THE USE OF ANTISEPTIC PREPARATIONS IN THE COMPLEX TREATMENT OF TROPHIC ULCER OF THE VENOUS ETIOLOGY IN LOWER LIMBS

For the last decades despite the rapid development of medicine and its significant achievements there is a tendency towards an increase in the number of patients with trophic ulcers. Globally, the number of people suffering from chronic trophic ulcers ranges from 600 thousands to 2 million. Venous pathology is reported as the most common cause of trophic ulcers of lower extremities. Taking into account considerable prevalence of trophic ulcers, which can impede many aspects of life quality of patients, insufficient efficiency of existent conservative methods of treatment, no tendency to the decline in the prevalence of the disease, its prolonged treatment, which mostly lasts 2 – 3 months, and in some patients trophic ulcers do not heal over years, propensity to the frequent relapses in 60 – 70% of patients, considerable economic losses due to the loss of working capacity or disability of patients that ranger from 10 to 67%, and the large expenses for medication pose the trophic ulcer management as a challenging socioeconomic issue. Therefore, the search of new methods of local treatment of trophic ulcers of venous aetiology is remaining as one of the important problems of modern medicine. The article presents the clinical examination findings and treatment outcomes of 47 patients with the trophic ulcers of venous etiology. The participants took the course of treatment at the surgical department, II Municipal Clinical Hospital of Poltava. The treatment included local application of antiseptics. We investigated the clinical parameters of wound healing and check microbiological contamination of wounds. The results of clinical and laboratory investigations have demonstrated that local application of antiseptics in the management of trophic ulcers of venous aetiology of lower extremities promotes healing of trophic ulcers and can considerably reduce the term of treatment and hospital staying.