Application of Improved Packing Method in the Repair of Infectious Wounds in Special Body Parts
Abstract
Objective: To investigate the effect of improved packing method in the repair of infectious wounds in special parts. Methods: From December 2017 to December 2020, 68cases of infectious wounds in special body parts were treated with improved packing and dressing method (including 28 cases of hip abscess, 16 cases of sacrococcygeal pressure ulcer, 12 cases of buttock pressure ulcer, 8 cases of perineal necrotizing fasciitis and 4 cases of hip pressure ulcer). After active anti infection, abscess incision and drainage, and debridement of necrotic tissue, the wound inflammation subsided, necrotic tissue was removed, and granulation tissue grew. The wound edge was fully dissociated, and the wound was directly closed and sutured or transferred to the adjacent skin flap to repair the wound. The drainage tube was prevented according to the condition of the wound. Meilan marked the area of the basal cavity of the wound, and the packing suture was placed outside the edge of the cavity to fix the wound. Result: Of the 68 patients, 58 had primary wound healing; 8 cases of partial wound dehiscence after removal of packing and bandage were treated with secondary suture combined with improved packing and bandage method; Two patient's wound was uncooperative due to the poor consciousness of the patient. The bandage was completely loose and the wound split again. Conclusion It has the advantages of simple operation, easy nursing and less hospitalization cost.References
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