Method of prevention of infectious complications in the operation of mechanical dermabrasion using antiseptic

 

The invention relates to medicine, in particular to cosmetology, and can be used for prevention of infectious complications in the operation of dermabrasion with the use of antiseptics. Conduct common training for the operation and carry it out under sterile conditions small operating room. As antiseptic use combined drug Butal in the pre-, intra - and postoperative period in a specific mode and doses. To handle the surgical area and other protected areas use gauze wipes moistened with Butola. For irrigation zone operations use a plastic syringe without a needle. Processing Butola should not be combined with alcohol - and metal-containing solutions. The method can prevent the development of complications. This reduces the time of treatment. 2 C.p. f-crystals, 2 tab.

The invention relates to medicine, namely to cosmetology.

Currently, complications after the surgical dermabrasion represent a serious medical problem. Specific weight according to different authors is 8-25% of all surgical patients after surgery dermabrasion. Search drugs for chemoprophylaxis onlineaction due to the fact, that, on the one hand, wound infection has pronounced polymicrobial in nature, i.e. can be called many different sensitivity to chemotherapy aerobic and anaerobic bacteria, and, on the other hand, any chemotherapeutic agent inevitably has a relatively narrow spectrum of antimicrobial action. Chemoprophylaxis is effective only when used antimicrobial drugs will be made with regard to pre-decode the etiological structure of microbial contamination or infectious inflammation, and determining the sensitivity to the hair. However, a complete microbiological analysis of long time, and the effectiveness of suppression of wound infection depends on the date of application of antimicrobial agents.

The traditional method of surgery dermabrasion open way - under the scab formed by multiple processing 5-10% solution of potassium permanganate. However, healing under the scab goes with significant deterioration of health of the patient. In the early days, the body temperature rises. In the area of the operating surface develops a strong swelling, reaching makano-serous discharge, that requires additional treatment twice a day with a solution of 10% potassium permanganate, green diamond and antibiotics. Starting from 7 days after surgery until healing of the epidermis scab additionally soften syntomycin emulsion. This method was adopted for the first prototype of the invention.

The use of common antibiotics (penicillin, streptomycin or their derivatives) in this prototype method does not have the efficiency, because they are focused on selective interaction mainly with only some of the biochemical structures of the germ (Buchin P. I., Tolstov A. C.). Why it is so important the choice of antimicrobial agent containing several chemically and physically compatible antiseptics that can, in combination enhance the activity and to broaden the spectrum of antimicrobial action.

For the prevention and treatment of local infectious complications, we used a combined chemotherapeutic agent Botol (RF Patent 2115418 from 23.01.98). It is an antiseptic with a broad spectrum of activity against all major aerobic and anaerobic wound infections agents. In our research (Tolstov A. C., Glubokov I. B. the RESULTS of APPLYING the technologies of diagnostics and treatment of the wounded and sick in the clinic and hospital." - M., 1999. - S. 77) 78 first (before surgery) and after removal of the epidermis of the wound surface was treated with Butola, which was applied to the skin surface using salfetochnyh applications. The lack of pain in patients revealed its anesthetic action, so different anesthesia was not conducted. After surgery for 7-10 days, the skin was regularly treated with Butola 2-3 times a day.

This was not observed pronounced swelling, and after removal of the dressings was marked erythema. None of the patients was not observed piodermitov and allergic reactions. The simplicity of the method of application has allowed patients to use at home. There was a high regenerative capacity of tissues when using this tool. This method is adopted for the second prototype of the invention.

The lack of 2 prototype method lies in the fact that the operating wound has long been open. This dramatically increased the risk of infectious complications. In addition, when repair of the epidermis was observed processes of encapsulation, often with infected capsules, and diffuse output of viruses (e.g. Herpes simplex). These processes served as a hotbed for infectious complications. The ETVA antiseptic used by a certain method combined drug Butal, consisting of official antibacterial agents: chinosol and streptomycin. The product is obtained Tolstov A. C. - Combo khimioterapevticheskie tool Butal for local treatment of wound infections and inflammatory diseases" (patent of the Russian Federation 2115418 from 23.01.98). For the prevention of infectious complications Butal use semi-open method (Tolstov A. C. Rational chemoprophylaxis and chemotherapy of local infectious complications in burn injury. //Abstract. Diss. K. M. N. - Samara: Samara state medical University, 1995. - 16 S.). Butal used before surgery for skin treatment, during surgery to protect operating margins of the skin in the form of applications of gauze swabs soaked in 10-15 ml of Butola, in the postoperative period sprintout Butola operating surface several times a day for the first 7-10 days until the spontaneous removal of the scab (healing of the epidermis).

The method is as follows.

Carry out a complex of measures for the operation, including psychological preparation and cosmetic preparation of the skin of the patient. The operation is carried out by a doctor-cosmetologist outpatient, under sterile conditions, a small operating room. Reveal zone operations. Skin surface twice about the s. Anesthesia produced locally with lidocaine. Using a rotary machine remove the Horny layer of the epidermis. Put a gauze pad moistened with pre-Butola. Surgical wound treatment twice Butola 10-15 ml plastic syringe without a needle. After 3-5 minutes after the disappearance of the patient's feelings of burning, remove the gauze. Sequentially removed using a rotary apparatus in layers other layers of the epidermis down to the papillary layer on the entire surface morphological zones of operation. Immediately operating on the skin surface impose an even layer gauze pad moistened with Butola. The size of the wipes should not exceed the dimensions of the operating zone 1-2, see the Operating wound twice without interruption process Butola 10-15 ml plastic syringe without a needle. After 3-5 minutes, impose the following two layers of gauze napkins, the size of the respective first, pre-moistened with Butola. Additionally they slowly moisten with Butola 10-15 ml using a plastic syringe without a needle. If you want to continue the operation on the other morphological zone, the following parts of the body or of the face, then repeat the steps in the sequence indicated. On zaversheniia to the body or face using mesh bandage. Mesh bandage cut in the eyes and mouth for the convenience of the patient. Do not combine with Butola treatment of the wound alcohol - and metal-containing solutions in order to avoid reactions with their chinosol. Patient provide Butola in the amount of not less than 200 ml and instructions on its use. In the postoperative period within 7-10 days the patient at home sprintout several times a day gauze dressing until healing of the epidermis - the spontaneous removal of the scab.

Inventive way to prevent infectious complications of dermabrasion surgery 157 patients formed the comparison group. The traditional way to prevent infectious complications (5-10% solution of potassium permanganate) was operated 428 patients. 2 prototype method using Butala was operated 78 people. These patients formed the control group.

Results the effectiveness of the prevention of infectious complications after mechanical dermabrasion by the claimed method are shown in table.1.

The effectiveness of the method is demonstrated on the following example. Patient S., female, 34 years, the nature sanguine, normal stature, height 165 cm, weight 58 kg is Alemania - chronic gastritis. The initial condition of the skin in the area of operations: Traces of post-acne, comedones, mole ellipsoidal size (3 x 4 x 3) mm at the temple. Preliminary preparations were being made of leather, which consisted in the removal of the nevus, cleaning the skin, ultrasonic peeling. Dermabrasion was performed 27.04.1999, the above proposed method using Butola on the forehead and temporal regions. Chemoprophylaxis in the postoperative period was carried Butola scheme: every day, 2 times a day for 7 days. The rejection of the peel occurred 7 days after surgery. The condition of the skin in the area of operations after 14 days satisfactory with slight erythema, slightly increasing with excitement and exertion. 1 month after the operation, the skin in the area of operations - smooth skin (epidermal layer), decreased significantly erythema, hyperemia appeared only when the unrest. Recommended: continue strong sun protection creams. After 3 months the skin smooth, no redness, but its appearance under strong agitation and during physical exertion. Recommended light protection from the sun and nutrients is part of the restored epidermis and without symptoms of hyperemia.

The above example allows you to clearly see the approver fact the advantages of using Butola. None of the patients of the 157 who underwent dermabrasion using this method, there were no infectious complications. The duration of the course the prevention of infectious complications was equal to 7-10 days. The use of aqueous solutions of Butola without regard to causal microflora wounds can cut suppuration no later than the 4th day (after an average of 3.730.32 days). For comparison, the traditional treatment of this term is equal to 111.2 days, i.e. clearly more almost 3 times.

Produced by authors calculations showed the economic effect of the treatment Butola, as reflected in the table. 2. The cost of drugs adopted by the state of the average price in may 2001, pharmacies, Samara.

The authors analyzed and other performance indicators allaamah method below.

1. Local application of Butola compared with traditionally used 5-10% solution of potassium permanganate under all other equal conditions allows you to completely prevent the occurrence of infectious complications. Prevention of infectious diseases osoitin compared to conventional commonly used antimicrobial agents. Most chemoprophylactic effect of using Butola is achieved when multiple it is applied in cases of injury, superficial wounds and in the pre-, intra - and postoperative period dermabrasion. In any case, the application of Butala was not observed in the appearance of pustular elements, whereas traditional prevention potassium permanganate purulent complications in the form of pustular elements after the rejection of the peel was observed in many cases. The intensity of the inflammatory reaction temperature and edema observed in only 15% of patients within 1-2 days, which is significantly lower than traditional processing of 5-10% solution of potassium permanganate.

2. Butal reduces to 1.3 times the period of epithelialization and 2.5 times erythema, significantly accelerate the first phase of wound healing and to reduce the term postoperative period by 5.81.1 days, which means a significant (2-fold) decrease in the postoperative period and the time of complete repair of skin structures with dermabrasion compared with traditional methods of prevention of complications.

3. The most beneficial and efficient use of Butola in cases of treatment of hypersensitive patients to penicillin and/or about the detected changes in the indices of nonspecific reactivity people when using Butola. Under the action of Butola no complications in any of the reactions: anaphylactic shock, allergic rashes, pyoderma, itching, or any acute skin and/or internal chronic diseases. None of the clinical observation we were not able to identify signs of toxic effects of Butala on the body and signs of local tissue irritation.

4. The use of Butola economically feasible, because the recipe uses inexpensive ingredients, produced by domestic medical and pharmaceutical industry, so Batol has a small cost when compared to treatment with traditional means (2.6 times Butola cheaper and even more when compared with foreign and domestic new chemotherapeutic chemical and preventive means; and decreases overall time of treatment, which also has an additional economic effect.

5. Independent is applied during surgery dermabrasion chemoprophylactic and chemotherapeutic agents of Butola is that it does not require additional use of any other chemotherapy drugs and even do not require pre-decoding love is.to. spectrum of antimicrobial action of Butola applies to all without exception, the main potential causative agents of wound infections. In addition, the activity of Butola in the absolute majority of causative agents of wound infections is very high, because the total concentration of the ingredient antiseptics provided prescription in words, in the tens or even hundreds of times greater than the minimum sufficient to suppress microbes. These are the qualities of Butola especially valuable in medical cosmetology institutions and during surgery dermabrasion.

Thus, clinical observations confirm the expected results of laboratory microbiological testing high efficiency Butola for the prevention and treatment of local infectious complications during surgery dermabrasion.

Developed by the authors of the method can be recommended for implementation in modern cosmetology.

Claims

1. Method of prevention of infectious complications in the operation of dermabrasion with the use of antiseptics, including common preparation for surgery and the use of combined drug BOM, while an outpatient basis under sterile conditions low operating expose an area of operations, and the remaining area protects gauze wipes impregnated with Butola, then the operating surface treatment twice Butola to 10 ml with gauze napkins, capturing 2-3 cm more areas of the operating area, the anaesthetic performed locally with lidocaine, then using a rotary machine remove the stratum corneum of the epidermis on the same morphological operating area, which then placing a gauze pad moistened with Butola and surgical wound treatment twice Butola 10-15 ml plastic syringe without needle, and after 3-5 min after the disappearance of the patient's feelings of burning, remove the gauze, then sequentially removed using a diamond cutter rotary apparatus in layers other layers of the epidermis down to the papillary layer and immediately impose gauze wipes moistened with Butola, the dimensions imposed wipes should not exceed the dimensions of the operating zone of 1-2 cm, then the operating wound twice without interruption process Butola 10-15 ml plastic syringe without a needle, and after 3-5 min impose the following two layers of gauze napkins, size sootvetstvuushuu plastic syringe without needle, at the final stage of the operation on the area of the wound put 2-3 layers of dry gauze napkins, locking their net bandage, in the postoperative period the patient sprintout 2-3 times a day for the first 7-10 days gauze bandages until complete healing of the epidermis and inadvertent removal of the scab.

2. The method according to p. 1, characterized in that the processing Butola not combine with any alcohol - and metal-containing solutions.

3. The method according to p. 1, characterized in that, if necessary, continue on another morphological zone repeat the sequence.

 

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