USING OF LASER NECROSECESTRECTOMY IN THE TREATMENT OF SEVERE FORMS OF PANARITIUM

Amongst the variety of patient complaints the severe forms of panaritium are the most common at Moscow clinics specialized in purulent surgery. Abundance of developing such pathology is caused by number of reasons, one of which is that patients visiting a doctor very late. Typical outcome of late start of a treatment is an amputation of phalanx of the fingers, sometimes whole fingers, what could lead to obtaining a disability status even in comparatively young patients, particularly with I-fingers affected. We have conducted a 4 State clinical hospital in Moscow based study of treatment two groups of patients. First group underwent classical surgery, i.e. necrotomy, and treatment, including draining. Another group underwent intraoperative necrotomy performed by specific laser device “Atcus-2” (St.Peterburg, Russian Federacion). In given study laser radiation settings have been estimated for the first time, as well as necrotomy and necrsequestertomy techniques. Comparative results after treatment in two groups of patients show significant improvements in course of wound process, rapid debridement in patients which received laser treatment. Attenuated necrsequestertomy in bone forms of panaritium is possible in this group, which is essential, considering a finger functional importance in workflow. With all abovementioned, we can say that laser necrotomy is an actual and effective technique in complex treatment of severe forms of a forms of panaritium.

high-energy carbon dioxide laser, purulent diseases, hand, fingers, complex surgical treatment, necsecvestrectomy, necrectomy, drainage system