title: [Treatment of ligature fistulas after appendectomy].
abstract: On the basis of clinical examples, the danger of ambulatory treatment of a ligature fistula is shown. To prevent its development, a care of tissues is necessary: in cases of technical difficulties, a wound should be widened, fat and muscles isolated, a wound before closure needs mandatory irrigation with antiseptic solutions. Ineffectiveness of conservative treatment of a fistula during 1-2 weeks requires the operative intervention in a specialized department with excision of purulent necrotic masses and ligature which maintains the inflammation. Before wound closure, a perforated drain for flowing irrigation should be established.
authors.forename: O F
authors.initials: OF
authors.lastname: Bezrukov
authors.forename: V V
authors.initials: VV
authors.lastname: Dubovenko
mesh_terms: D000328:Adult; D001062:Appendectomy / Q000009:adverse effects* / Q000379:methods; D005402:Fistula / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D013537:Sutures
vernacular_title: Lechenie ligaturnykh svisheĭ posle appendektomii.