The case of development of the vast purulent necrotic lesion of the left upper limb complicated by the development of sepsis appeared after the parenteral introduction of synthetic drug surrogate («speed»). The peculiarities of the disease course, surgical and complex treatment are described in details. The clinical case is interesting because on the background of chronic alcoholism, the injection of synthetic drug surrogate was complicated by the development of phlegmon of the back surface of the left hand and the generalization of infection in the form of purulent necrotic damage of the upper limb, sepsis. The use of oxygenated water «OxyEnergy» in the complex treatment in its pure form (per os, 30 ml 2 times a day) and in dressings with the «Levomekol» ointment in combination with NO-therapy allowed to obtain a good clinical result.
Minimally invasive percutaneous techniques, staged as part of the combined treatment of high stricture complications of the biliary tract, demonstrated high efficiency in the short term. On the other hand, the use of self-expanding nitinol stents as a definitive treatment for non-tumor stricture of the biliary tract in long-term life prognosis cannot be recommended as a routine intervention. The use of stents in these cases can only be justified in the absence of alternative treatment options, subject to frequent monitoring of the biliary tract.
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