Раневые покрытия и синдром диабетической стопы

Materials and Methods. There was proposed an original algorithm for a comprehensive assessment of the wound process and methods of using modern wound coatings. It was based on the results of examination and treatment of 102 patients with purulent-necrotic complications of diabetic foot syndrome (DFS), who were treated at the clinic of General surgery of the Military medical Academy from 2015 to 2017.Results. The data obtained after planimetric, bacteriological and cytological research fully confirm the effectiveness of modern wound coatings.Conclusion. The suggested algorithm provides an objective assessment of wound process, also demonstrates its dynamics, allows to compare different methods of local treatment, as well as to adjust the treatment regimen of patients with purulent-necrotic complications of DFS.Материалы и методы. На основе результатов обследования и лечения 102 пациентов с гнойно-некротическими осложнениями синдрома диабетической стопы (СДС), находившихся на лечении в клинике общей хирургии Военно-медицинской академии с 2015 по 2017 год, с целью улучшения результатов лечения был предложен оригинальный алгоритм комплексной оценки течения раневого процесса и методики применения современных раневых покрытий.Результаты. Полученные в результате планиметрических, бактериологических и цитологических методов исследования данные полностью подтверждают эффективность современных раневых покрытий.Заключение. Предложенный алгоритм обеспечивает объективизацию оценки раневого процесса, демонстрирует его динамику, позволяет сравнить различные методы местного лечения, а также корректировать схему ведения пациентов с гнойно-некротическими осложнениями СДС

BJS commission on surgery and perioperative care post-COVID-19

Background: Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues experiences and published evidence. Methods: In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results: BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion: The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era

BJS commission on surgery and perioperative care post-COVID-19

Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues' experiences and published evidence