[Non-clostridial epi-fascia phlegmon].
Complex method of surgical treatment of epifascial phlegmon is elaborated. The flaps tailoring and dividing in accordance to anatomic site and its blood supply permits to do radical cleansing and sanitation of focus with mixture of hydrogen peroxide and spirituous solution of iodine preserving the viable skin maximally. In contrast to conventional "stripe" incisions, application of the proposed method permits to preserve the wound from significant lympho--and plasma losses, causing the wound exhaustion, secures the possibility of visual control of the necrotic process course. The wound coverage with cutaneo-subcutaneous flap of the full value assists reducing of the pain intensity. The flap fixation prevents its shortening, that's why good cosmetic effect is noted after the wound healing concludes. Complex program of the necrotic fascitis treatment proposed had permitted to reduce the hospitalization duration of patients twice and to lower the mortality rate more than in 3 times.
Liul'ko
I V
IV
Kosul'nikov
S O
SO
Kravchenko
K V
KV
Tarnapol'skiĭ
S A
SA
D000328:Adult; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male