[Basic principles of the treatment of chronic pelvic osteomyelitis]

The results of treatment in 177 patients with chronic osteomyelitis of the pelvis are reported. The diagnosis was clarified and the patients' general status was assessed by comprehensive examination (roentgenography, tomography, fistulography, scintigraphy, bacteriological, immunological, and laboratory studies). A procedure of complex preoperative preparation, rational detoxication and immunocorrection, intraoperative blood loss replenishment (autohemotransfusion) and volemic disturbances correction was developed. This permits expansion of indications for surgery, whose basis is bone resection. Taking into account the localization of a pathologic process, the authors consider bone resection within the normal tissue limits to be a main component of surgical treatment of chronic pelvic osteomyelitis.