PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES
Objective: Improving diagnostic results and surgical treatment of necrotizing soft tissue infection. Methods: Analyzed the results of diagnostics and treatment of 68 patients with various forms of necrotizing infection for the period 2010-2017. There were 32 men (53.8%), women – 36 (46.2%) at the...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2018-03-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2018-20-1-97-102 |
| _version_ | 1797797258679287808 |
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| author | M.KH. NABIEV SH. YUSUPOVA A.T. AZIMOV Т.B. BORONOV |
| author_facet | M.KH. NABIEV SH. YUSUPOVA A.T. AZIMOV Т.B. BORONOV |
| author_sort | M.KH. NABIEV |
| collection | DOAJ |
| description | Objective: Improving diagnostic results and surgical treatment of necrotizing soft tissue infection.
Methods: Analyzed the results of diagnostics and treatment of 68 patients with various forms of necrotizing infection for the period 2010-2017. There were 32 men (53.8%), women – 36 (46.2%) at the age of 30-84. In 27 (39.7%) patients the necrotic form of erysipelas occurred, in 41 (60.3%) necrotizing fasciitis and myonecrosis. In 60.3% of cases, the pathological process was localized in the region of the lower extremities. More than 90% of the patients had concomitant diseases, among them diabetes mellitus (78.2%), arterial hypertension (83.3%), coronary artery disease (75.6%) and anaemia of varying severity (74.3%).
Results: The clinical picture of streptococcal necrotizing fasciitis (n=31) and myonecrosis (n=10) in the early stages was characterized by the absence of pathognomonic symptoms. The discrepancy between the severity of the general condition and local status in a number of cases led to the belated surgical intervention and, as a result, extensive postoperative wounds, requiring 16 cases of plastic closure. In 12 (75%) cases, full engraftment was noted, in 3 (18.7%) partial engraftment and in 1 (6.3%) observation – complete necrosis of the graft. Conditions of transplant engraftment were corrected carbohydrate metabolism, preserved regional hemodynamics and the presence of actively granulating wound surface.
Conclusion: Necrotizing infection, which is a nonspecific inflammatory process of soft tissues, is characterized by progressive necrosis, rapid spreading, difficulty in diagnosing in the early stages of the disease, pronounced intoxication and high lethality. |
| first_indexed | 2024-03-13T03:46:30Z |
| format | Article |
| id | doaj.art-4daa2f43dcc646d5803b8da92adb075b |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T03:46:30Z |
| publishDate | 2018-03-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-4daa2f43dcc646d5803b8da92adb075b2023-06-22T20:57:15ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272018-03-012019710210.25005/2074-0581-2018-20-1-97-102PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUESM.KH. NABIEV0SH. YUSUPOVA1A.T. AZIMOV2Т.B. BORONOV3Department of General Surgery № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of General Surgery № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of General Surgery № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of General Surgery № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanObjective: Improving diagnostic results and surgical treatment of necrotizing soft tissue infection. Methods: Analyzed the results of diagnostics and treatment of 68 patients with various forms of necrotizing infection for the period 2010-2017. There were 32 men (53.8%), women – 36 (46.2%) at the age of 30-84. In 27 (39.7%) patients the necrotic form of erysipelas occurred, in 41 (60.3%) necrotizing fasciitis and myonecrosis. In 60.3% of cases, the pathological process was localized in the region of the lower extremities. More than 90% of the patients had concomitant diseases, among them diabetes mellitus (78.2%), arterial hypertension (83.3%), coronary artery disease (75.6%) and anaemia of varying severity (74.3%). Results: The clinical picture of streptococcal necrotizing fasciitis (n=31) and myonecrosis (n=10) in the early stages was characterized by the absence of pathognomonic symptoms. The discrepancy between the severity of the general condition and local status in a number of cases led to the belated surgical intervention and, as a result, extensive postoperative wounds, requiring 16 cases of plastic closure. In 12 (75%) cases, full engraftment was noted, in 3 (18.7%) partial engraftment and in 1 (6.3%) observation – complete necrosis of the graft. Conditions of transplant engraftment were corrected carbohydrate metabolism, preserved regional hemodynamics and the presence of actively granulating wound surface. Conclusion: Necrotizing infection, which is a nonspecific inflammatory process of soft tissues, is characterized by progressive necrosis, rapid spreading, difficulty in diagnosing in the early stages of the disease, pronounced intoxication and high lethality.https://doi.org/10.25005/2074-0581-2018-20-1-97-102necrotizing infectionfasciitisfree skin graftingsurgical tactics. |
| spellingShingle | M.KH. NABIEV SH. YUSUPOVA A.T. AZIMOV Т.B. BORONOV PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES Паёми Сино necrotizing infection fasciitis free skin grafting surgical tactics. |
| title | PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES |
| title_full | PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES |
| title_fullStr | PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES |
| title_full_unstemmed | PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES |
| title_short | PECULIARITIES OF DIAGNOSTICS, SURGICAL TACTICS AND RESTORATION OPERATIONS IN NECROTIZING INFECTION OF SOFT TISSUES |
| title_sort | peculiarities of diagnostics surgical tactics and restoration operations in necrotizing infection of soft tissues |
| topic | necrotizing infection fasciitis free skin grafting surgical tactics. |
| url | https://doi.org/10.25005/2074-0581-2018-20-1-97-102 |
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