MANAGEMENT AND TREATMENT OF VARIOUS SURGICAL WOUNDS (WOUND MANAGEMENT AND SURGICAL WOUND TREATMENT)

Abstract

The problem of management and treatment of wounds and the occurrence of purulent wound infection and its treatment and prevention continues to be one of the most relevant problems in modern surgery and remains in the spotlight of surgical community’s attention. The purulent and infectious complications are also a major problem in the post-injury period. Purulent wounds require long-term treatment and are associated with high treatment costs; all these call for new ways of improving the already existing ways of treatment. The aim of the study is to investigate the specific aspects of nursing process in surgery, to study the classification of wounds, the mechanisms of wound healing, the specific aspects of different types of wounds, to study the types of infected wounds and their causative agents, to determine the proper treatment of wounds in surgery and the associated roles of nursing personnel; to obtain samples from wounds and perform bacteriological testing, to determine the prevailing colony of microbial pathogens in the wound and to determine their sensitivity to antimicrobial agents. status. The data for this project was collected through general clinical assessment, general surgical assessments and microbiological tests, including microbiological testing of wound biomaterial and microbial sensitivity to antibiotics, history of present disease and health history; patient observation, physical examination, general health assessment; data comparison, laboratory and imaging tests; analytic method; and statistical research methods. When studying the mechanisms of wound healing in surgical patients, we have detected key points of care for patients with wounds; we have assessed the course of the wound process in surgical patients; we have identified the main methods of postoperative wound treatment and the ways to prevent their microbial contamination; we have studied the types of infected wounds and the methods of their treatment; in the study, we have determined the causative agents most frequently found in the wounds and leading to chronization of the wound healing process; we also assessed the sensitivity of microorganisms to antimicrobial treatment with antibiotics for determination and use of optimal wound treatment approaches. These findings indicate the need for differentiated schemes of treatment of wounds in order to choose optimal wound treatment approaches.