Phlegmon
Phlegmon - purulent inflammation of tissues with a tendency to progress. Depending on the layers that affect the phlegmon, talk about the subcutaneous, subfacial and intermuscular phlegmon. Phlegmon can also form in the mediastinum, retroperitoneal tissue, thoracic and abdominal walls. The causative agent of infection is streptococci, anaerobic and putrefactive microorganisms.
The entrance gate of infection is often a wound. Initially, there is serous tissue infiltration locally, but on the 2nd-3rd day (depending on the type of microbial associations) serous-purulent (streptococci), purulent (staphylococci) or ichorous (putrefactive infection) are separated. The area of infection and neighboring tissues are infiltrated, edematous, the skin is hyperemic. There is pain and soreness in palpation in the same area. If we do not take appropriate measures (extensive incisions for opening connective tissue spaces, removing pus and necrotic tissues), then the inflammatory necrotic process will progress. In some cases, the course of the disease can be fulminant with rapid progression of inflammation, septic events, there may be a risk of artery arteries (bleeding), purulent thrombophlebitis and pulmonary embolism.
Treatment operative, as a rule, under anesthesia. During the operation, all the wounds must be opened, necrotic tissue is excised, the wound must be well drained.
Woody phlegmon (phlegmon Reclus) is the result of infection with weakly virulent microorganisms of the bottom of the mouth and oropharynx. Characteristic is the appearance of a painless, "hard as a board," infiltration of the soft tissues of the neck. When the incision is determined gelatinous tissue and a small amount of dark exudate.
Putrefactive phlegmon is a particularly severe form of the disease. The most important pathogens are Escherichia coli, Proteus, Anaerobes. During the first day there is an increase in temperature, pain and the formation of serous exudate, then quickly joins the necrosis of tissues, resulting in putrefactive decay, hence severe toxic effects. The secret of the wound becomes dirty brown, gets an unpleasant smell. If gas production is detected in the putrefactive secret, they speak of a gas phlegmon (not to be confused with an anaerobic gas infection). Putrefactive phlegmon of the abdominal wall often arises after operations on the colon, imposing unnatural anus, colostomy.
Treatment of putrefactive phlegmon presents significant difficulties. Need for wide cuts, good drainage of the wound, thorough daily dressings with revision of the wound (there may be relapses). The prognosis for a normal phlegmon is favorable. When putrefactive phlegmon is always very serious.
- Surgical diseases
- Abscess
- Abscess appendicular
- Abscesses of the abdominal cavity
- Abscess of the Douglas space
- Intestinal abscess
- Abscess of the lung
- Soft tissue abscess
- Abscesses of soft tissues after injection
- Abscess of liver
- Amoebic liver abscess
- Prostate adenoma
- Actinomycosis
- Aneurysm
- False aneurysm
- True aneurysms
- Aneurysm of the aortic arch
- Aneurysm of descending thoracic aorta
- Dissecting Aneurysm
- Aneurysm of the abdominal aorta
- Aneurysm of peripheral vessels
- Arteriovenous aneurysm
- Aneurimas of the heart
- Appendicitis acute
- Perforation of the appendage
- Appendicular infiltration
- Pielephlebitis
- Atheroma
- Bronchoectasis
- Varicose veins
- Varicose veins of the spermatic cord
- Dropsy of testis and spermatic cord
- Rectal prolapse
- Gangrene gas
- Gangrene lung
- Hemorrhoids
- Hydradenite
- Gynecomastia
- Hernia
- Internal hernias
- Hernias of the esophagus
- External hernias
- Herniated hernias
- Herniated hernia
- Hernia of the white line
- Hernia postoperative ventral
- Herniated hernia
- Rare hernias
- Pincushion
- Phlegmon hernial sac
- False infringement of a hernia
- Hernias with inflammation
- Dumping syndrome
- Diverticulum
- Esophagus diverticulum
- Cervical diverticulum
- Bifurcation diverticulum
- Epiphrenial diverticulum
- Epiphrenial diverticulum
- Diverticulum of the stomach
- Diverticulum of the duodenum
- Meckel's diverticulum
- Jaundice mechanical
- Bile duct stones
- Ventilated stone of choledoch
- Papillotenosis
- Stricture of bile ducts
- Cancer of the head of the pancreas
- Cholelithiasis
- Urinary retention acute
- Zollinger-Ellison syndrome
- Foreign bodies of bronchi
- Foreign bodies of the stomach
- Foreign bodies of the esophagus
- Foreign bodies of soft tissues
- Carbuncle
- Brushes and fistulas of the neck are lateral
- Cysts and fistulas of the neck median
- Colitis ulcerative ulcerative
- Coccygeal epithelial passage
- Cryptorchidism
- Bleeding
- Bleeding internal
- Bleeding gastrointestinal
- Varicose veins
- The Mallory-Weiss Syndrome
- Bleeding into the abdominal cavity
- Bleeding pulmonary
- Bleeding external
- Parenchymal hemorrhage
- Crohn's disease
- Lymphadenitis
- Lymphangitis
- Mastitis
- Putrefactive mastitis
- Acute non-lactational mastitis
- Chronic mastitis
- Megacolon
- Mediastinitis
- Intestinal obstruction
- Paralytic intestinal obstruction
- Mechanical intestinal obstruction
- X-ray diagnostics
- Specific types of intestinal obstruction
- Ingrown throat
- Frostbite
- Local cooling
- Burn
- Occlusion of the main arteries
- Acute occlusion of the vessels of the extremities
- Acute occlusion of mesenteric vessels
- Chronic occlusions of arterial vessels
- Obtiterating atherosclerosis
- Aortic ileal type
- Hips and popliteal type
- Peripheral type
- Occlusion of aortic arch branches
- Occlusion of carotid arteries
- Occlusion of the subclavian artery
- Takayasu's syndrome (absence of pulse)
- Chronic occlusion of mesenteric vessels (abdominal toad)
- Stenosis of the renal arteries
- Obliterating thrombangitis
- Raynaud's disease
- Orcoepididymitis
- Acute abdomen
- Acute pancreatitis
- Chronic pancreatitis
- Acute cholecystitis
- Panaritium
- Panaritium cutaneous
- Paronichy
- Panaritium subungual
- Panaritium tendinous
- Panaritium articular
- Panaritium bone
- Penetrating ulcer of the stomach and duodenum
- Peritonitis
- Peritonitis chronic
- Piopevneumotorax
- Pneumothorax spontaneous
- Postcholecystectomy syndrome
- Perforated ulcer
- Covered perforation
- Bedsore
- Prostatitis
- Wounds
- Fistulas of the rectum
- Stenosis of the outlet stomach
- Fracture of anus
- Urethritis
- Phimosis, paraphimosis
- Phlebothrombosis
- Occlusion of subclavian vein
- Furuncle
- Cholangitis
- Electric trauma
- Empyema of the pleura
- Congenital intestinal obstruction
- Atresia of the anus
- Congenital cholangiopathy of newborns
- Pylorostenosis
- Embryonic hernia (hernia of umbilical cord)
- Exstrophy of the bladder
- Dropsy of shells of testis and spermatic cord
- Surgical diseases of the chest
- Congenital diaphragmatic hernia
- Congenital cysts of the lungs
- Pneumothorax
- Tracheophishoprine fistula
- Mastitis of newborns
- Acute hematogenous osteomyelitis
- Peritonitis in newborns
- Acute paraproctitis
- Necrotic phlegmon of newborns
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