Open AccessCarbuncle - the actual problem of modern surgery (Literature review)
Author(s) -
K.V. Lipatov,
K.V. Lipatov,
Yu E Cherkasov,
Ю Е Черкасов,
В И Хрупкин,
В И Хрупкин,
Magdalena Lysenko,
Magdalena Lysenko,
E.I. Dekhissi,
E.I. Dekhissi
Publication year - 2019
Publication title -
vestnik rossijskoj voenno-medicinskoj akademii
Language(s) - English
Resource type - Journals
eISSN - 2687-1424
pISSN - 1682-7392
DOI - 10.17816/brmma20655
Subject(s) - medicine , pathological , stage (stratigraphy) , surgery , surgical procedures , disease , psychological intervention , review article , intensive care medicine , general surgery , pathology , nursing , paleontology , biology
Analyzed the features of the surgical treatment of carbuncles. The severity of the purulent-necrotic process was assessed, the significance of the timely diagnosis of the inflammatory stage and the choice of the timing of surgical treatment is shown. The features of the options of surgical tactics - from gentle to radical surgical interventions, methods of intraoperative assessment of tissue viability in the inflammatory focus are described. The necessity of a differentiated approach to the treatment of carbuncles depending on the stage of the disease, the prevalence of the pathological process and its localization is substantiated. The significance of restorative skin-plastic surgery in the replacement of postnecrectomy defects of epithelial tissues in the treatment of extensive carbuncles is shown. Ways of improving the results of treatment of patients with carbuncles are outlined, including timely diagnosis, a differentiated approach to surgical treatment, rational antibacterial therapy, and adequate general treatment.