The comprehensive treatment of a phlegmon on the foot dorsum in a patient with idiopathic distal polyneuropathy
V. A. Mitish,
Yu. S. Paskhalova,
A. A. Ushakov,
S. D. Magomedova,
S. A. Orudzheva,
R. P. Terekhova,
V. S. Demidova,
L. G. Alkhimova,
G. V. Khamidulin https://doi.org/10.25199/2408-9613-2023-10-2-32-40
Abstract
The article presents a clinical observation of a successful comprehensive treatment of a phlegmon on the foot dorsum in a patient with idiopathic distal polyneuropathy. The authors demonstrate how the purulent process was relieved, then transferred to the wound healing state and to the regeneration state followed by the plastic surgery due to the technique of active surgical treatment of wounds and purulent-necrotic foci developed at the A. V. Vishnevsky Institute of Surgery (Moscow). The described wound has healed with primary intention even under the surgical infection. An important component of the active surgical treatment is local therapy, which is rapidly developing at present and which includes such methods as negative pressure, ultrasonic cavitation, laser technologies and others. However, classic bandaging of purulent wounds does not lose its relevance. Moreover, polyethylene glycol-based ointments, in particular, timed-proven Levomekol®, preserve their high activity and effectiveness both in the first (inflammation) and second (regeneration) stages of the wound healing process, for both eliminating the infection and preparing wounds for further plastic surgery.
Keywords
idiopathic distal polyneuropathy,
phlegmon of the foot,
wound,
surgical treatment,
local treatment,
polyethylene glycol-based ointments,
Levomekol
Supporting agencies: The study was carried out as part of a contractual research project for the pharmaceutical company Nizhpharm JSC (STADA).
About the Authors
V. A. Mitish
A. V. Vishnevsky National Medical Research Center of Surgery ; Federal State Autonomous Educational Institution of Higher Education “P. Lumumba Peoples’ Friendship University of Russia” Ministry of Education and Science of Russia
Russian Federation
Russian Federation
Valery A. Mitish – MD, Candidate of Medical Sciences, Associate Professor, Head of the Department of Wounds and Wound Infections, Head of the Department of Disaster Medicine
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
8 Miklukho-Maklaya Str., Moscow, 117198
Yu. S. Paskhalova
A. V. Vishnevsky National Medical Research Center of Surgery ; Federal State Autonomous Educational Institution of Higher Education “P. Lumumba Peoples’ Friendship University of Russia” Ministry of Education and Science of Russia
Russian Federation
Russian Federation
Yulia S. Paskhalova – MD, Candidate of Medical Sciences, Senior Researcher at the Department of Wounds and Wound Infections, Associate Professor of the Department of Disaster Medicine
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
8 Miklukho-Maklaya Str., Moscow, 117198
A. A. Ushakov
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Alexander A. Ushakov – MD, Head of the Unit of Purulent Surgery of the Department of Wounds and Wound Infections
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
S. D. Magomedova
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Samera D. Magomedova – MD, Surgeon, Unit of purulent surgery, Department of Wounds and Wound Infections
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
S. A. Orudzheva
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Saida A. Orudzheva – MD, Doctor of Medical Sciences, Senior Researcher of the Department of Wounds and Wound Infections
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
R. P. Terekhova
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Raisa P. Terekhova – MD, Candidate of Medical Sciences, Head of the Laboratory of Prevention and Treatment of Bacterial Infection
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
V. S. Demidova
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Valentina S. Demidova – MD, Doctor of Biological Sciences, Head of the Clinical Diagnostic Laboratory
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
L. G. Alkhimova
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Lyudmila G. Alkhimova – MD, specialist in the clinical laboratory diagnostics in the Clinical Diagnostic Laboratory
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
G. V. Khamidulin
Federal State Autonomous Educational Institution of Higher Education “P. Lumumba Peoples’ Friendship University of Russia” Ministry of Education and Science of Russia
Russian Federation
Russian Federation
Georgy V. Khamidulin – MD, Assistant at the Department of Disaster Medicine
8 Miklukho-Maklaya Str., Moscow, 117198
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For citations:
Mitish V.A., Paskhalova Yu.S., Ushakov A.A., Magomedova S.D., Orudzheva S.A., Terekhova R.P., Demidova V.S., Alkhimova L.G., Khamidulin G.V. The comprehensive treatment of a phlegmon on the foot dorsum in a patient with idiopathic distal polyneuropathy. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2023;10(2):32-40. (In Russ.) https://doi.org/10.25199/2408-9613-2023-10-2-32-40
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