Method for limiting an operating field with one-time creation of an extracting wiring bar and its advantages before a classical operating aid for treatment of purulent inflammatory diseases

Introduction. This article describes a method for applying the limitation of the surgical field with the simultaneous creation of a squeezing rope. The presented method allows during surgical treatment of infections of the hand, to restore the functioning of the hand as efficiently as possible, thereby allowing the patient to maintain their ability to work in areas directly related to it. Materials and methods. The article gives a brief description of standard surgical treatment. A statistical comparison of two groups was carried out, in one of which the classical method of surgical aid was used, and in the other using the delimitation of the operative field with the simultaneous creation of squeezing tourniquet for the surgical treatment of purulent-inflammatory diseases of the hand. Based on a comparison of which the advantages of the methods used in different groups could be identified, the disadvantages and ways to minimize them for the patient were examined. Results. The key advantages of the method presented in the article are: neighboring areas of the hand are reliably isolated from the operation area, which excludes their contamination in the treatment of surgical infections or infection of a conditionally «clean» wound; squeezing tourniquet minimizes blood loss and creates better conditions for visualizing anatomical formations; better patient limb control minimizes the risk of impaired sterility of the surgical field; causes less discomfort to the patient. Conclusion. The proposed method of treatment makes it possible to better visualize the affected structures, achieve less blood loss and a small number of postoperative complications. During the dynamic monitoring of patients and tracking long-term results, our method allowed us to reduce the time of inpatient treatment and contributed to the early implementation of rehabilitation measures for rehabilitation measures.