Authors
Krasenkov Yu.V., Tatyanchenko V.K., Sukhaya Yu.V., Bogdanov V.L.
FGBOU VO RostGMU, Rostov-on-Don
Abstract
Introduction: chronic compartment syndrome (CCS) developed after surgical treatment of intermuscular phlegmon of the upper limb is a common pathology that has a significant negative impact on the quality of life of patients in the late postoperative period.
Objective: to develop an algorithm for the diagnosis and prevention of postoperative tissue hypertension (CTS) in patients with phlegmon of the upper limb.
Materials and methods: results of treatment of 134 patients operated on for intermuscular phlegmon of the upper limb (IMUP) (shoulder and forearm segments). Patients were divided into 2 comparable clinical groups, the difference between the groups was as follows: Group I – treatment using known technologies; Group II – treatment using original technologies (Patent of the Russian Federation № 2699964, № 2755388, № 2695367). They included diagnostics of tissue pressure, complex surgical treatment of compartment syndrome, prevention of myofascial dysfunction and postoperative tissue hypertension.
Results: аfter complex surgical treatment of the MFCI (shoulder, forearm) and compartment syndrome, chronic tissue hypertension may persist, which can have a negative impact on the patient’s quality of life with its clinical manifestations. In the postoperative period, it is necessary to monitor tissue pressure in order to determine the tactics of combating it.
Conclusions: The developed algorithm for the prevention of tissue hypertension has proven its effectiveness and can be recommended for use in purulent surgery departments.
Keywords: chronic compartment syndrome, tissue hypertension, phlegmon, rehabilitation.
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