СПОСОБ МИОПРОТЕКЦИИ ПРИ ОПЕРАЦИЯХ ПО ПОВОДУ УДАЛЕНИЯ ГРЫЖ МЕЖПОЗВОНКОВЫХ ДИСКОВ

摘要

FIELD: medicine, surgery. ^ SUBSTANCE: about 2-3 min before applying a dilator for paravertebral muscles one should treat the area of desired compression by capturing not less than 1.5 cm against the borders of dilator's place with the flow of 0.9%-NaCl solution saturated with ozone up to concentration of 400-500 mcg/l, cooled up to 18-20 C; in the course of operation every 40 min of compression one should weaken the dilator's tension for 5 min for the half against the initial value to repeat muscular treatment with high-pressure flow of 0.9%-NaCl solution saturated with ozone up to 500 mcg/l and cooled up to 18-20 C, and after removing the hernia and a dilator one should introduce normothermal 0.9%-NaCl solution at ozone concentration being about 200-300 mcg/l into paravertebral muscles at 1-2 ml ozone/2-4 cu. cm muscular mass with a blunt-end needle for the depth of either one half or one third against muscular mass. The present innovation enables to decrease intraoperational trauma of paravertebral muscles and decrease chronic infection due to antihypoxic and bactericidal properties of ozone, correspondingly. ^ EFFECT: higher efficiency of myoprotection. ^ 1 ex