EFFICIENCY OF THE ANESTHESIA BY LOCAL WOUND IRRIGATION IN EARLY POSTOPERATIVE PERIOD OF ANGULAR MANDIBULAR FRACTURE SURGICAL TREATMENT
Abstract
Aim. To study the efficiency of the postoperative anesthesia by local irrigation with “Xefocam” solu[1]tion in the surgical treatment of angular mandibular fractures.
Materials and methods. The research focused on a study of 53 patients of which 46 were men and 7 were women aged 17 - 60 years. Patients underwent surgery for the angular mandibular fracture under general in[1]travenous anesthesia with “Propofol”, “Ketamine” and “Fentanyl” with oxygen - air ventilation. Patients were divided into two groups. The comparison group consisted of 26 patients who underwent postoperative analgesia with “Ketonal” 200 mg/day and “Promedol” 4 mg/day intramuscularly. The main group consisted of 27 pa[1]tients who underwent local irrigation of wounds through a catheter with a solution of “Xefocam”.
Results. The pain reduction was noted in both groups, but during the first 24 hours of the postoperative period, the pain was more intense in the comparison group. The severity of postoperative pain in the first three days was 5,3; 3,6 and 2,95 points respectively. The severity of postoperative pain in patients of the main group on 1st day was 4.0 points, 2nd day 2,9 points and 3rd day 1.98 points.
Conclusion. The effective method of local irrigation allows providing an adequate level of analgesia in the early postoperative period of angular mandibular fractures surgical treatment.
About the Authors
U. А. Ismailova
Departments of Hospital Surgery of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
I. М. Yuldashev
Departments of Pediatric Stomatology, Maxillofacial and Plastic Surgery of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
Dz. B. Boshkoev
Departments of Hospital Surgery of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
А. Т. Boronchiev
Department of Operative Dentistry of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
А. Т. Djumaev
Departments of Pediatric Stomatology, Maxillofacial and Plastic Surgery of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
А. А. Ashyrbaev
Departments of Hospital Surgery of the Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Tajikistan
Tajikistan
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Review
For citations:
Ismailova U.А., Yuldashev I.М., Boshkoev D.B., Boronchiev А.Т., Djumaev А.Т., Ashyrbaev А.А. EFFICIENCY OF THE ANESTHESIA BY LOCAL WOUND IRRIGATION IN EARLY POSTOPERATIVE PERIOD OF ANGULAR MANDIBULAR FRACTURE SURGICAL TREATMENT. Health care of Tajikistan. 2018;(2):20-25. (In Russ.)
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