[Device for wound debridement]

A device for prevention of wound infection in emergency surgery is suggested. It is distinguished by its funnel having an elastic prolongation in the form of a porolone "skirt". The openings on the funnel have the shape of a truncated cone positioned at an angle to the axis of the device and directed at the center. On the basis of the treatment of 60 patients, a comparative analysis was conducted of the use of the traditional apparatus producing a pulsed stream of fluid under pressure and the device suggested by the authors. The following advantages of the suggested device were revealed: good washing of the wound; no spattering of the washing solution; easy preparation for the procedure; economy of the washing solution. No purulent complications occurred in operations under contaminated and infected conditions when the authors' device was used for the prevention of wound complications. Purulent wound complications were encountered in 18.2% of patients in the compared group of similar cases in which an apparatus creating a pulsed stream of solution was used.