Complex therapy of chronic purulent wound of the sacrococcygeal region with a positive outcome

Introduction. Long-term non-healing purulent wounds are still relevant and difficult to treat. Using the example of the presented observation, the authors propose an integrated approach using air-plasma treatment, applications of fibrin glue and collagen-containing wound coatings, which made it possible to achieve complete healing of the wound defect of the sacral region in a young patient without resorting to expensive reconstructive plastic aids.

Сlinical case. The 22-year-old patient went to the clinic with complaints of a long-term non-healing purulent wound in the area of surgery. History of repeated surgical treatment for relapse of pilonidal cyst over the past 1.5 years. In the surgical department, complex therapy was carried out: antihypoxant, sanitation and NO therapy, followed by the use of aplications of fibrin glue and autodermoplasty. The patient was discharged on the 17th day with good clinical results, lysis of the transplanted flaps did not exceed 25%. At a follow-up examination after 3.5 months, the former wound defect of the sacral region is completely covered with dense scar tissue.

Conclusion. This clinical case allows us to formulate a new concept of using fibrin glue in combination with stimulating air-plasma treatment of DNGR and a gentle version of autodermoplasty.

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