International Medical Journal, Vol. 19., Iss. 4, 2013, P. 41−46.
ANAEROBIC NONCLOSTRIDIAL CELLULITIS OF THE PELVIS: A MODERN VIEW ON THE PROBLEMS OF SURGICAL TREATMENT
Main Military Medical Clinical Centre "GVKG" (Ministry of defense of Ukraine), Kyiv
Contemporary literature on the problem of surgical treatment of anaerobic nonclostridial cellulitis of the pelvis region was analyzed. Owing to introduction to the clinical practice of modern surgical technologies and antibacterial drugs, the problem of treatment of anaerobic nonclostridial cellulitis received a new solution. When anaerobic nonclostridial cellulitis is diagnosed, urgent surgery based on the principles of active surgical tactics (including surgical treatment of the purulent necrotic focus with adequate drainage, programmed repeated surgical treatment) is indicated. The used reparative interventions are divided into full−layer skin autodermoplasty and wound autodermoplasty with a free split−skin grafting. Nanodisperse dioxide, polymetisiloxan are promising drugs. The literature data suggest that treatment of anaerobic nonclostridial cellulitis is still disputable, which requires new methods of treatment of the pathological process.
Key words: nonclostridial anaerobic pelvic cellulitis, surgical treatment, topical treatment of wounds.