Application of indirect lymphotropic therapy for purulent-inflammatory diseases of the forearms

Objective: Is the improvement of treatment results of patients with phlegmons of the forearm through the development and implementation of a modern complex of therapeutic measures. Materials and methods: In the course of the study the results of treatment of 52 patients with purulent-inflammatory diseases of forearm divided into two clinical groups were analyzed. In Group I (the main group) an original differentiated approach was used followed by the introduction of an algorithm of postoperative management, including the method of indirect lymphotropic antibacterial therapy. For patients of Group II, classical phlegmon dissection and drainage in combination with traditional intramuscular administration of antibacterial drugs were carried out. Results: The effectiveness of the proposed method was evaluated according to the cytological picture of the wound surface in different phases of the wound process, the results of the VAS scale questionnaire, the DASH questionnaire was used to evaluate the motor capabilities of the affected limb. The complete epithelialization of the wound surface in the patients of the main group occurred within (14.3 ± 2.7) days. There were no unsatisfactory treatment results, complete or partial loss of limb function in Group I. In the comparison Group, the average period of recovery of the covering tissues was (22 ± 4,5) days. In the first case of deep phlegmon, the finger flexor tendons were involved, which resulted in impaired function of the affected limb. Conclusion: The algorithm used allowed to reduce pain, edema, the period of wound cleansing and wound epithelization, as well as to reduce the cost of treatment by reducing the duration of hospitalization, daily dose and frequency of drug administration.