Application of Improved Packing Method in the Repair of Infectious Wounds in Special Body Parts
Keywords:
Improved Packing Method, Special Body Parts, Wound Healing
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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[2] Xu Zheng et al., research status of perineal necrotizing fasciitis Journal of clinical surgery, 2016 24(5).
[3] Jing Weibin et al. Observation on the efficacy of enteral and parenteral nutrition combined with negative pressure sealing drainage in the treatment of perineal necrotizing fasciitis Chinese Journal of injury and repair (Electronic Edition), Vol. 16, No. 1, 2021, pp. 15-20, istic Ca, 2021.
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[5] Jia Xiaofei and Qin Jie, experience of skin flap packing in the prevention of subcutaneous effusion after breast cancer surgery Journal of Baotou Medical College, 2010 26(6).
[2] Xu Zheng et al., research status of perineal necrotizing fasciitis Journal of clinical surgery, 2016 24(5).
[3] Jing Weibin et al. Observation on the efficacy of enteral and parenteral nutrition combined with negative pressure sealing drainage in the treatment of perineal necrotizing fasciitis Chinese Journal of injury and repair (Electronic Edition), Vol. 16, No. 1, 2021, pp. 15-20, istic Ca, 2021.
[4] Czymek, R., et al., Fournier's gangrene: vacuum-assisted closure versus conventional dressings. American Journal of Surgery, 2009. 197(2): p. 168-176.
[5] Jia Xiaofei and Qin Jie, experience of skin flap packing in the prevention of subcutaneous effusion after breast cancer surgery Journal of Baotou Medical College, 2010 26(6).
Published
2021-12-27
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Section
Original Research Article
Copyright (c) 2021 Guodong Wang, Jianwu Li
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