OPTIMIZATION OF CLOSURE OF PRIMARY ASEPTIC WOUNDS ON THE FACEAND NECK IN PATIENTS WITH DIABETES MELLITUS

Abstract

Objective: to develop the optimal terms for removal of tanatal staples in patients with diabetes mellitus type II in the closure of primary aseptic wounds on the face and neck without tension. Material and methods. The criteria for inclusion of patients in the study were as follows: the necessity for surgery with removal of submuscular structures or neoplasms on the face and neck (nodular benign thyroid pathology without prior therapy, benign soft tissue tumors) with the subsequent closure of primary aseptic wound without tension and presence of diabetes of the second type in the compensation phase. The wound was covered with a stapler, the use of which is characterized by minimal tissue reactions. Results. We have determined the optimal time of removal of tantalum braces for the present group of patients. Conclusion. The optimal time for removal of tantalum clamps in this group of patients is the 8^th day of the postoperative period. It is confirmed by the statistical analysis when comparing the quality factor of postoperative cicatrix in a similar group of patients without concomitant pathology.