Current approaches to treating patients with foot phlegmon

DOI: https://doi.org/10.29296/25877305-2020-01-14
Download full text PDF
Issue: 
1
Year: 
2020

A. Edilov; Professor V. Tatyanchenko, MD; V. Bogdanov, Candidate of Medical Sciences; Yu. Krasenkov, Candidate of Medical Sciences; B. Kovalev, Candidate of Medical Sciences Rostov State Medical University, Rostov-on-Don

To evaluate the severity of the pyoinflammatory process in the foot area, it is proposed to incorporate a tissue pressure measurement procedure in the diagnostic algorithm. The findings served as the basis for compartment syndrome diagnosis and decompressive fasciotomy, if indicated, in the area of the plantar fascia structures with high strength and elastic modulus. The degree of reparative processes in the postoperative period and the level of microbial contamination of the wound were also estimated. The investigation covered 65 patients with non-diabetic foot phlegmon, who were divided into 2 groups: 1) 34 patients, in whom the developed diagnostic and treatment algorithm for compartment syndrome, ultrasonic cavitation and ozone therapy, as well as Atrauman ointment were used; 2) 31 patients, in whom traditional treatment was performed. The findings could predict and assess the nature of the purulent process.

Keywords: 
surgery
phlegmon
foot
surgery
compartment syndrome
fasciotomy



It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Vinnik Ju.S., Markelova N.M., Tjurjumin V.S. Sovremennye metody lechenija gnojnyh ran // Sibirskoe meditsinskoe obozrenie. – 2013; 1: 18–24 [Vinnik Y.S., Markelova N.M., Tyuryumin V.S. Modern methods of septic wounds treatment // Sibirskoe meditsinskoe obozrenie. – 2013; 1: 18–24 (in Russ.)]. DOI: 10.20333/25000136-2013-1-18-24.
  2. Lipatov K.V., Komarova E.A., Gur'janov R.A. Diagnostika i hirurgicheskoe lechenie streptokokkovoj nekrotizirujuschej infektsii mjagkih tkanej // Rany i ranevye infektsii. Zhurnal im. prof. B.M. Kostjuchenka. – 2015; 2 (1): 6–12 [Lipatov K.V., Komarova E.A., Guryanov R.A. Streptococcal necrotizing soft tissue infection: diagnosis and surgical treatment // Wounds and wound infections. The prof. B.M. Kostyuchenok journal. – 2015; 2 (1): 6–12 (in Russ.)]. https://doi.org/10.17650/2408-9613-2015-2-1-6-12.
  3. Privol'nev V.V., Karakulina E.V. Osnovnye printsipy mestnogo lechenija ran i ranevoj infektsii // Klin. mikrobiol. i antimikrob. himioter. – 2011; 3: 214–22 [Privolnev V.V., Karakulina E.V. Basic Principles of the Local Treatment of Wounds and Wound Infection // Klin. mikrobiol. i antimikrob. khimioter. – 2011; 3: 214–22 (in Russ.)].
  4. Keudell A. et al. Diagnosis and treatment of acute extremity compartment syndrome // Lancet. – 2015; 386 (10000): 1299–310. DOI: 10.1016/S0140-6736(15)00277-9.
  5. Radha A. et al. Acute compartment syndrome secondary to rhabdomyolosis in a sickle cell trait patient // Lancet. – 2014; 384 (9960): 2172. DOI: 10.1016/S0140-6736(14)61944-9.