheskoj formy sindroma diabeticheskoj stopy [Complex surgical treatment of purulent-necrotic lesions of neuroischemic form of diabetic foot syndrome.] Saharnyj diabet, 2009; 1: 8-13.
  2. Gluhov A.A., Alekseeva N.T., Lobcov A.V. Kliniko-morfologicheskoe obosnovanie primeneniya gidro-pressivnoj sanacii i polyarizovannogo oblucheniya pri lechenii ran myagkih tkanej v ehksperimente [Clinical and morphological substantiation of application of hydro-pressively of reorganization and polarized radiation in the treatment of wounds of the soft tissues in the experiment.] Vestnik ehksperimental'noj i klinicheskoj hirurgii, 2010; 3: 2: 133–145.
  3. Gluhov A.A., Novomlinskij V.V., Ivanov V.M. Primenenie ehndoskopicheskoj gidropressivnoj sanacii i programmnogo drenirovaniya v kompleksnom lechenii bol'nyh s flegmonami i abscessami myagkih tkanej [The use of endoscopic hydropressing rehabilitation and software drainage in the treatment of patients with phlegmons and abscesses of the soft tissues.] Vestn. ehksperimental'noj i klinicheskoj hirurgii, 2009; 2: 2: 122–128.
  4. Parhisenko YU.A., Latyshev V.A. Izuchenie ehffektivnosti regional'noj ozonoterapii v komplekse lecheniya bol'nyh s gnojnymi ranami [A study of the effectiveness of regional ozone therapy in the complex treatment of patients with purulent wounds.] Sistemnyj analiz i upravlenie v biomedicinskih sistemah, 2008; 7: 1: 270-273.
  5. Zelen C.M. et. al A prospective study of negative pressure wound therapy with integrated irrigation for the treatment of diabetic foot ulcers. [A prospective study of negative pressure wound therapy with integrated irrigation for the treatment of diabetic foot ulcers.] Eplasty, 2011; 11: e5.
  6. Coban Y.K., Kalender A.M. Treatment of gun-shot defect of the foot with bovine collagen matrix application. [Treatment of gun-shot defect of the foot with bovine collagen matrix application.] Foot (Edinb.), 2009; 19: 4: 222-223.
  7. Moues C.M. et. al Comparing conventional gauze therapy to vacuum-assisted closure wound therapy: a prospective randomised trial. [Comparing conventional gauze therapy to vacuum-assisted closure wound therapy: a prospective randomised trial.] J. Plast. Reconstr. Aesthet. Surg, 2007; 60: 6: 672-681.
  8. Saziye K. et. al Comparison of vacuum-assisted closure device and conservative treatment for fasciotomy wound healing in ischaemia-reperfusion syndrome: preliminary results. [Comparison of vacuum-assisted closure device and conservative treatment for fasciotomy wound healing in ischaemia-reperfusion syndrome: preliminary results.] Int. Wound. J., 2011; 8: 3: 229-236.
  9. Herberger K. et. al Efficacy, Tolerability and Patient Benefit of Ultrasound-Assisted Wound Treatment versus Surgical Debridement: A Randomized Clinical Study. [ Efficacy, Tolerability and Patient Benefit of Ultrasound-Assisted Wound Treatment versus Surgical Debridement: A Randomized Clinical Study.] Dermatologi, 2011; 222: 3: 244-249.
  10. Lerman B. et. al Evaluation of chronic wound treatment with the SNaP wound care system versus modern dressing protocols. Plast. Reconstr. [Evaluation of chronic wound treatment with the SNaP wound care system versus modern dressing protocols. Plast. Reconstr. ]Surg, 2010; 126: 4: 1253-1261.
  11. Herascu N. et. al Low-level laser therapy (LLLT) efficacy in post-operative wounds. Photomed. [ Low-level laser therapy (LLLT) efficacy in post-operative wounds. Photomed.] Laser Surg, 2005; 23: 1: 70-73.
  12. McHugh S.M., Hill A.D., Humphreys H. Intraoperative technique as a factor in the prevention of surgical site infection. [ Intraoperative technique as a factor in the prevention of surgical site infection.] J. Hosp. Infect., 2011; 78: 1: 1-4.
  13. Meier K., Nanney L.B. Emerging new drugs for wound repair. [Emerging new drugs for wound repair.] Expert OpinEmerg Drugs, 2006; 11: 1: 23-37.
  14. Graf K. et. al Surgical site infections-economic consequences for the health care system. Langenbecks Arch. [Surgical site infections-economic consequences for the health care system. Langenbecks Arch.] Surg., 2011; 396: 4: 453-459.
  15. Ubbink D.T., Vermeulen H., Lubbers M.J. Local wound care: evidence-based treatments and dressings. [Local wound care: evidence-based treatments and dressings.] Ned. Tijdschr. Geneeskd, 2006; 150: 21: 1165-1172.
  16. Argenta L.C. et. al Vacuum-assisted closure: state of clinic art. Plast. Reconstr. [Vacuum-assisted closure: state of clinic art. Plast. Reconstr.] Surg., 2006; 117: 7: 127s-142s.
  17. Widgerow A.D. Chronic wound fluid-thinking outside the box. [Chronic wound fluid-thinking outside the box.] Wound. RepairRegen., 2011; 19: 3: 287-291.
  18. Willy C. Discussion of wound treatment using vacuum therapy. [Discussion of wound treatment using vacuum therapy.] Unfallchirurg, 2009; 112: 3: 353-354

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