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Ultrasound picture in soft tissues in patients after surgical operations

https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
Ultrasound picture in soft tissues in patients after surgical operations
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Abstract About the authors References

Abstract

Currently, 35-40% of surgical patients are patients with purulent-inflammatory diseases of various localization. This indicates the relevance of the medical and socio-economic significance of the problem, increasing the effectiveness of the treatment of purulent wounds. The purpose of the study was to study the effectiveness of the use of ultrasound diagnostics in patients with inflammatory processes in the area of surgical wounds. Materials and methods of investigation. The results of ultrasound examination of 52 patients over 16 years of age with inflammatory complications in the postoperative period were analyzed, of which 24 (46.2%) patients after high amputations of the lower leg or thigh were included in group 1, and 28 (53.8%) patients with inflammatory process of the area of surgical intervention of a different localization. Results of the study and their discussion. During ultrasound of the area of surgical intervention, infiltrates (25.0%) and soft tissue edema (25.0%) were most common, less often - seroma (19.2%) and hematoma (7.7%). In 23.1% of cases, there were direct indications for repeated surgical interventions: abscesses in the area of surgical wounds were detected in 13.5%, phlegmon in 9.6% of patients. Conclusions. In patients with inflammatory processes in the area of surgical intervention, the use of ultrasound can improve the quality of diagnosis and contribute to the correct choice of treatment tactics.

About the authors

Ниязов Батырхан Сабитович, д.м.н., профессор, завед.отделом кафедры общей хирургии КГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика
Тукешов Улан Конокбекович, аспирант, ассистент кафедры общей хирургииКГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика
Маманов Нуртилек Камчыбекович, аспирант КГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика

Niyazov Batyrkhan Sabitovich, MD, Professor, Head of the Department of General Surgery, KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic
Tukeshov Ulan Konokbekovich, graduate student, Аssistant of the Department of General Surgery KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic
Mamanov Nurtilek Kamchybekovich, graduate student, KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic

Ниязов Батырхан Сабитович, медицина илимдеринин доктору, профессор, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун жалпы хирургия бөлүмүнун кафедра башчысы, Бишкек, Кыргыз Республикасы 
Тукешов Улан Конокбекович, аспирант, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун жалпы хирургиянын  кафедранын ассистенты, Бишкек, Кыргыз Республикасы 

Маманов Нуртилек Камчыбекович, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун аспиранты, Бишкек, Кыргыз Республикасы 

References

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.

Keywords
amputation , seroma , edema , hematoma , coagulation , stump , suture divergence , fluctuation , local hyperemia , fever , leukocytosis
Для цитирования

Ниязов Б.С.,Тукешов У.К.,Маманов Н.К. Ультразвуковая картина в мягких тканях у больных после хирургических операций. Здравоохранение Кыргызстана 2022, № 4, с.95-99. https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
For citation

Niyazov B.S.,Tukeshov U.K., Mamanov N.K. Ultrasound picture in soft tissues in patients after surgical operations. Health care of Kyrgyzstan2022, No.4, pp.95-99. https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
Цитата үчүн

Ниязов Б.С.,Тукешов У.К.,Маманов Н.К. Хирургиялык операциядан кийин жабыркагандардагы жумшак
ткандардагы УЗИ сүрөтү. Кыргызстандын саламаттык сактоо 2022, no 4, б. 95-99.  https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
Authors Tukeshov U.K., Mamanov N.K., Niyazov B.S.
Link doi.org https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
Pages 95-99
Keywords amputation, seroma, edema, hematoma, coagulation, stump, suture divergence, fluctuation, local hyperemia, fever, leukocytosis
Russian
Об авторах

Ниязов Батырхан Сабитович, д.м.н., профессор, завед.отделом кафедры общей хирургии КГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика
Тукешов Улан Конокбекович, аспирант, ассистент кафедры общей хирургииКГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика
Маманов Нуртилек Камчыбекович, аспирант КГМИПиПК им. С.Б. Данирова, Бишкек, Кыргызская Республика
Полный текст

PDF (RUS)
Список литературы

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.
Для цитирования

Ниязов Б.С.,Тукешов У.К.,Маманов Н.К. Ультразвуковая картина в мягких тканях у больных после хирургических операций. Здравоохранение Кыргызстана 2022, № 4, с.95-99. https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
English
About authors

Niyazov Batyrkhan Sabitovich, MD, Professor, Head of the Department of General Surgery, KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic
Tukeshov Ulan Konokbekovich, graduate student, Аssistant of the Department of General Surgery KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic
Mamanov Nurtilek Kamchybekovich, graduate student, KSMIRaAT named after S.B. Daniyarova, Bishkek, Kyrgyz Republic
References

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.
For citation

Niyazov B.S.,Tukeshov U.K., Mamanov N.K. Ultrasound picture in soft tissues in patients after surgical operations. Health care of Kyrgyzstan2022, No.4, pp.95-99. https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
Kyrgyz
Авторлор жөнүндө

Ниязов Батырхан Сабитович, медицина илимдеринин доктору, профессор, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун жалпы хирургия бөлүмүнун кафедра башчысы, Бишкек, Кыргыз Республикасы 
Тукешов Улан Конокбекович, аспирант, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун жалпы хирургиянын  кафедранын ассистенты, Бишкек, Кыргыз Республикасы 

Маманов Нуртилек Камчыбекович, С. Б. Данияров атындагы Кыргыз Мамлекеттик кайрадан даярдоо жана квалификацияны жогорулатуу медициналык институтунун аспиранты, Бишкек, Кыргыз Республикасы 
Шилтемелер

1. Galimzyanov F.V. Additional methods of surgical treatment in the treatment of patients with extensive necrotic phlegmon Continuing Medical Education and Science. - 2015. - V.10 (3) - S. 138-139.
2. Krasnolutskaya V.N., Siorova D.V. Modern approaches to the treatment of purulent wounds // Central Scientific Bulletin. 2017. - T.22 (5) - S. 10-12.
3. Imankulova, A. S. Optimization of infection prevention in the field of surgical intervention in abdominal surgery, taking
into account the factors associated with the risk of their occurrence: specialty 14.01.17 "Surgery" : abstract of ... diss ...
for the degree of candidate of medical sciences / Imankulova Assel Sansyzbaevna. - Bishkek, 2011. - 18 p. – EDN QHN
UJT. https://elibrary.ru/item.asp?id=19354311
4. Imankulova, A.S. Analysis of factors associated with the risk of postoperative surgery // Medicine of Kyrgyzstan. - 2010. No. 7. - S. 20-25. – EDN YHCYQB. https://elibrary.ru/item.asp?id=28840365
5. Kaliev M. T., Imankulova A. S., Dzhumalieva G. A. Classification of surgical operations and manipulations in the system of financing medical services in the Kyrgyz Republic // Problems of social hygiene, health care and the history of medicine. 2022. - T. 30 (2) - S. 318-321. – DOI 10.32687/0869-866X-2022-30-2-318-321. – EDN SETNYD.
6. Gostishchev V.K. Clinical operative purulent surgery Guide for doctors - M .: GEOTAR - Medicine, 2016. - 488 p.
7. Imankulova A. S., Kochorov O. T., Mamatov N. N. Experience in the treatment of extensive purulent-necrotic wounds in the first phase of the wound process. - 2021. - No. 2. - S. 66-72. – DOI 10.51350/zdravkg202162966. – EDN JSOHYC. https://elibrary.ru/item.asp?id=46311011
8. Dinlosan O.R. Complex use of Levomikol ointment and 10% Povidone-iodine preparation in the treatment of acute purulent inflammation of soft tissues during the period of deadaptation to high mountains in the experiment: author's abstract diss ... for the degree of candidate of medical sciences: 14.01.17 / Dinlosan O.R. - Bishkek, 2019. -30p.
9. Malyshko V.V., Fedosov S.R., Savchenko Yu.P. Cytological picture of the wound surface in the experimental treatment of purulent wounds with a colloidal antiseptic agent // Modern problems of science and education. - 2017. - No. 1. - S.44.
Цитата үчүн

Ниязов Б.С.,Тукешов У.К.,Маманов Н.К. Хирургиялык операциядан кийин жабыркагандардагы жумшак
ткандардагы УЗИ сүрөтү. Кыргызстандын саламаттык сактоо 2022, no 4, б. 95-99.  https://dx.doi.org/10.51350/zdravkg2022.4.10.13.95
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