Efficiency of measures for prevention of wound complications in acute appendicitis
One of the primary problems of abdominal surgery is the prevention of wound complications, especially in emergency surgery. Purpose of the study improving the results of treatment of patients with acute appendicitis through the use of preventive measures, including ozonized solutions and infrared irradiation of the surgical wound. Materials and methods. The study included 105 patients with destructive forms of appendicitis (phlegmonous forms in 87, gangrenous 9 and phlegmonous complicated by local peritonitis in 9). Clinical, laboratory and instrumental methods of examination (ultrasound) were used in the examination. In the course of treatment, two groups were identified: The first group - the main group (51) patients, in addition to antibiotics at the time of the operation and during the suturing of the abdominal cavity - received irrigation of the abdominal cavity and wounds with an ozonated solution with an ozone concentration of 8-10 μg / ml and starting from the second day after the operation - irradiation of the surgical wound with infrared radiation - exposure 10 minutes, for a course of treatment 5-6 sessions. The control group - 54 patients, they received after the operation antibiotics intramuscularly (gentamicin or ampicillin) and through a microirrigator into the abdominal cavity with kanamycin 1.0 once a day. In addition, patients in both groups received pain relievers and infusion therapy. Both groups were equal in terms of the main indicators (gender, age, forms of appendicitis). Results. When comparing the course of the postoperative period, it was found that in the first main group the pain syndrome disappeared faster, the temperature returned to normal and a more favorable course of the wound process was noted, and the leukocyte index of intoxication decreased faster. Complications in the control group were noted in 9 out of 54 (16.79), and in the main group in 4 out of 51 (7.89). Conclusion. The use of ozonized solution and infrared radiation for the prevention of wound complications made it possible to reduce the incidence of complications by half, which is the basis for recommending the use of the method in a broader sense