The problem of preventive maintenance of wound infection remains by an actual problem of modern surgery. In emergency surgery this parameter achieves up to 48.7%.
Per the last years in medicine with success the surgeries of liver, thoracic surgery, and so on are used electrolysis water solutions (EWS) sodium hypochlorite, in particular in purulent surgery. However, the expediency of application EWS sodium hypochlorite for preventive maintenance of wood infection is not enough investigated.
The author with the purpose of decrease of weight and frequency of wound complications has developed methods the express train - processing of surgical suture EWS sodium hypochlorite in modes 0.2%-10 minutes and 0.01%-60 minutes. Has studied the modification of mechanical strength of various kinds of surgical suture for want to processing in the developed modes.
The morphological researches reasonable a mode sanation of soft fabrics of operational wound in a mode 0.2 % - 5 minutes. The outcomes of comparative morphological study of slices of skin fabrics of experimental animals sutured by silk treated by conventional method and after processing EWS sodium hypochlorite have shown, that of differences in healing of wounds and response of enclosing fabrics it is not marked.
For warning of bacterial contamination the method of a guard of the operational wound is developed which consists in suturing of peritoneum to the skin on all stretch of operational wound and between them the gauze napkin moistened 0.2 % EWS sodium hypochlorite is kept. In an extremity of operation the 5-minute processing 0.2 % EWS sodium hypochlorite the ambassador suturing of each stratum of the operational wound is conducted.
The clinical material includes the inspection and operating treatment 831 patients, of them 502 have made of control groups and 329 patients were included in main group. The comparative analysis of outcomes has shown high efficiency of the developed complex of preventive maintenance, which promoted decrease of frequency of wound complications from 14.8 % up to 5.1%.
The preventive wound infection remains by an actual problem of modem surgery, that is connected to high frequency aftcropcration 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 arc 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 aftcropcration of processing of hands of the surgeon in a regime 0.4%-5 minutes, methods intraopcration the express train -processing of surgical gloves in regimes 0.4%-3 minutes and 0.6%-2 minutes, methods intraopcration 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 intraopcration 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 postopcration 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 intraopcrctation 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%.
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%.
The effect of various reagents on the quality parameters of cottonseed oil was investigated and the optimal reagents were selected. In the alkaline refining of cottonseed oil, the use of an aqueous solution of sodium silicate instead of a portion of the traditional caustic soda has been found to improve the quality of the oil. The technology of step-by-step refining of cottonseed oil with aqueous solutions of traditional caustic soda and sodium silicate has been developed.
Проблема реабилитации пациентов с рубцовыми поражениями кожи лица и шеи до сегодняшнего дня не утратила своей актуальности. При неотложных и плановых хирургических операциях, когда ткани пациента рассекаются хирургическим скальпелем, речь, как правило, идет о спасении здоровья, а часто и жизни, пациента. Поэтому хирурга волнует, прежде всего, не качество будущего рубца, а то, как более успешно решить основную задачу лечения (например, вскрытие флегмоны, резецировать опухоль и т.д.).
Проблема реабилитации пациентов с рубцовыми поражениями кожи лица и шеи до сегодняшнего дня не утратила своей актуальности. При неотложных и плановых хирургических операциях, когда ткани пациента рассекаются хирургическим скальпелем, речь, как правило, идет о спасении здоровья, а часто и жизни, пациента. Поэтому хирурга волнует, прежде всего, не качество будущего рубца, а то, как более успешно решить основную задачу лечения (например, вскрытие флегмоны, резецировать опухоль и т.д.).
The article presents the results of an immunobiochemical blood test in people with postoperative facial scars in order to study the reparative changes in the skin wound during injections of the succinate-containing preparation HYALUAL. The objective of the research was a comparative description of the structural hemostasis in the control and main groups of patients.
The article describes the results of experimental work on rats, in order to study the reparative changes in the skin wound during injections of the succinate-containing preparation HYALUAL. The objective of the research was a comparative description of the structural changes in the skin in control and experimental rats with publicly available morphological research methods.
The results of a study on the composition and rheological properties of solutions after separation of glaserite, as well as the influence of technological parameters on the process of evaporation of mother liquors in the production of potassium sulfate by conversion of flotation potassium chloride with mirabilite of the Tumryuk deposit, are presented. The most intensive process of evaporation of the mother liquor, after separation of the glaserite, proceeds at a temperature of 100°C. In this case, after 60 minutes, the volume of the solution decreases by more than 50%, while at 80 and 60°C these figures are 20 and 5%, respectively. With an increase in the volume of the evaporated liquid from 5% to 40%, the amount of precipitated sodium chloride increases from 3.1% to 22.9% of the mass of the initial mother liquor containing (wt.%): K2O-6.86; Na2O-11.67; SO4-2-3.46, CI--16.02; H2O-66.26 at 20°C. The density of the mother liquors with an increase in the volume of the evaporated solution increases from 1.250 g/cm3 to 1.358 g/cm3 at a temperature of 20°C and from 1.210 g/cm3 to 1.330 g/cm3 at 80°C, the viscosity decreases from 2.126 mPa s to 2.007 mPa s upon evaporation of 40% moisture and up to 0.914 mPa s when the temperature rises from 20°C to 80°C.
The aim of the study was to assess the effectiveness of the use functional food products aimed at reducing the content of table salt in the body. According to the research results, a positive trend towards an increase in the level of sodium excretion in urine was revealed in students who received functional food products made from local products rich in potassium and low in sodium, developed by us in the standard "Products of functional nutrition NUMA".
Surgical attention to the problem of facial scarring has increased due to the development of plastic surgery, as well as increasing understanding by the society of civilized countries of the crucial role of appearance in human life. A study by Monstrey S., Middelkoop E., Vranckx J.J. (2014) indicated that every year 100 million people worldwide have scars after trauma and surgery, and 15 million of them will have non-aesthetic or hypertrophic and keloid scars. This paper looked at the treatment analysis of 50 patients (18 to 40 years old) with posttraumatic scar deformities. An algorithm for scar treatment and prophylaxis was also developed [10].