COMBINED APPLICATION OF OZONIZED PHYSIOLOGICAL SODIUM CHLORIDE SOLUTION AND LOW DOSES OF CONSTANT ELECTRIC CURRENT IN COMPLEX TREATMENT OF INFECTED PANCREONECROSIS

Aim. To study the effect of the low doses of constant electric current (20–25 mkA) combined with ozonosanation of omental bursa on inflammatory course in pancreas and omental bursa. Materials and methods. Sixty eight case histories of patients operated for infected pancreonecrosis at the surgical units of Aktyubinsk region in 2002–2001 were analyzed. Anamnesis of all patients was studied, complex of objective investigations was carried out, clinicolaboratory indices, USI and computer tomography results were analyzed. Clinical types of pancreonecrosis were classified according to The International Symposium Classification (Atlanta, 1992). Two groups of patients were formed: group I (control group) – 36 patients with pancreonecrosis treated with traditional methods, group II (main group) – 32 patients who were exposed to local use of constant electric current (CEC) in combination with ozonosanation of omental burse along with antibiotics of wide spectrum. Efficiency was estimated by the number of purulent complications, cessation of microbial semination of omental bursa, multiplicity of sanations and period of purification of omental bursa. Results. During the investigation, faster elimination of pain syndrome in the main group –2,3±0,17 days ( p <0,001) than in the control – 4,5±0,21 days was noted. While treatment, the amount of purulent complications decreased to 43,8% in the main group compared with the control – 69,4%. CEC and ozonized physiological solution applied in complex therapy permitted to reduce the period of wound purification from 16,7% to 12,5%. Conclusion. The proposed method of treatment contributes to decrease in purulent complication rate, fall in wound purification terms and acceleration of regeneration processes as well as reduction of patients’ staying at the hospital by 1,3 times and lethality by 1,5 times.

Infected pancreonecrosis, application of ozone and constant electric current (CEC), Infected pancreonecrosis, application of ozone and constant electric current (CEC)