Abstract
OBJECTIVE. This work investigated an influence of high-temperature oscillation plasma flow on hypoderma and determined the degree of influence on lymphatic vessels. MATERIAL AND METHODS. The experiment was carried out on 15 guinea pigs, that were divided into 5 groups (3 species in each group). An incision of derma and hypoderma was performed in dorsal area. The control group was the first and their incised tissues were used for comparative morphological analysis. Hypoderma has been treated by high-temperature oscillation plasma flow using Plasma.Jet to achieve coagulation homeostasis in the second group. Excisional biopsy was made immediately after tissue processing by Plasma.Jet in this group. Biopsy was performed on the third day in the third group. It was on the fifth day in the fourth group and on the seventh day in the fifth group. RESULTS. According to histological and immunohistochemical study, it was stated that optimal hemostasis was achieved due to coagulation without necrotic changes and absence of lymphorrhea. CONCLUSIONS. The developed method of hemostasis allowed doctors to reduce complication rate in postoperative period.
Highlights
Possibilities and prospects of using energy of high-temperature oscillation plasma flow in treatment of ventral hernias
This work investigated an influence of high-temperature oscillation plasma flow on hypoderma and determined the degree of influence on lymphatic vessels
Hypoderma has been treated by high-temperature oscillation plasma flow using Plasma.Jet to achieve coagulation homeostasis in the second group
Summary
ВОЗМОЖНОСТИ И ПЕРСПЕКТИВЫ ИСПОЛЬЗОВАНИЯ ЭНЕРГИИ ВЫСОКОТЕМПЕРАТУРНОГО ДВУХУРОВНЕВОГО ПЛАЗМЕННОГО ПОТОКА ПРИ ЛЕЧЕНИИ ВЕНТРАЛЬНЫХ ГРЫЖ *. Изучить влияние энергии высокотемпературного двухуровневого плазменного потока на подкожную клетчатку и определить степень воздействия на лимфатические сосуды. Проведен эксперимент на 15 морских свинках, которые были разделены на 5 групп по 3 особи. В других группах подкожную клетчатку обрабатывали высокотемпературным двухуровневым плазменным потоком PlasmaJet® до достижения коагуляционного гемостаза. В результате гистологического и иммуногистохимического исследования было установлено достижение оптимального гемостаза за счёт коагуляции без выраженных некротических изменений и отсутствие лимфореи. Разработанная методика гемостаза позволит снизить частоту осложнений в послеоперационном периоде. Ключевые слова: высокотемпературный двухуровневый плазменный поток, подкожная клетчатка, лимфорея, профилактика осложнений.
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