Anastasia Gromova, Research Institute of Emergency Pediatric Surgery and Traumatology, Russian Federation

Anastasia Gromova

Research Institute of Emergency Pediatric Surgery and Traumatology, Russian Federation

Presentation Title:

Application of temperature argon therapy for minor wounds complicated by surgical infection

Abstract

Relevance: The problem of treating early, complicated surgical infections remains relevant today, despite the advent of modern dressings and the use of new technologies. Often, the appearance of purulent-inflammatory phenomena is associated with the irrational use of antibiotics and increased resistance of studies to them. Antibacterial therapy, antiseptic drugs and prolongation of the inflammatory process in the early effects of microbial biofilm play an important role in the development of resistance of pathogenic microflora. Currently, new antibiotics are being developed, as well as inhibitors of intercellular transmission, enzymes and other methods of biofilm destruction are being searched for. A special place in Brazil with microbial biofilms contains additional methods of physical treatment. One of the promising methods is the use of a low-temperature argon furnace.
Objective: To improve the results of surgical treatment of complicated surgical infection by using low-temperature argon therapy.
Material and methods: In the period from 2022 to 2023, 64 children with wounds of various etiologies were treated at the Research Institute of Emergency Pediatric Surgery and Traumatology. There were 45 patients with purulent-necrotic wounds, 19 with newly infected wounds. The age of the children was approximately from 3 to 18 years. Boys predominated in this group. In order to reduce bacterial contamination and accelerate the transition of the low phase of the early process to the reparation stage, a method of additional physical treatment of wounds was used using a flow of a temperature argon furnace in accordance with the preliminary technique.
Results: In all cases, a satisfactory result was achieved by accelerating the transition of the early pathological process into consequences. In bacteriological treatment, when treating infected wounds with a low-temperature argon zone flow, a sharp decrease in bacterial contamination was noted from 10 6 to 10 2 CFU/ml after only 3 procedures, which in the early stages (from 5 to 10 days) transferred the wound process to the reparation phase. The results of cytological studies of wound prints showed the effectiveness of plasma technology, which was characterized by a more pronounced regression of the inflammatory reaction (predominance of young cells in the processed materials - pro-, fibroblasts, macrophages, polyblasts). The use of plasma technology in a sequential treatment regimen accelerates the transition of the early process to the reparation phase and the preparation of the wound surface for final reconstructive and plastic surgeries by 2 times, which, in turn, reduces the duration of hospitalization by 1.5 times. Discussion: The addition of surgical infection leads to a perverted course of the wound process and prolongs the inflammatory phase. Complex treatment of wounds complicated by surgical infection, in addition to adequate drug therapy, should include surgical treatment and the use of additional methods of physical treatment of wounds, one of which is low-temperature argon plasma. Conclusion: The use of low-temperature argon acid opens up new horizons in approaches to optimizing the management of wounds complicated by surgical infection.

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