
Anastasia Gromova
Research Institute of Emergency Pediatric Surgery and Traumatology, Russian FederationPresentation 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.
Biography
TBA