Scientific journal
European Journal of Natural History
ISSN 2073-4972

WOUND SURFACE DEFENCE METHOD

Volchkova I.S.

The infectious complications frequency at operations achieves 10%, the operative wound purulence within the structure of infectious complications having the maximal specific density, achieving 48,7%. The dominant cause of it is the abdominal wall wound intraoperative contamination, consisting in the contact diffusion of ascites bacterial population in there. Most often it occurs during the operations performed concerning acute surgical pathologies attended by the hollow organs´ destruction. The main, traditionally used method of the abdominal wall wound walls defence is draping with gauze wads. However, it cannot fully prevent from the wound microbial contamination and its following purulence.

We have developed a postoperative pyoinflammatory complication prevention method based on the operative wound defence during the operation. As the draping material we used the carbon containing bandage (CCB).

It is a sorption band based on the activated carbon cloth developed in the city of Perm. The sorption capacity of the CCB material relative to bacterial cells is at the average17 times higher than that of gauze fabric. The CCB possesses an appreciable quantity of medium and large transport pores, which provide good absorption abilities of the absorbent with regard to medio- and macromolecular toxins and microbial cells; besides, by virtue of its physical and chemical properties, this adsorbent is promising as a matrix immobilizing medicinal preparations for local action on itself. The gauze wads containing the adsorbent are prepared in advance in the form of a wide strip conforming to the wound width and are autoclaved. Hypochlorite in the concentration of 600 mg/l by dipping into the solution for 10-20 min is immobilized on them just before the use. The drape fixation together with the adsorbent is performed by scarce interrupted stitches towards the aponeurosis edges before the infected abdominal cavity opening.

The wound surface defence from purulent effluent offered by us is easy to use, doesn´t stretch out the operation time; the adsorbent appears as an effective carrier of an antibacterial preparation - hypochlorite.

The method has been approved in a clinical unit in 215 patients with operations on the abdominal cavity organs; there were no complications in the postoperative period on the part of the operative wound in this patient group registered.

The work was submitted to international scientific conference «Priorities for Science, Technology and Innovation», Egypt (Sharm el-Sheikh), November, 20-27, 2008. Came to the editorial office оn 29.10.2008.