Oil and balsamic dressing

Oil - balsamic dressing - headbands with the balm (Peruvian or of shestakovskoe in the form of 20% solution in the oil) or Vishnevsky ointment used for treatment of wounds, ulcers, and some inflammatory processes (infected wounds, abscesses and phlegmons after opening, paraproktit, mastitis and other). When using oil - balsamic dressing in the early stages of the inflammatory process may have abortifacient over. In the later stages of accelerated rejection of necrotic tissue, cleaning wounds, granulation development. Oil - balsamic dressing contribute to the improvement of trophism of tissues, are bacteriostatically and, in addition, have a draining effect.
The most complete contact with the juvenile tissue wounds (oral) on the walls and bottom of it is achieved by removing come and necrotic tissues and subsequent loose fill sores (oral) swab moistened with Vishnevsky ointment or other oil-balsamic emulsion. Changing tampons in the ligation is performed rarely. It can be full, if tampons easily depart from the walls of the wound, or partial. In the latter case, remove only the centrally-located tampons and in their place are introducing new lavishly wetted with ointment. Oil - balsamic dressing as hot compresses applied with sluggish current of purulent inflammatory process in the endarteritis and obliterating atherosclerosis of the extremities. Ointment can be entered into the depth of purulent cavities and with the help of a syringe (imp-pad drainage).
Shown oil - balsamic dressing after primary surgical treatment of wounds, when osteomyelitis after opening of abscess or trephination bones, septic processes in the joints after opening (betampona drainage), anaerobic infection on the limbs, after extensive surgery. In addition, oil - balsamic dressing used for burns II, III and IV degrees, with the addition of fresh cases in the ointment of benzocaine or with overlay on top of the oil - balsamic dressing napkin moistened penicillin with novocaine), as well as for frostbite. With long-term use oil - balsamic dressing possible skin irritation, excessive growth of granulation and bleeding from them. All of these complications are an indication for the abolition of oil and balsamic dressing.

Oil-balsamic dressing - tool nonspecific (pathogenetic therapy of various inflammatory processes.
Information about M-b. p. dates back to ancient times, but its scientific justification significantly associated with experimental and clinical studies Century A. Vishnevsky and his staff. The bandage with ointment (emulsion)containing Peruvian balsam - 20 g, kseroforma - 5 g and castor oil - 100 grams Century A. Vishnevsky widely used in the treatment of wounds and inflammatory processes in 1901 In the future instead of the Peruvian balsam Century A. Vishnevsky proposed to apply juniper, beech or birch tar - from 1 to 5 g with kseroforma - 3-5 g per 100 g of castor oil or fish oil, or both 50, Bactericidal activity of this ointment installed not only against Staphylococcus and Streptococcus, but also against vegetative forms of anaerobic microbes, gas gangrene and tetanus. A. Century Vishnevsky and his team have developed the basic principles of therapeutic action M-b. p., it has proven its draining effect when tamponade wounds and purulent cavities, protective medical properties in inflammatory processes and normalizing effect in disorders of the vascular tone and smooth muscles.
Oil-balsamic dressing, affecting nervous elements tissue wounds, protects it from the severe and harmful irritation and provides an optimal state of trophism in all stages of wound healing. In addition, the relationship between the receptors of the skin and blood vessels and tissue receptors provides a beneficial effect M-b. p. on the skin, providing a weak protegerse irritation, it improves the conditions of exchange and trophic deep in the hearth of the pathological process.
Under the influence of the M-b. p. activated cellular elements of connective tissue, phagocytosis, increases the absorption process, to intensively develop protective substances and enzymes. Accelerates the growth of young blood vessels, surrounded by clusters of proliferating adventitious cells and segmented leukocytes, and the terms of wound healing.
Normalization of a tone of blood vessels and smooth muscles leads to reduced tone at a spasm and increase it in atony. This is most clearly observed in obliteriruth diseases peripheral receptacles and upset tone of internal organs.
Oil-balsamic dressing has found wide application at gunshot wounds, especially during the great Patriotic war. The vast majority of the wounded primary and secondary surgical treatment of wounds of soft tissues, bones and joints ended with the introduction of tampons with oil-balsamic emulsion or imposition M-b. p. For tamponade wounds used gauze swabs corresponding width (several shorter or one wide)lavishly wetted with Vishnevsky ointment. A tampon enter one next to the other so that they do not overlap (Fig.). The remaining between them capillary cracks provide outflow detachable. When smooth over the wound swabs leave for a long time - until they start popping them out of the wound growing granulation; then they gradually pull up and remove. Indication for early challenging and changing tampons are signs of delay of pus under them. When partially sewn wound can be made betampona draining oil-balsamic emulsion. Externally on intact skin, for example in inflammatory infiltrate, put a bandage from 5-6 layers of gauze soaked Vishnevsky ointment, covering it with cotton and compress oilcloth (oil-balsamic compress). Dressing change 1 time in 2-3 days.
Treatment of oil-balsamic dressing is often combined with the use of procaine blockade (see Blockade procaine). The wound drainage.