Device for the treatment of patients with acute anaerobic paraproctitis in a managed bacterially environment

 

(57) Abstract:

The invention relates to medical equipment, namely, engineering for the treatment of patients with acute anaerobic paraproctitis. Device for the anaerobic treatment of acute paraproctitis is a sealed plastic bag in the form of "bridges" with sealing rings at the top and bottom parts of this bag, inlet and exhaust valves. The device is mounted sealing rings for carrying out drainage and active irrigation and placed an inflatable rubber boat. The technical result consists in the possibility of treating patients with anaerobic infectious diseases crotch. 1 Il.

The invention relates to medicine, namely to the question of the treatment of patients with acute anaerobic paraproctitis.

The aim of the invention is the improvement of the original methods of treatment of acute anaerobic paraproctitis. For the first time for the anaerobic treatment of acute paraproctitis applied the device is managed bacterially environment with the appropriate device.

In the manufactured configuration of the device, there are devices for the treatment of patients with diseases of the extremities anaerobic infections, enabling the wound open method, controlling the dynamics of wound healing. Given the localization of wound anaerobic paraproctitis, we have developed an airtight chamber (insulator) for the managed bacterially environment, allowing the treatment of patients with anaerobic infectious diseases perineum (Prevention and treatment of purulent-septic complications in colorectal surgery, Diss. Doc. the honey. Sciences, Voronezh, 1997, V. F. Kulikovsky). The device shown in the drawing, where 1 is the inlet valve, 2 - exhaust valve, 3 - sealing ring for urinary catheter, 4 - sealing ring for drainage, 5 - pockets for the fixing adhesive tape.

Device - sealed Luggage (insulator) is a transparent cellophane bag in the form "bridges" with sealing rings at the top and bottom parts of this bag. On its anterior and lateral surfaces mounted collapsible intake and exhaust valves are shipped with the system. In the side of the lower part corresponding to the projection of the inguinal folds of the patient, the bag is mounted sealing ring for holding the urinary catheter. On the other hand, in the same area of the mounted sealing rings for holding treneska placed an inflatable rubber boat, which is sick. A urinary catheter is displayed through the sealing ring and is fixed in the outer pouch. The upper and lower sealing ring is tightened by pulling the tape with Kruchkova-ring holder (Velcro linen). To the intake valve attached to the hose of the apparatus. Further treatment is carried out by standard methods.

Application of the developed devices for use managed bacterially environment for the anaerobic treatment of acute paraproctitis has allowed us to accelerate the processes of purification and healing revealed purulent cavities. This contributes to the fact that the device is able to effectively control the wound healing process, active irrigation of the wound and to perform early surgical intervention in the distribution of wound healing.

As an illustration, here is the following clinical example: Patient N. , 61 years old, was admitted to the emergency Department of proctology 26.07.98 was Diagnosed with acute anaerobic paraproctitis complicated by abscess of perineum on the background of newly diagnosed diabetes, CHD, hypertension Art. II, III obesity Art. In the emergency order is made, the operation is a new insulator, connected to a urinary catheter and drainage tube. Produced by connecting the isolator to the apparatus UAS. By Winternitz drainage tubes were washing cavities opened ishio and pelvirectal located abscesses solutions of chlorhexidine or dioksidina. At the same time carried out an intensive infusion therapy, antibiotic therapy, was conducted sessions UBI. In the postoperative period were conducted daily bandaging the patient under General anesthesia, how agressively to debride. On the day 3 the patient was transferred from the emergency Department in the anal Department. Daily ligation was carried out with enzymatic ointments, UBI physiotherapy. The wounds were cleansed, actively granularit, ligation with the coated water-soluble base. The postoperative period was uneventful from postoperative wounds, indicators sugar was controlled, was made the correction. The patient's General condition improved, the wound was cleansed, granulosum. 15 days after receiving the wound superimposed secondary sutures, which are removed after 7 days. In a satisfactory condition and was discharged for outpatient aftercare 18.08.98,

The above described device is applied for the treatment of 9 patients.


 

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