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[Use of pervomur for irrigation of purulent cavities]

G S Chepcheruk, L S Lesnitskiĭ, S M Nabiev

    Vestnik Khirurgii Imeni I. I. Grekova
    |November 1, 1979
    PubMed

    Insights

    Diluted Pervomur (1:3) effectively washes the pleural cavity during surgery for acute lung and pleural infections. This method significantly prevents complications like empyema and wound infections post-operation.

    Area of Science:

    • Thoracic surgery
    • Infectious diseases
    • Surgical antisepsis

    Background:

    • Acute purulent diseases of the lungs and pleura pose significant risks of postoperative complications.
    • Intraoperative management is crucial for preventing surgical site infections and empyema.

    Purpose of the Study:

    • To evaluate the efficacy of diluted Pervomur (1:3) for intraoperative pleural cavity washing.
    • To assess the potential of this intervention in preventing postoperative pleural empyemas and soft tissue wound suppuration.

    Main Methods:

    • Experimental study involving intraoperative washing of the pleural cavity.
    • Application of a specific dilution (1:3) of Pervomur during surgical procedures.
    • Monitoring patients for the development of postoperative pleural empyema and wound infections.

    Main Results:

    • Diluted Pervomur (1:3) demonstrated feasibility for intraoperative pleural cavity irrigation.
    • The intervention was associated with a significant reduction in postoperative pleural empyemas.
    • Suppuration of soft tissue wounds was prevented in the majority of treated patients.

    Conclusions:

    • Intraoperative pleural cavity washing with diluted Pervomur (1:3) is a viable and effective method.
    • This technique shows promise in preventing serious postoperative complications in patients with acute purulent thoracic diseases.

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