Development of methods intraoperation of prophylaxys wound infection with use electrolysis of water solutions sodium hypochlorite

Abstract

The preventive wound infection remains by an actual problem of modern surgery, that is connected to high frequency afteroperation wound of complications, which reaches up to 48.7 % in emergency surgery. Per the last years the increasing application find electrolysis of water solutions sodium hypochlorite, which are successfully used of purulent surgery, for want of treatment peritonitis, cavities formations of a liver and other. However, this antiseptics about today was not applied in prophylaxys wound infection. The author for the first time uses electrolysis of water solutions sodium hypochlorite in preventive wound infection and offers a method afteroperation of processing of hands of the surgeon in a regime 0.4%-5 minutes, methods intraoperation the express train - processing of surgical gloves in regimes 0.4%-3 minutes and 0.6%-2 minutes, methods intraoperation the express train - processing of surgical tools in regimes 0.3 % during 7 minutes, 0.4 % during 5 minutes, 0.6 % during 3 minutes and processing in a regime 0.05 % during 45 minutes. For estimation of clinical efficiency of the developed complex intraoperation of preventive wound infection the author develops clinical mark scales on distribution of operations to groups of risk of development wound infection, mark scale of estimation of a condition postoperation wound and scale of estimation of outcomes of healing of wounds. The clinical material includes an inspection and treatment 643 patients. From them control group included 453 patients and in the basis group included 190 patients. The  developed complex intraoperetation of preventive wound infection has shown high efficiency. Use of the developed complex of preventive wound infection has allowed to reduce frequency wound of complications from 15.3 % up to 8.9%.