The grossest and, unfortunately, the most common mistake is to perform a skin incision without excision of albenza 400mg pills tissues in the hope of further independent rejection of necrosis on the dressing.
Such tactics are vicious, since after opening the pressure in the tissues decreases, pain decreases, which is regarded by the doctor and the patient as a positive trend, and at this time the purulent-destructive process progresses deep into the tissues, affecting important anatomical formations.
Errors in the processing of a purulent focus.
It is categorically unacceptable to carry out longlongitudinal incisions along the palmar and dorsal surfaces of both the fingers and the hand, since in the future this leads to pronounced cicatricial contractures and severe sensitivity disorders.
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We consider it categorically contraindicated to repeatedly inject local anesthetic solutions with antibiotics into inflamed edematous tissues as a therapeutic manipulation, since this procedure leads to a further increase in interstitial pressure, followed by soft tissue necrosis.
Access during surgery for purulent-inflammatory diseases of the fingers and hand should be selected depending on the presence or absence of wounds.
In case of already existing damage to the skin on the dorsal or palmar surface, the skin defect must be economically excised and the incision should be modeled as a Z-shaped one on the fingers and an arched or S-shaped one on the hand.
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In addition, the method of anesthesia is not always chosen correctly. From our point of albenza, in purulent-inflammatory diseases of the fingers and hand, local infiltration anesthesia should not be used, as it does not provide adequate pain relief.
Conduction anesthesia is shown to be performed at various levels (at the level of the metacarpal bones, the wrist joint, the upper third of the forearm, the axillary fossa), and the injection site of the anesthetic should be located outside the inflammation zone.
In the future, when destructive foci develop in articulating bone structures, the function of the joint and finger is irreversibly lost.